Melissa Johnson, APRN
Family Nurse Practitioner in Ashland, 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 210,832 in Family Nurse Practitioner, 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, APRN reported a CMS MIPS final score of 82.9/100 - below the 83.5 national average - and filed 6,769 Medicare Part D claims in 2023.
- 82.9/100
- MIPS score · -1 vs avg
- 7K
- Part D claims, 2023
- 84%
- generic prescribing
- $2.2K
- 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.
CMS NPPES provider registry desk
NPI 1255896338 · Family Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-INLINE · RX-MID · BOOK-MID · PHOTO-FINISH
- NPI-10 1255896338
- ENUM-RECENT 2019
- TAX-MEGA 211K Family Nurse
- MIPS-INLINE 82.9/100
- RX-MID 6,769
- BOOK-MID 5,006 in Kentucky
- PHOTO-FINISH Kimberly Carey · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Johnson · this p…
Johnson · this provider
82.9 MIPS pts
- Evan Seagraves ·…
Evan Seagraves
82.9 MIPS pts
- Kimberly Carey ·…
Kimberly Carey
82.9 MIPS pts
- Joel Klepach · n…
Joel Klepach
82.9 MIPS pts
- Luke Lester · near
Luke Lester
82.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Melissa Johnson, APRN's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
83 ≥ 36th percentile 36% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Melissa Johnson, APRN sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Melissa Johnson, APRN writes more Part D claims than 98% of them and scores higher on MIPS quality than 37% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Melissa Johnson, APRN. 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, APRN?
Near national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Kentucky
How Family Nurse Practitioner compares to other specialties among Kentucky providers
Family Nurse Practitioner ranks #1 among Kentucky's specialties (5.9% of in-state providers)
Each bar is a specialty's share of the Kentucky provider total, by primary NUCC taxonomy. The highlighted bar is Family Nurse Practitioner; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Melissa Johnson, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 82.9/100
- vs 83.5 national avg · 2023 performance year
Quality benchmarks
- National MIPS avg 2023 measured reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Family Nurse Practitioner US NPIs
82.9/100 MIPS final score - 0.6 pts below the 83.5 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Family Nurse Practitioner. Quality dim: 70. Cost dim: 65.6.
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).
Practice Address
Provider Details
| NPI | 1255896338 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 02/04/2019 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Melissa Johnson, APRN'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 1255896338 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: Group practice
Hospital and facility affiliations
Facilities where Melissa Johnson, 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.
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, APRN. Source: openpaymentsdata.cms.gov.
Total received
$2.2K
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
15% brand-name claims vs 84% generic, on 6,769 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
- 10,232
- Total Day Supply
- 296,671
- Brand vs Generic
- 15% brand / 84% generic
- Brand Drug Cost
- $1.3M
- Generic Drug Cost
- $255K
- Opioid Claims
- 122 (1.8% rate)
Patient Demographics
- Average Patient Age
- 65.9 years
- Avg HCC Risk Score
- 1.77
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 399, 65-74: 337, 75-84: 205, 85+: 50
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, APRN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
967 claims
- Duloxetine Hcl 384
Duloxetine Hcl
384 claims
- Levetiracetam 362
Levetiracetam
362 claims
- Topiramate 289
Topiramate
289 claims
- Ubrelvy 265
Ubrelvy
265 claims
- Memantine Hcl 264
Memantine Hcl
264 claims
- Donepezil Hcl 246
Donepezil Hcl
246 claims
- Pregabalin 239
Pregabalin
239 claims
| Drug | Claims |
|---|---|
| Gabapentin | 967 |
| Duloxetine Hcl | 384 |
| Levetiracetam | 362 |
| Topiramate | 289 |
| Ubrelvy Ubrogepant | 265 |
| Memantine Hcl | 264 |
| Donepezil Hcl | 246 |
| Pregabalin | 239 |
| Primidone | 208 |
| Emgality Pen Galcanezumab-Gnlm | 159 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Melissa Johnson, APRN fits within the Family Nurse Practitioner landscape nationally.
Melissa Johnson, APRN's 6,769 claims are above the specialty average of 1,222.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Johnson, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (82.9 here).
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Johnson.
One of 5,006 Family Nurse Practitioner providers enrolled in Kentucky, 5 are shown here.
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Melissa Johnson, APRN's specialty? ▼
How much does Melissa Johnson, APRN prescribe under Medicare Part D? ▼
What is Melissa Johnson, APRN's Medicare quality score? ▼
Where is Melissa Johnson, APRN located? ▼
What is Melissa Johnson, APRN's NPI number? ▼
Does Melissa Johnson, APRN prescribe more brand-name or generic drugs? ▼
Does Melissa Johnson, APRN prescribe opioids? ▼
How many Family Nurse Practitioner providers are there in the US? ▼
What drugs does Melissa Johnson, APRN prescribe most often? ▼
Does Melissa Johnson, APRN accept Medicare? ▼
How can I verify Melissa Johnson, APRN's credentials? ▼
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
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.
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