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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.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,490 in Critical Care Medicine 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
72
Medicare Part D claims · 40 beneficiaries · Critical Care Medicine Nurse Practitioner avg: 425
MIPS score
26.4/100
▼ 57 pts below national avg 83.5 · Below average
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Nancy Lough, RN-ACNP reported a CMS MIPS final score of 26.4/100 - below the 83.5 national average - and filed 72 Medicare Part D claims in 2024.

26.4/100
MIPS score · -57 vs avg
72
Part D claims, 2024
≥3rd
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 Nancy Lough, RN-ACNP

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 1538318969), first enumerated 09/10/2008.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 72 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 26.4/100 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 Nancy Lough, RN-ACNP'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 1538318969 · Critical Care Medicine Nurse Practitioner

NPI-10 · ENUM-MID · TAX-NARROW · MIPS-LOW · RX-TRACE · BOOK-THIN · NEAR-MIPS

  • NPI-10 1538318969
  • ENUM-MID 2008
  • TAX-NARROW 1,490
  • MIPS-LOW 26.4/100
  • RX-TRACE 72
  • BOOK-THIN 141 in Texas
  • NEAR-MIPS Natalie Guevara, APN · 19.1

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

Nancy Lough, RN-ACNP'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.

26 ≥ 3rd percentile 3% 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%). This entry sits in this band. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 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 Nancy Lough, RN-ACNP sits

This provider among critical care medicine nurse practitioner peers

Across the 135 critical care medicine nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Nancy Lough, RN-ACNP writes more Part D claims than 41% of them and scores higher on MIPS quality than 1% - placing this provider in the lower-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 quality0255075100024.949.974.899.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 18Nancy Lough, RN-ACNP, Part D claim volume, percentile in specialty: 41 · MIPS quality, percentile: 1
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one critical care medicine nurse practitioner peer from a representative sample of 60; the gold marker is Nancy Lough, RN-ACNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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

1,490 US NPIs in this specialty

Medicare Part D claims

72 83% vs specialty avg

2024 prescription claims

Specialty avg: 425

MIPS final score

26.4/100 57.1 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in Texas

How Critical Care Medicine 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%Critical Care Medicine Nurse…0%
Largest specialties in Texas (% of in-state providers)

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
26.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%26.4%
MIPS final score (Critical Care Medicine Nurse Practitioner) - 26.4/100 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

29924 FM 3009
New Braunfels, TX 78132
(830) 620-0330

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
Measured-score avg: 83.5
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 2024.

72
Total Claims
$5K
Total Drug Cost
40
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
75.5
Total Day Supply
1,516
Generic Drug Cost
$2K
Antibiotic Claims
23

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.97
Gender Split
48% female / 53% male
More Critical Care Medicine Nurse Practitioner in TX → All providers in Texas → Compare specialties →

Critical Care Medicine Nurse Practitioner Overview

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

1,490
Critical Care Medicine Nurse Practitioner Providers in US
51
States with Critical Care Medicine Nurse Practitioner
425
Avg Claims per Provider

Nancy Lough, RN-ACNP's 72 claims are below the specialty average of 425.

Nationwide Critical Care Medicine Nurse Practitioner peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (26.4 here).

Natalie Guevara 45.5 NV Terri Koson 47.6 NC Philip Garofano 52.2 GA Jacquelyn Roberts 52.4 NJ

Same NPPES enumeration year (2008)

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

Maria Cale Middletown, CT Claudia Irmiere Towaco, NJ Juanita Hoyte Saint Louis, MO Andreia Cage Saint Louis, MO

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.

One of 141 Critical Care Medicine Nurse Practitioner providers enrolled in Texas, 5 are shown here.

Sajani Abraham
APRN
Houston, TX
Simah Akpan-Smart
AGPCNP
Houston, TX
Kokou Akpo-Gnandi
APRN
Spring, TX
Aune Albanese
NP
Conroe, TX
Vincent Alexander
AGACNP
El Paso, TX

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 2024, Nancy Lough, RN-ACNP wrote 72 Medicare Part D claims totaling $5K in drug costs for 40 beneficiaries.
What is Nancy Lough, RN-ACNP's Medicare quality score? ▼
Nancy Lough, RN-ACNP has a CMS MIPS Final Score of 26.4/100 (Quality: 23, Cost: 41.7). 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 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 1,490 Critical Care Medicine Nurse Practitioner providers across 51 states in the US. The average Critical Care Medicine Nurse Practitioner provider writes 425 Medicare Part D claims per year.
Does Nancy Lough, RN-ACNP accept Medicare? ▼
Nancy Lough, RN-ACNP appears in CMS Medicare data with 72 Part D claims and 40 Medicare beneficiaries in 2024. 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

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

Compiled from official public sources by the editorial process.

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.