Monica Johnson, APRN
Family Nurse Practitioner in Mt Sterling, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
Monica Johnson, APRN reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 1,748 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 2K
- Part D claims, 2023
- $524.18
- 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.
Monica Johnson, APRN's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
100 Top 7% higher than 93% 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
What does the federal data show about Monica Johnson, APRN?
High performer (top quartile)Primary 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 share within Kentucky
Family Nurse Practitioner is one of the more visible NUCC categories in Kentucky
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
Monica Johnson, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Nurse Practitioner) — 100/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Specialty volume Family Nurse Practitioner US NPIs
100/100 MIPS final score — 16.9 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Family Nurse Practitioner.
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).
Monica Johnson, APRN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APRN credentials at 125 FOXGLOVE DR STE D, Mt Sterling, KY, 40353, with a listed phone of (859) 498-3333. NPI 1861990228 was issued on 01/31/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Johnson 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 1,748 prescription claims written by this provider, covering 333 Medicare beneficiaries and totaling roughly $151K in drug spend, with an opioid prescribing rate of 4.9%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.
Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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 | 1861990228 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 01/31/2018 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Monica 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
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 Monica 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 Monica Johnson, APRN. Source: openpaymentsdata.cms.gov.
Total received
$524
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 2,941
- Total Day Supply
- 80,042
- Generic Drug Cost
- $27K
- Opioid Claims
- 86 (4.9% rate)
- Antibiotic Claims
- 120
Patient Demographics
- Average Patient Age
- 67.8 years
- Avg HCC Risk Score
- 1.34
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 100, 65-74: 142, 75-84: 78, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Monica Johnson, APRN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
72 claims
- Gabapentin
Gabapentin
62 claims
- Lisinopril
Lisinopril
61 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
53 claims
- Omeprazole
Omeprazole
52 claims
- Tramadol Hcl
Tramadol Hcl
52 claims
- Clonazepam
Clonazepam
44 claims
- Fluticasone Propio…
Fluticasone Propionate
40 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 72 |
| Gabapentin | 62 |
| Lisinopril | 61 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 53 |
| Omeprazole | 52 |
| Tramadol Hcl | 52 |
| Clonazepam | 44 |
| Fluticasone Propionate | 40 |
| Pantoprazole Sodium | 35 |
| Levothyroxine Sodium | 34 |
* 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 Monica Johnson, APRN fits within the Family Nurse Practitioner landscape nationally.
Monica Johnson, APRN's 1,748 claims are above the specialty average of 1,222.
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.
Compare Family Nurse Practitioner 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 Family Nurse Practitioner 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
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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.
- 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