2026 NPPES data Family Medicine Physician NPI 1891134458 M.D.
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NICOLE COMER, M.D.

Family Medicine Physician in POWELL, Wyoming. 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
3K
Medicare Part D claims · 239 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
71.7793/100
▼ 11 pts below national avg 83.1 · [object Object]

What the federal data shows

NICOLE COMER, M.D. reported a CMS MIPS final score of 71.7793/100 — below the 83.1 national average — and filed 3,411 Medicare Part D claims in 2023.

71.7793/100
MIPS score · -11 vs avg
3K
Part D claims, 2023
87%
generic prescribing
Likely
board-certified (heuristic)

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.

NICOLE COMER, M.D.'s MIPS score vs every scored U.S. clinician

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

72 9th percentile higher than 9% 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%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

NICOLE COMER, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about NICOLE COMER, M.D.?

Below national average

NPI registry status

Active

Issued 06/17/2013

NPI 1891134458

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

3,411 0% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

71.7793/100 11.320699999999988% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Wyoming

How Family Medicine Physician compares to other specialties among Wyoming providers

Wyoming providers

Family Medicine Physician share within Wyoming

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Wyoming

Medicare quality performance — MIPS

NICOLE COMER, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
71.7793/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 71.7793/100 vs national avg 83.1

0%100%National avg83%71.8%
MIPS final score (Family Medicine Physician) — 71.7793/100 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).

NICOLE COMER, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 777 AVENUE H, POWELL, WY, 82435, with a listed phone of (307) 754-7257. NPI 1891134458 was issued on 06/17/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COMER 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 3,411 prescription claims written by this provider, covering 239 Medicare beneficiaries and totaling roughly $359K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 5.3%. 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 71.7793/100 for the 2023 performance year (Quality 77.3079, Cost 28.623), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

777 AVENUE H
POWELL, WY 82435

Provider Details

NPI 1891134458
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 06/17/2013

CMS Quality Score (MIPS)

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

71.7793
Final Score
Avg: 83.1
77.3079
Quality
28.623
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICOLE COMER, M.D. 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.

POWELL VALLEY HEALTH CARE INC
POWELL, WY
WILLIAM H AND CARRIE GOTTSCHE FOUNDATION
THERMOPOLIS, WY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

NICOLE COMER, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 3,411 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.

3,411
Total Claims
$359K
Total Drug Cost
239
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,755
Total Day Supply
195,560
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$285K
Generic Drug Cost
$71K
Opioid Claims
181 (5.3% rate)
Antibiotic Claims
41

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
0.94
Gender Split
69% female / 31% male
Age Distribution
<65: 24, 65-74: 114, 75-84: 66, 85+: 35

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What NICOLE COMER, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
178
Atorvastatin Calcium
143
Pantoprazole Sodium
125
Metformin Hcl
122
Lisinopril
115
Amlodipine Besylate
95
Gabapentin
80
Losartan Potassium
77
Trazodone Hcl
71
Potassium Chloride
68

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How NICOLE COMER, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

NICOLE COMER, M.D.'s 3,411 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Wyoming

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLE COMER, M.D.'s specialty?
NICOLE COMER, M.D. specializes in Family Medicine Physician and practices in POWELL, Wyoming. Credentials: M.D..
How much does NICOLE COMER, M.D. prescribe under Medicare Part D?
In 2023, NICOLE COMER, M.D. wrote 3,411 Medicare Part D claims totaling $359K in drug costs for 239 beneficiaries.
What is NICOLE COMER, M.D.'s Medicare quality score?
NICOLE COMER, M.D. has a CMS MIPS Final Score of 71.7793/100 (Quality: 77.3079, Cost: 28.623). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLE COMER, M.D. located?
NICOLE COMER, M.D. is located at 777 AVENUE H, POWELL, WY, 82435. Phone: (307) 754-7257.
What is NICOLE COMER, M.D.'s NPI number?
NICOLE COMER, M.D.'s National Provider Identifier (NPI) is 1891134458, issued on 06/17/2013.
Does NICOLE COMER, M.D. prescribe more brand-name or generic drugs?
NICOLE COMER, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $285K in brand drug costs.
Does NICOLE COMER, M.D. prescribe opioids?
Yes, NICOLE COMER, M.D. had 181 opioid claims in 2023 with an opioid prescribing rate of 5.3%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does NICOLE COMER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NICOLE COMER, M.D.'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 NICOLE COMER, M.D. accept Medicare?
NICOLE COMER, M.D. appears in CMS Medicare data with 3,411 Part D claims and 239 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE COMER, M.D.'s credentials?
NICOLE COMER, M.D.'s NPI is 1891134458 with credentials M.D.. 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