Melissa Johnson, A.P.R.N.
Clinical Nurse Specialist in Murray, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,715 in 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Melissa Johnson, A.P.R.N. reported a CMS MIPS final score of 81.3/100 - below the 83.1 national average - and filed 7,422 Medicare Part D claims in 2023.
- 81.3/100
- MIPS score · -2 vs avg
- 7K
- Part D claims, 2023
- 87%
- generic prescribing
- $268
- 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.
Melissa Johnson, A.P.R.N.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
81 36th percentile higher than 36% 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 Melissa Johnson, A.P.R.N. sits
This provider among clinical nurse specialist peers
Across the 134 clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Melissa Johnson, A.P.R.N. writes more Part D claims than 98% 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 clinical nurse specialist peer from a representative sample of 60; the gold marker is Melissa Johnson, A.P.R.N.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Melissa Johnson, A.P.R.N.?
Near national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Kentucky
How Clinical Nurse Specialist compares to other specialties among Kentucky providers
Clinical Nurse Specialist ranks #252 among Kentucky's specialties (0% of in-state providers)
Each bar is a specialty's share of the Kentucky provider total, by primary NUCC taxonomy. The highlighted bar is Clinical Nurse Specialist; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Melissa Johnson, A.P.R.N.'s 2023 MIPS final score plotted against the Clinical Nurse Specialist national average
- MIPS Final Score
- 81.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Clinical Nurse Specialist) - 81.3/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Clinical Nurse Specialist US NPIs
81.3/100 MIPS final score - 1.8 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Clinical Nurse Specialist. Quality dim: 76.9. Cost dim: 62.3.
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).
Melissa Johnson, A.P.R.N. appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding A.P.R.N. credentials at 300 S 8TH ST STE 380W, Murray, KY, 42071, with a listed phone of (270) 753-0704. NPI 1104230598 was issued on 06/13/2014.
Medicare Part D records for calendar year 2023 show 7,422 prescription claims written by this provider, covering 630 Medicare beneficiaries and totaling roughly $828K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 4.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.3/100 for the 2023 performance year (Quality 76.9, Cost 62.3), compared with the national average of 83.1.
Clinical Nurse Specialist is a narrow specialty nationwide, with 1,715 enrolled providers across 49 states and an average of 953 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 | 1104230598 |
|---|---|
| Specialty | Clinical Nurse Specialist |
| Credentials | A.P.R.N. |
| Gender | Female |
| NPI Issued | 06/13/2014 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Melissa Johnson, A.P.R.N.'s current license status, disciplinary history, and board certifications with the Kentucky Board of Medical Licensure in Kentucky before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1104230598 is the unique 10-digit identifier CMS uses to link Johnson across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Individual
Hospital and facility affiliations
Facilities where Melissa Johnson, A.P.R.N. 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.
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 Melissa Johnson, A.P.R.N.. Source: openpaymentsdata.cms.gov.
Total received
$268
Largest payer
CONMED Corporation
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
13% brand-name claims vs 87% generic, on 7,422 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.
Prescribing Breakdown
- 30-Day Fills
- 13,612
- Total Day Supply
- 394,128
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $672K
- Generic Drug Cost
- $155K
- Opioid Claims
- 308 (4.1% rate)
- Antibiotic Claims
- 199
Patient Demographics
- Average Patient Age
- 69.3 years
- Avg HCC Risk Score
- 1.36
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 150, 65-74: 278, 75-84: 169, 85+: 33
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Melissa Johnson, A.P.R.N. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
320 claims
- Lisinopril
Lisinopril
314 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
244 claims
- Levothyroxine Sodium
Levothyroxine Sodium
237 claims
- Atorvastatin Calcium
Atorvastatin Calcium
183 claims
- Pantoprazole Sodium
Pantoprazole Sodium
178 claims
- Omeprazole
Omeprazole
164 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
152 claims
| Drug | Claims |
|---|---|
| Gabapentin | 320 |
| Lisinopril | 314 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 244 |
| Levothyroxine Sodium | 237 |
| Atorvastatin Calcium | 183 |
| Pantoprazole Sodium | 178 |
| Omeprazole | 164 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 152 |
| Metformin Hcl | 145 |
| Tizanidine Hcl | 139 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Clinical Nurse Specialist Overview
How Melissa Johnson, A.P.R.N. fits within the Clinical Nurse Specialist landscape nationally.
Melissa Johnson, A.P.R.N.'s 7,422 claims are above the specialty average of 953.
Nearby Clinical Nurse Specialist Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Johnson.
Compare 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 Kentucky medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby 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 Melissa Johnson, A.P.R.N.'s specialty? ▼
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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