NPI registry status
Active
2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1659687416 ACNS-BC
Verify on CMS → Melani Dayal, ACNS-BC
Adult Health Clinical Nurse Specialist in Austin, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,379 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
3K
Medicare Part D claims · 477 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
MIPS score
80.8/100
▼ 2 pts below national avg 83.1 · Above neutral
Industry payments
$1.7K
69 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Melani Dayal, ACNS-BC reported a CMS MIPS final score of 80.8/100 - below the 83.1 national average - and filed 2,615 Medicare Part D claims in 2023.
- 80.8/100
- MIPS score · -2 vs avg
- 3K
- Part D claims, 2023
- $1.7K
- 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.
Melani Dayal, ACNS-BC's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
81 33rd percentile higher than 33% of 477,587 scored providers
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
Where Melani Dayal, ACNS-BC sits
This provider among adult health clinical nurse specialist peers
Across the 144 adult health clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Melani Dayal, ACNS-BC writes more Part D claims than 90% of them and scores higher on MIPS quality than 40% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one adult health clinical nurse specialist peer from a representative sample of 60; the gold marker is Melani Dayal, ACNS-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Melani Dayal, ACNS-BC?
Near national averagePrimary specialty
Adult Health Clinical Nurse Specialist
Medicare Part D claims
2,615 140% vs specialty avg
MIPS final score
80.8/100 2.3 pts vs avg
Specialty distribution in Texas
How Adult Health Clinical Nurse Specialist compares to other specialties among Texas providers
Medicare quality performance, MIPS
Melani Dayal, ACNS-BC's 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average
- MIPS Final Score
- 80.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Adult Health Clinical Nurse Specialist) - 80.8/100 vs national avg 83.1
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).
Melani Dayal, ACNS-BC appears in the CMS NPPES registry as an Adult Health Clinical Nurse Specialist provider holding ACNS-BC credentials at 5920 W WILLIAM CANNON DR STE 150, Austin, TX, 78749, with a listed phone of (512) 441-9799. NPI 1659687416 was issued on 08/30/2010.
Medicare Part D records for calendar year 2023 show 2,615 prescription claims written by this provider, covering 477 Medicare beneficiaries and totaling roughly $1.4 million in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.8/100 for the 2023 performance year (Quality 89.2, Cost 41.7), compared with the national average of 83.1.
Adult Health Clinical Nurse Specialist is a narrow specialty nationwide, with 1,379 enrolled providers across 49 states and an average of 1,088 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
Provider Details
| NPI | 1659687416 |
|---|---|
| Specialty | Adult Health Clinical Nurse Specialist |
| Credentials | ACNS-BC |
| Gender | Female |
| NPI Issued | 08/30/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.7811
Final Score
Avg: 83.1
89.1867
Quality
41.6884
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Melani Dayal, ACNS-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 Pulmonary Consultants PA
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 Melani Dayal, ACNS-BC. Source: openpaymentsdata.cms.gov.
Total received
$1.7K
Largest payer
AstraZeneca Pharmaceuticals LP
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 Melani Dayal, ACNS-BC. To verify Melani Dayal, ACNS-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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
2,615
Total Claims
$1.4M
Total Drug Cost
477
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,836
- Total Day Supply
- 102,132
- Generic Drug Cost
- $73K
- Antibiotic Claims
- 452
Patient Demographics
- Average Patient Age
- 73.5 years
- Avg HCC Risk Score
- 2.19
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 46, 65-74: 204, 75-84: 189, 85+: 38
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Melani Dayal, ACNS-BC prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
361 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
308 claims
- Prednisone
Prednisone
290 claims
- Azithromycin
Azithromycin
236 claims
- Breo Ellipta 132
Breo Ellipta
132 claims
- Montelukast Sodium 98
Montelukast Sodium
98 claims
- Spiriva Respimat 74
Spiriva Respimat
74 claims
- Amoxicillin-Clavul… 66
Amoxicillin-Clavulanate Potass
66 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 361 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 308 |
| Prednisone | 290 |
| Azithromycin | 236 |
| Breo Ellipta Fluticasone/Vilanterol | 132 |
| Montelukast Sodium | 98 |
| Spiriva Respimat Tiotropium Bromide | 74 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 66 |
| Dupixent Pen Dupilumab | 54 |
| Fluticasone Propionate | 53 |
* 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 Melani Dayal, ACNS-BC fits within the Adult Health Clinical Nurse Specialist landscape nationally.
1,379
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,088
Avg Claims per Provider
Melani Dayal, ACNS-BC's 2,615 claims are above the specialty average of 1,088.
Nearby Adult Health Clinical Nurse Specialist Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Dayal.
Zeena Abdul-Kafor
Round Rock, TX
Dr. Michelle Alexandre
ACNS-BC
Plano, TX
Dr. Sherry Alvarado
RN,MSN,ACNS-BC
Temple, TX
Dr. Jennifer Arce
APRN, FNP, CNS
Austin, TX
Jeanette Armstrong
San Antonio, TX
Compare Adult Health Clinical Nurse Specialist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Health Clinical Nurse Specialist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Melani Dayal, ACNS-BC's specialty? ▼
Melani Dayal, ACNS-BC specializes in Adult Health Clinical Nurse Specialist and practices in Austin, Texas. Credentials: ACNS-BC.
How much does Melani Dayal, ACNS-BC prescribe under Medicare Part D? ▼
In 2023, Melani Dayal, ACNS-BC wrote 2,615 Medicare Part D claims totaling $1.4M in drug costs for 477 beneficiaries.
What is Melani Dayal, ACNS-BC's Medicare quality score? ▼
Melani Dayal, ACNS-BC has a CMS MIPS Final Score of 80.8/100 (Quality: 89.2, Cost: 41.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Melani Dayal, ACNS-BC located? ▼
Melani Dayal, ACNS-BC is located at 5920 W WILLIAM CANNON DR STE 150, Austin, TX, 78749. Phone: (512) 441-9799.
What is Melani Dayal, ACNS-BC's NPI number? ▼
Melani Dayal, ACNS-BC's National Provider Identifier (NPI) is 1659687416, issued on 08/30/2010.
How many Adult Health Clinical Nurse Specialist providers are there in the US? ▼
There are 1,379 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,088 Medicare Part D claims per year.
What drugs does Melani Dayal, ACNS-BC prescribe most often? ▼
Based on 2023 Medicare Part D data, Melani Dayal, ACNS-BC's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Melani Dayal, ACNS-BC accept Medicare? ▼
Melani Dayal, ACNS-BC appears in CMS Medicare data with 2,615 Part D claims and 477 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Melani Dayal, ACNS-BC's credentials? ▼
Melani Dayal, ACNS-BC's NPI is 1659687416 with credentials ACNS-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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.