2026 NPPES data Nurse Practitioner NPI 1780649749 APRN
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MARY RAYHILL, APRN

Nurse Practitioner in MT WASHINGTON, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
5K
Medicare Part D claims · 293 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$246.83
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARY RAYHILL, APRN reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 4,522 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
5K
Part D claims, 2023
87%
generic prescribing
$246.83
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.

MARY RAYHILL, APRN's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about MARY RAYHILL, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 04/20/2006

NPI 1780649749

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

4,522 317% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Nurse Practitioner compares to other specialties among Kentucky providers

Kentucky providers

Nurse Practitioner share within Kentucky

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Kentucky

Medicare quality performance — MIPS

MARY RAYHILL, APRN's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Nurse Practitioner) — 100/100 vs national avg 83.1

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).

MARY RAYHILL, APRN appears in the CMS NPPES registry as a Nurse Practitioner provider holding APRN credentials at 300 HIGH POINT CT, MT WASHINGTON, KY, 40047, with a listed phone of (502) 955-6129. NPI 1780649749 was issued on 04/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAYHILL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 4,522 prescription claims written by this provider, covering 293 Medicare beneficiaries and totaling roughly $405K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.1%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

300 HIGH POINT CT
MT WASHINGTON, KY 40047

Provider Details

NPI 1780649749
Specialty Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 04/20/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARY RAYHILL, APRN 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.

COMMUNITY MEDICAL ASSOCIATES INC
MOUNT WASHINGTON, KY

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 RAYHILL, APRN. Source: openpaymentsdata.cms.gov.

Total received

$247

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Typical

MARY RAYHILL, APRN — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 4,522 2023 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 2023.

4,522
Total Claims
$405K
Total Drug Cost
293
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,032
Total Day Supply
255,386
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$332K
Generic Drug Cost
$71K
Opioid Claims
97 (2.1% rate)
Antibiotic Claims
206

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.20
Gender Split
76% female / 24% male
Age Distribution
<65: 57, 65-74: 136, 75-84: 78, 85+: 22

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What MARY RAYHILL, APRN prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
167
Simvastatin
158
Amlodipine Besylate
140
Omeprazole
128
Lisinopril
127
Pantoprazole Sodium
114
Methylprednisolone
95
Alprazolam
89
Meloxicam
89
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
87

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nurse Practitioner Overview

How MARY RAYHILL, APRN fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

MARY RAYHILL, APRN's 4,522 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as RAYHILL.

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARY RAYHILL, APRN's specialty?
MARY RAYHILL, APRN specializes in Nurse Practitioner and practices in MT WASHINGTON, Kentucky. Credentials: APRN.
How much does MARY RAYHILL, APRN prescribe under Medicare Part D?
In 2023, MARY RAYHILL, APRN wrote 4,522 Medicare Part D claims totaling $405K in drug costs for 293 beneficiaries.
What is MARY RAYHILL, APRN's Medicare quality score?
MARY RAYHILL, APRN has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARY RAYHILL, APRN located?
MARY RAYHILL, APRN is located at 300 HIGH POINT CT, MT WASHINGTON, KY, 40047. Phone: (502) 955-6129.
What is MARY RAYHILL, APRN's NPI number?
MARY RAYHILL, APRN's National Provider Identifier (NPI) is 1780649749, issued on 04/20/2006.
Does MARY RAYHILL, APRN prescribe more brand-name or generic drugs?
MARY RAYHILL, APRN's prescribing is 13% brand-name and 87% generic drugs by claim count, with $332K in brand drug costs.
Does MARY RAYHILL, APRN prescribe opioids?
Yes, MARY RAYHILL, APRN had 97 opioid claims in 2023 with an opioid prescribing rate of 2.1%.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does MARY RAYHILL, APRN prescribe most often?
Based on 2023 Medicare Part D data, MARY RAYHILL, APRN's most frequently prescribed drugs include Levothyroxine Sodium, Simvastatin, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARY RAYHILL, APRN accept Medicare?
MARY RAYHILL, APRN appears in CMS Medicare data with 4,522 Part D claims and 293 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARY RAYHILL, APRN's credentials?
MARY RAYHILL, APRN's NPI is 1780649749 with credentials APRN. 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

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 (2023). 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 April 2026 (NPPES) / 2023 (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