2026 NPPES data Gerontology Clinical Nurse Specialist NPI 1891422499 MSN, APRN, AGCNS-BC
Verify on CMS →

MEGAN MESECK, MSN, APRN, AGCNS-BC

Gerontology Clinical Nurse Specialist in AUSTIN, Texas. 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
4K
Medicare Part D claims · 127 beneficiaries · Gerontology Clinical Nurse Specialist avg: 906
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$42.16
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MEGAN MESECK, MSN, APRN, AGCNS-BC filed 3,587 Medicare Part D claims in 2023 as a Gerontology Clinical Nurse Specialist in AUSTIN, Texas, prescribing 93% generic.

4K
Part D claims, 2023
93%
generic prescribing
$42.16
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.

MEGAN MESECK, MSN, APRN, AGCNS-BC's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

3,587 Top 10% higher than 90% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about MEGAN MESECK, MSN, APRN, AGCNS-BC?

Quality data not reported

NPI registry status

Active

Issued 08/03/2022

NPI 1891422499

Primary specialty

Gerontology Clinical Nurse Specialist

Rare

393 US NPIs in this specialty

Medicare Part D claims

3,587 296% vs specialty avg

2023 prescription claims

Specialty avg: 906

Specialty distribution in Texas

How Gerontology Clinical Nurse Specialist compares to other specialties among Texas providers

Texas providers

Gerontology Clinical Nurse Specialist share within Texas

1. Gerontology Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gerontology Clinical Nurse Specialist share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Gerontology Clinical Nurse Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Gerontology Clinical Nurse Specialist ABMS/AOA estimate

Est. board-certified rate (Gerontology Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Gerontology Clinical Nurse Specialist) — ABMS / AOA estimate

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).

MEGAN MESECK, MSN, APRN, AGCNS-BC appears in the CMS NPPES registry as a Gerontology Clinical Nurse Specialist provider holding MSN, APRN, AGCNS-BC credentials at 1108 LAVACA ST STE 110-320, AUSTIN, TX, 78701, with a listed phone of (512) 477-4088. NPI 1891422499 was issued on 08/03/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MESECK 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 3,587 prescription claims written by this provider, covering 127 Medicare beneficiaries and totaling roughly $185K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 0.7%. 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.

Gerontology Clinical Nurse Specialist is a narrow specialty nationwide, with 393 enrolled providers across 47 states and an average of 906 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

1108 LAVACA ST STE 110-320
AUSTIN, TX 78701

Provider Details

NPI 1891422499
Specialty Gerontology Clinical Nurse Specialist
Credentials MSN, APRN, AGCNS-BC
Gender Female
NPI Issued 08/03/2022

Hospital and facility affiliations

Facilities where MEGAN MESECK, MSN, APRN, AGCNS-BC 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.

AUSTIN GERIATRIC SPECIALISTS PLLC
AUSTIN, TX

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 MEGAN MESECK, MSN, APRN, AGCNS-BC. Source: openpaymentsdata.cms.gov.

Total received

$42

Largest payer

ACADIA Pharmaceuticals 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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to MEGAN MESECK, MSN, APRN, AGCNS-BC. To verify MEGAN MESECK, MSN, APRN, AGCNS-BC's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

MEGAN MESECK, MSN, APRN, AGCNS-BC — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 3,587 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.

3,587
Total Claims
$185K
Total Drug Cost
127
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,160
Total Day Supply
111,426
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$119K
Generic Drug Cost
$64K
Opioid Claims
24 (0.7% rate)
Antibiotic Claims
86

Patient Demographics

Average Patient Age
79.6 years
Avg HCC Risk Score
2.70
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

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

What MEGAN MESECK, MSN, APRN, AGCNS-BC 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
Amlodipine Besylate
154
Furosemide
130
Quetiapine Fumarate
128
Gabapentin
123
Atorvastatin Calcium
121
Sertraline Hcl
113
Lisinopril
108
Donepezil Hcl
106
Metoprolol Tartrate
103
Levothyroxine Sodium
99

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

Gerontology Clinical Nurse Specialist Overview

How MEGAN MESECK, MSN, APRN, AGCNS-BC fits within the Gerontology Clinical Nurse Specialist landscape nationally.

393
Gerontology Clinical Nurse Specialist Providers in US
47
States with Gerontology Clinical Nurse Specialist
906
Avg Claims per Provider

MEGAN MESECK, MSN, APRN, AGCNS-BC's 3,587 claims are above the specialty average of 906.

Nearby Gerontology Clinical Nurse Specialist Providers in Texas

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

Compare Gerontology Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is MEGAN MESECK, MSN, APRN, AGCNS-BC's specialty?
MEGAN MESECK, MSN, APRN, AGCNS-BC specializes in Gerontology Clinical Nurse Specialist and practices in AUSTIN, Texas. Credentials: MSN, APRN, AGCNS-BC.
How much does MEGAN MESECK, MSN, APRN, AGCNS-BC prescribe under Medicare Part D?
In 2023, MEGAN MESECK, MSN, APRN, AGCNS-BC wrote 3,587 Medicare Part D claims totaling $185K in drug costs for 127 beneficiaries.
Where is MEGAN MESECK, MSN, APRN, AGCNS-BC located?
MEGAN MESECK, MSN, APRN, AGCNS-BC is located at 1108 LAVACA ST STE 110-320, AUSTIN, TX, 78701. Phone: (512) 477-4088.
What is MEGAN MESECK, MSN, APRN, AGCNS-BC's NPI number?
MEGAN MESECK, MSN, APRN, AGCNS-BC's National Provider Identifier (NPI) is 1891422499, issued on 08/03/2022.
Does MEGAN MESECK, MSN, APRN, AGCNS-BC prescribe more brand-name or generic drugs?
MEGAN MESECK, MSN, APRN, AGCNS-BC's prescribing is 7% brand-name and 93% generic drugs by claim count, with $119K in brand drug costs.
Does MEGAN MESECK, MSN, APRN, AGCNS-BC prescribe opioids?
Yes, MEGAN MESECK, MSN, APRN, AGCNS-BC had 24 opioid claims in 2023 with an opioid prescribing rate of 0.7%.
How many Gerontology Clinical Nurse Specialist providers are there in the US?
There are 393 Gerontology Clinical Nurse Specialist providers across 47 states in the US. The average Gerontology Clinical Nurse Specialist provider writes 906 Medicare Part D claims per year.
What drugs does MEGAN MESECK, MSN, APRN, AGCNS-BC prescribe most often?
Based on 2023 Medicare Part D data, MEGAN MESECK, MSN, APRN, AGCNS-BC's most frequently prescribed drugs include Amlodipine Besylate, Furosemide, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MEGAN MESECK, MSN, APRN, AGCNS-BC accept Medicare?
MEGAN MESECK, MSN, APRN, AGCNS-BC appears in CMS Medicare data with 3,587 Part D claims and 127 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MEGAN MESECK, MSN, APRN, AGCNS-BC's credentials?
MEGAN MESECK, MSN, APRN, AGCNS-BC's NPI is 1891422499 with credentials MSN, APRN, AGCNS-BC. 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.
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