2026 NPPES data Critical Care Medicine Nurse Practitioner NPI 1538318969 RN-ACNP
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NANCY LOUGH, RN-ACNP

Critical Care Medicine Nurse Practitioner in NEW BRAUNFELS, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
99
Medicare Part D claims · 48 beneficiaries · Critical Care Medicine Nurse Practitioner avg: 426
MIPS score
26.4114/100
▼ 57 pts below national avg 83.1 · [object Object]

What the federal data shows

NANCY LOUGH, RN-ACNP reported a CMS MIPS final score of 26.4114/100 — below the 83.1 national average — and filed 99 Medicare Part D claims in 2023.

26.4114/100
MIPS score · -57 vs avg
99
Part D claims, 2023

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.

NANCY LOUGH, RN-ACNP's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

26 3rd percentile higher than 3% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). This entry sits in this band. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 NANCY LOUGH, RN-ACNP?

Below national average

NPI registry status

Active

Issued 09/10/2008

NPI 1538318969

Primary specialty

Critical Care Medicine Nurse Practitioner

Niche

1,410 US NPIs in this specialty

Medicare Part D claims

99 77% vs specialty avg

2023 prescription claims

Specialty avg: 426

MIPS final score

26.4114/100 56.688599999999994% pts

Below average band

vs 83.1 national avg

Specialty distribution in Texas

How Critical Care Medicine Nurse Practitioner compares to other specialties among Texas providers

Texas providers

Critical Care Medicine Nurse Practitioner share within Texas

1. Critical Care Medicine Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine Nurse Practitioner share within Texas

Medicare quality performance — MIPS

NANCY LOUGH, RN-ACNP's 2023 MIPS final score plotted against the Critical Care Medicine Nurse Practitioner national average

Below national average
MIPS Final Score
26.4114/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine Nurse Practitioner) — 26.4114/100 vs national avg 83.1

0%100%National avg83%26.4%
MIPS final score (Critical Care Medicine Nurse Practitioner) — 26.4114/100 vs national avg 83.1

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).

NANCY LOUGH, RN-ACNP appears in the CMS NPPES registry as a Critical Care Medicine Nurse Practitioner provider holding RN-ACNP credentials at 29924 FM 3009, NEW BRAUNFELS, TX, 78132, with a listed phone of (830) 620-0330. NPI 1538318969 was issued on 09/10/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LOUGH 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 99 prescription claims written by this provider, covering 48 Medicare beneficiaries and totaling roughly $8K in drug spend. 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 26.4114/100 for the 2023 performance year (Quality 23.0391, Cost 41.7281), compared with the national average of 83.1.

Critical Care Medicine Nurse Practitioner is a narrow specialty nationwide, with 1,410 enrolled providers across 50 states and an average of 426 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

29924 FM 3009
NEW BRAUNFELS, TX 78132

Provider Details

NPI 1538318969
Specialty Critical Care Medicine Nurse Practitioner
Credentials RN-ACNP
Gender Female
NPI Issued 09/10/2008

CMS Quality Score (MIPS)

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

26.4114
Final Score
Avg: 83.1
23.0391
Quality
41.7281
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NANCY LOUGH, RN-ACNP 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.

INPATIENT MEDICINE PHYSICIANS PA
NEW BRAUNFELS, TX
LONE STAR EXTENSIVISTS PLLC
NEW BRAUNFELS, 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 NANCY LOUGH, RN-ACNP. To verify NANCY LOUGH, RN-ACNP'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.

99
Total Claims
$8K
Total Drug Cost
48
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
104
Total Day Supply
2,244
Generic Drug Cost
$1K
Antibiotic Claims
19

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
2.22
Gender Split
50% female / 50% male

Critical Care Medicine Nurse Practitioner Overview

How NANCY LOUGH, RN-ACNP fits within the Critical Care Medicine Nurse Practitioner landscape nationally.

1,410
Critical Care Medicine Nurse Practitioner Providers in US
50
States with Critical Care Medicine Nurse Practitioner
426
Avg Claims per Provider

NANCY LOUGH, RN-ACNP's 99 claims are below the specialty average of 426.

Nearby Critical Care Medicine Nurse Practitioner Providers in Texas

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

Compare Critical Care Medicine Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is NANCY LOUGH, RN-ACNP's specialty?
NANCY LOUGH, RN-ACNP specializes in Critical Care Medicine Nurse Practitioner and practices in NEW BRAUNFELS, Texas. Credentials: RN-ACNP.
How much does NANCY LOUGH, RN-ACNP prescribe under Medicare Part D?
In 2023, NANCY LOUGH, RN-ACNP wrote 99 Medicare Part D claims totaling $8K in drug costs for 48 beneficiaries.
What is NANCY LOUGH, RN-ACNP's Medicare quality score?
NANCY LOUGH, RN-ACNP has a CMS MIPS Final Score of 26.4114/100 (Quality: 23.0391, Cost: 41.7281). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NANCY LOUGH, RN-ACNP located?
NANCY LOUGH, RN-ACNP is located at 29924 FM 3009, NEW BRAUNFELS, TX, 78132. Phone: (830) 620-0330.
What is NANCY LOUGH, RN-ACNP's NPI number?
NANCY LOUGH, RN-ACNP's National Provider Identifier (NPI) is 1538318969, issued on 09/10/2008.
How many Critical Care Medicine Nurse Practitioner providers are there in the US?
There are 1,410 Critical Care Medicine Nurse Practitioner providers across 50 states in the US. The average Critical Care Medicine Nurse Practitioner provider writes 426 Medicare Part D claims per year.
Does NANCY LOUGH, RN-ACNP accept Medicare?
NANCY LOUGH, RN-ACNP appears in CMS Medicare data with 99 Part D claims and 48 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NANCY LOUGH, RN-ACNP's credentials?
NANCY LOUGH, RN-ACNP's NPI is 1538318969 with credentials RN-ACNP. 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

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