2026 NPPES data Nurse Practitioner NPI 1457719452
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MEGAN WHALEY

Nurse Practitioner in WARTBURG, Tennessee. 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
3K
Medicare Part D claims · 186 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$360.6
15 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MEGAN WHALEY filed 2,544 Medicare Part D claims in 2023 as a Nurse Practitioner in WARTBURG, Tennessee, prescribing 86% generic.

3K
Part D claims, 2023
86%
generic prescribing
$360.6
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 WHALEY's Medicare Part D volume vs every U.S. prescriber

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

2,544 Top 13% higher than 87% 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 WHALEY?

Quality data not reported

NPI registry status

Active

Issued 02/04/2016

NPI 1457719452

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

2,544 135% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

Specialty distribution in Tennessee

How Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Nurse Practitioner share within Tennessee

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

Specialty board-certification context

Estimated specialty board-certified rate — Nurse Practitioner (ABMS / AOA reference)

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

Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nurse Practitioner) — 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 WHALEY appears in the CMS NPPES registry as a Nurse Practitioner provider at 224 OLD MILL RD, WARTBURG, TN, 37887, with a listed phone of (423) 346-6221. NPI 1457719452 was issued on 02/04/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WHALEY 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 2,544 prescription claims written by this provider, covering 186 Medicare beneficiaries and totaling roughly $356K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 5.6%. 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.

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

224 OLD MILL RD
WARTBURG, TN 37887

Provider Details

NPI 1457719452
Specialty Nurse Practitioner
Gender Female
NPI Issued 02/04/2016

Hospital and facility affiliations

Facilities where MEGAN WHALEY 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.

MORGAN COUNTY HEALTH COUNCIL INC
WARTBURG, TN

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 WHALEY. Source: openpaymentsdata.cms.gov.

Total received

$361

Largest payer

Phathom 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.

Brand vs generic prescribing mix · Typical

MEGAN WHALEY — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 2,544 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.

2,544
Total Claims
$356K
Total Drug Cost
186
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,145
Total Day Supply
147,912
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$310K
Generic Drug Cost
$45K
Opioid Claims
142 (5.6% rate)
Antibiotic Claims
115

Patient Demographics

Average Patient Age
65.9 years
Avg HCC Risk Score
1.21
Gender Split
58% female / 42% male
Age Distribution
<65: 58, 65-74: 94, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What MEGAN WHALEY 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
Atorvastatin Calcium
107
Albuterol Sulfate Hfa
Albuterol Sulfate
106
Amlodipine Besylate
92
Levothyroxine Sodium
85
Pantoprazole Sodium
85
Lisinopril
84
Gabapentin
69
Tramadol Hcl
67
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
50
Fluticasone Propionate
50

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

Nurse Practitioner Overview

How MEGAN WHALEY 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

MEGAN WHALEY's 2,544 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Tennessee

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

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

Frequently Asked Questions

What is MEGAN WHALEY's specialty?
MEGAN WHALEY specializes in Nurse Practitioner and practices in WARTBURG, Tennessee.
How much does MEGAN WHALEY prescribe under Medicare Part D?
In 2023, MEGAN WHALEY wrote 2,544 Medicare Part D claims totaling $356K in drug costs for 186 beneficiaries.
Where is MEGAN WHALEY located?
MEGAN WHALEY is located at 224 OLD MILL RD, WARTBURG, TN, 37887. Phone: (423) 346-6221.
What is MEGAN WHALEY's NPI number?
MEGAN WHALEY's National Provider Identifier (NPI) is 1457719452, issued on 02/04/2016.
Does MEGAN WHALEY prescribe more brand-name or generic drugs?
MEGAN WHALEY's prescribing is 14% brand-name and 86% generic drugs by claim count, with $310K in brand drug costs.
Does MEGAN WHALEY prescribe opioids?
Yes, MEGAN WHALEY had 142 opioid claims in 2023 with an opioid prescribing rate of 5.6%.
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 MEGAN WHALEY prescribe most often?
Based on 2023 Medicare Part D data, MEGAN WHALEY's most frequently prescribed drugs include Atorvastatin Calcium, Albuterol Sulfate Hfa, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MEGAN WHALEY accept Medicare?
MEGAN WHALEY appears in CMS Medicare data with 2,544 Part D claims and 186 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MEGAN WHALEY's credentials?
MEGAN WHALEY's NPI is 1457719452. 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