NPI registry status
Active
2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1104260413 CNS
Verify on CMS → Mary Penkala, CNS
Adult Health Clinical Nurse Specialist in Ravenna, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,376 in Adult Health Clinical Nurse Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 396 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.9/100
▲ 7 pts above national avg 83.5 · Exceptional
Industry payments
$136.67
6 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Mary Penkala, CNS reported a CMS MIPS final score of 90.9/100 - above the 83.5 national average - and filed 3,715 Medicare Part D claims in 2024.
- 90.9/100
- MIPS score · +7 vs avg
- 4K
- Part D claims, 2024
- 95%
- generic prescribing
- $136.67
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Mary Penkala, CNS
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1104260413), first enumerated 04/18/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 3,715 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 90.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$136.67 in reported industry payments (6 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Ohio statewide board action statistics are published annually — these figures describe aggregate state activity, not Mary Penkala, CNS's individual license status. Verify directly with the state medical board.
Source: OMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1104260413 · Adult Health Clinical Nurse Specialist
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ABOVE · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1104260413
- ENUM-MID 2013
- TAX-NARROW 1,376
- MIPS-ABOVE 90.9/100
- RX-MID 3,715
- BOOK-THIN 184 in Ohio
- PHOTO-FINISH Sherrie Gabor · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Kimberly Ness · …
Kimberly Ness
90.8 MIPS pts
- Danna Renner · n…
Danna Renner
90.8 MIPS pts
- Penkala · this p…
Penkala · this provider
90.9 MIPS pts
- Sherrie Gabor · …
Sherrie Gabor
90.9 MIPS pts
- Alexis Stinnett …
Alexis Stinnett
91.2 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Mary Penkala, CNS's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
91 ≥ 58th percentile 58% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Mary Penkala, CNS sits
This provider among adult health clinical nurse specialist peers
Across the 141 adult health clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Mary Penkala, CNS writes more Part D claims than 94% of them and scores higher on MIPS quality than 67% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one adult health clinical nurse specialist peer from a representative sample of 60; the gold marker is Mary Penkala, CNS. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Mary Penkala, CNS?
High performer (top quartile)Primary specialty
Adult Health Clinical Nurse Specialist
Medicare Part D claims
3,715 209% vs specialty avg
MIPS final score
90.9/100 7.4 pts vs avg
Specialty distribution in Ohio
How Adult Health Clinical Nurse Specialist compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Mary Penkala, CNS's 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average
- MIPS Final Score
- 90.9/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1104260413 |
|---|---|
| Specialty | Adult Health Clinical Nurse Specialist |
| Credentials | CNS |
| Gender | Female |
| NPI Issued | 04/18/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.9046
Final Score
Measured-score avg: 83.5
81.8092
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Mary Penkala, CNS bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
University Primary Care Practices Inc
Conneaut, OH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Mary Penkala, CNS. Source: openpaymentsdata.cms.gov.
Total received
$137
Largest payer
Collegium Pharmaceutical, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to Mary Penkala, CNS. To verify Mary Penkala, CNS's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Mary Penkala, CNS - brand share 5.0%
Adult Health Clinical Nurse Specialist average
5% brand-name claims vs 95% generic, on 3,715 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
3,715
Total Claims
$170K
Total Drug Cost
396
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,095.8
- Total Day Supply
- 119,812
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $88K
- Generic Drug Cost
- $83K
- Opioid Claims
- 1,446 (38.9% rate)
Patient Demographics
- Average Patient Age
- 71.0 years
- Avg HCC Risk Score
- 1.84
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 84, 65-74: 161, 75-84: 108, 85+: 43
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Mary Penkala, CNS prescribes most
Top Medicare Part D drugs by claim count, 2024
- Gabapentin
Gabapentin
913 claims
- Duloxetine Hcl
Duloxetine Hcl
513 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
458 claims
- Oxycodone-Acetamin… 362
Oxycodone-Acetaminophen
362 claims
- Tramadol Hcl 215
Tramadol Hcl
215 claims
- Pregabalin 208
Pregabalin
208 claims
- Buprenorphine 163
Buprenorphine
163 claims
- Tizanidine Hcl 116
Tizanidine Hcl
116 claims
| Drug | Claims |
|---|---|
| Gabapentin | 913 |
| Duloxetine Hcl | 513 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 458 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 362 |
| Tramadol Hcl | 215 |
| Pregabalin | 208 |
| Buprenorphine | 163 |
| Tizanidine Hcl | 116 |
| Oxycodone Hcl | 109 |
| Methocarbamol | 107 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Health Clinical Nurse Specialist Overview
How Mary Penkala, CNS fits within the Adult Health Clinical Nurse Specialist landscape nationally.
1,376
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,202
Avg Claims per Provider
Mary Penkala, CNS's 3,715 claims are above the specialty average of 1,202.
Nationwide Adult Health Clinical Nurse Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Penkala, both outside Ohio so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (90.9 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult Health Clinical Nurse Specialist Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Penkala.
One of 184 Adult Health Clinical Nurse Specialist providers enrolled in Ohio, 5 are shown here.
Jessica Anderson
CNS
Cuyahoga Falls, OH
Jennifer Badia-Ranker
ACNS-BC
Findlay, OH
Janet Baker
APRN CNS
Pepper Pike, OH
Veronica Baker
RN, CNS, CNP
Beachwood, OH
Cynthia Ballard
CNS
Dayton, OH
Compare Adult Health Clinical Nurse Specialist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Mary Penkala, CNS's specialty? ▼
Mary Penkala, CNS specializes in Adult Health Clinical Nurse Specialist and practices in Ravenna, Ohio. Credentials: CNS.
How much does Mary Penkala, CNS prescribe under Medicare Part D? ▼
In 2024, Mary Penkala, CNS wrote 3,715 Medicare Part D claims totaling $170K in drug costs for 396 beneficiaries.
What is Mary Penkala, CNS's Medicare quality score? ▼
Mary Penkala, CNS has a CMS MIPS Final Score of 90.9/100 (Quality: 81.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mary Penkala, CNS located? ▼
Mary Penkala, CNS is located at 6847 N CHESTNUT ST STE 115, Ravenna, OH, 44266. Phone: (330) 297-6055.
What is Mary Penkala, CNS's NPI number? ▼
Mary Penkala, CNS's National Provider Identifier (NPI) is 1104260413, issued on 04/18/2013.
Does Mary Penkala, CNS prescribe more brand-name or generic drugs? ▼
Mary Penkala, CNS's prescribing is 5% brand-name and 95% generic drugs by claim count, with $88K in brand drug costs.
Does Mary Penkala, CNS prescribe opioids? ▼
Yes, Mary Penkala, CNS had 1,446 opioid claims in 2024 with an opioid prescribing rate of 38.9%.
How many Adult Health Clinical Nurse Specialist providers are there in the US? ▼
There are 1,376 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,202 Medicare Part D claims per year.
What drugs does Mary Penkala, CNS prescribe most often? ▼
Based on 2024 Medicare Part D data, Mary Penkala, CNS's most frequently prescribed drugs include Gabapentin, Duloxetine Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mary Penkala, CNS accept Medicare? ▼
Mary Penkala, CNS appears in CMS Medicare data with 3,715 Part D claims and 396 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mary Penkala, CNS's credentials? ▼
Mary Penkala, CNS's NPI is 1104260413 with credentials CNS. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.