2026 NPPES data Family Nurse Practitioner NPI 1275947533 FNP
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Michael Adames, FNP

Family Nurse Practitioner in Abilene, 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 216,959 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.

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
9K
Medicare Part D claims · 989 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.2/100
▼ 7 pts below national avg 83.5 · Above neutral

What the federal data shows

Michael Adames, FNP reported a CMS MIPS final score of 76.2/100 - below the 83.5 national average - and filed 8,802 Medicare Part D claims in 2024.

76.2/100
MIPS score · -7 vs avg
9K
Part D claims, 2024
90%
generic prescribing
≥17th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Michael Adames, FNP

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1275947533), first enumerated 06/16/2014.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 8,802 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 76.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Michael Adames, FNP's individual license status. Verify directly with the state medical board.

    Source: TMB annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1275947533 · Family Nurse Practitioner

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-BELOW · RX-MID · BOOK-MID · PHOTO-FINISH

  • NPI-10 1275947533
  • ENUM-MID 2014
  • TAX-MEGA 217K Family Nurse
  • MIPS-BELOW 76.2/100
  • RX-MID 8,802
  • BOOK-MID 19,347 in Texas
  • PHOTO-FINISH Marites Acampora, APRN · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Michael Adames, FNP'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.

76 ≥ 17th percentile 17% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Michael Adames, FNP 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, Michael Adames, FNP writes more Part D claims than 99% of them and scores higher on MIPS quality than 16% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Michael Adames, FNP, Part D claim volume, percentile in specialty: 99 · MIPS quality, percentile: 16
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Michael Adames, FNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Michael Adames, FNP?

Below national average

NPI registry status

Active

Issued 06/16/2014

NPI 1275947533

Primary specialty

Family Nurse Practitioner

High-volume

216,959 US NPIs in this specialty

Medicare Part D claims

8,802 vs specialty avg

2024 prescription claims

Specialty avg: 1,302

MIPS final score

76.2/100 7.3 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Texas

How Family Nurse Practitioner compares to other specialties among Texas providers

Texas providers
Behavior Technician6%Student in an Organized Heal…5.3%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.3%Speech-Language Pathologist3.9%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Michael Adames, FNP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
76.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%76.2%
MIPS final score (Family Nurse Practitioner) - 76.2/100 vs national avg 83.5
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

5302 BUFFALO GAP RD STE 104
Abilene, TX 79606

Provider Details

NPI 1275947533
Specialty Family Nurse Practitioner
Credentials FNP
Gender Male
NPI Issued 06/16/2014

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

76.1958
Final Score
Measured-score avg: 83.5
87.8855
Quality
33.6004
Cost
99
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Michael Adames, FNP 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.

Hendrick Provider Network
Abilene, TX
The West Texas Rehabilitation Center
Abilene, 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).

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 Michael Adames, FNP. To verify Michael Adames, FNP'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 · Typical

Michael Adames, FNP - brand share 10.0%
Family Nurse Practitioner average

10% brand-name claims vs 90% generic, on 8,802 2024 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 2024.

8,802
Total Claims
$537K
Total Drug Cost
989
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
19,533.033
Total Day Supply
559,757
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$432K
Generic Drug Cost
$103K
Opioid Claims
205 (2.3% rate)
Antibiotic Claims
313

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.22
Gender Split
58% female / 42% male
Age Distribution
<65: 68, 65-74: 393, 75-84: 375, 85+: 153

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Michael Adames, FNP prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Levothyroxine Sodium
416
Atorvastatin Calcium
389
Pantoprazole Sodium
295
Lisinopril
268
Amlodipine Besylate
246
Losartan Potassium
236
Montelukast Sodium
220
Alprazolam
193
Gabapentin
172
Tramadol Hcl
170

* 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 Michael Adames, FNP fits within the Family Nurse Practitioner landscape nationally.

216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider

Michael Adames, FNP's 8,802 claims are above the specialty average of 1,302.

Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Adames, both outside Texas so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (76.2 here).

Same NPPES enumeration year (2014)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Family Nurse Practitioner Providers in Texas

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

One of 19,347 Family Nurse Practitioner providers enrolled in Texas, 5 are shown here.

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

Frequently Asked Questions

What is Michael Adames, FNP's specialty?
Michael Adames, FNP specializes in Family Nurse Practitioner and practices in Abilene, Texas. Credentials: FNP.
How much does Michael Adames, FNP prescribe under Medicare Part D?
In 2024, Michael Adames, FNP wrote 8,802 Medicare Part D claims totaling $537K in drug costs for 989 beneficiaries.
What is Michael Adames, FNP's Medicare quality score?
Michael Adames, FNP has a CMS MIPS Final Score of 76.2/100 (Quality: 87.9, Cost: 33.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michael Adames, FNP located?
Michael Adames, FNP is located at 5302 BUFFALO GAP RD STE 104, Abilene, TX, 79606. Phone: (325) 307-6226.
What is Michael Adames, FNP's NPI number?
Michael Adames, FNP's National Provider Identifier (NPI) is 1275947533, issued on 06/16/2014.
Does Michael Adames, FNP prescribe more brand-name or generic drugs?
Michael Adames, FNP's prescribing is 10% brand-name and 90% generic drugs by claim count, with $432K in brand drug costs.
Does Michael Adames, FNP prescribe opioids?
Yes, Michael Adames, FNP had 205 opioid claims in 2024 with an opioid prescribing rate of 2.3%.
How many Family Nurse Practitioner providers are there in the US?
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Michael Adames, FNP prescribe most often?
Based on 2024 Medicare Part D data, Michael Adames, FNP's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Adames, FNP accept Medicare?
Michael Adames, FNP appears in CMS Medicare data with 8,802 Part D claims and 989 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Adames, FNP's credentials?
Michael Adames, FNP's NPI is 1275947533 with credentials FNP. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.