2026 NPPES data Family Medicine Physician NPI 1750531638 D.O.
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NICOLE OTTENS, D.O.

Family Medicine Physician in MATTOON, Illinois. 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
114
Medicare Part D claims · 78 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
91.8056/100
▲ 9 pts above national avg 83.1 · [object Object]

What the federal data shows

NICOLE OTTENS, D.O. reported a CMS MIPS final score of 91.8056/100 — above the 83.1 national average — and filed 114 Medicare Part D claims in 2023.

91.8056/100
MIPS score · +9 vs avg
114
Part D claims, 2023
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 OTTENS, D.O.'s MIPS score vs every scored U.S. clinician

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

92 Top 37% higher than 63% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 OTTENS, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 OTTENS, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 09/26/2008

NPI 1750531638

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

114 97% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

91.8056/100 8.705600000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Family Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Family Medicine Physician share within Illinois

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
91.8056/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 91.8056/100 vs national avg 83.1

0%100%National avg83%91.8%
MIPS final score (Family Medicine Physician) — 91.8056/100 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 OTTENS, D.O. appears in the CMS NPPES registry as a Family Medicine Physician provider holding D.O. credentials at 1000 HEALTH CENTER DR, MATTOON, IL, 61938, with a listed phone of (217) 258-2551. NPI 1750531638 was issued on 09/26/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what OTTENS 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 114 prescription claims written by this provider, covering 78 Medicare beneficiaries and totaling roughly $653 in drug spend, with an opioid prescribing rate of 14.0%. 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 91.8056/100 for the 2023 performance year (Quality 75.5932), 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

1000 HEALTH CENTER DR
MATTOON, IL 61938

Provider Details

NPI 1750531638
Specialty Family Medicine Physician
Credentials D.O.
Gender Female
NPI Issued 09/26/2008

CMS Quality Score (MIPS)

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

91.8056
Final Score
Avg: 83.1
75.5932
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where NICOLE OTTENS, D.O. 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.

SARAH BUSH LINCOLN HEALTH CENTER
★★★☆☆ 3/5
MATTOON, IL
Acute Care Hospitals
CMS CCN: 140189

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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to NICOLE OTTENS, D.O.. To verify NICOLE OTTENS, D.O.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois 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.

114
Total Claims
$653
Total Drug Cost
78
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
114
Total Day Supply
721
Generic Drug Cost
$626
Opioid Claims
16 (14.0% rate)
Antibiotic Claims
34

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.62
Gender Split
72% female / 28% male
Age Distribution
<65: 20, 65-74: 19, 75-84: 27, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What NICOLE OTTENS, D.O. 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
Prednisone
15
Ondansetron Odt
Ondansetron
14
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
13

* 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 OTTENS, D.O. 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 OTTENS, D.O.'s 114 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Illinois

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

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

Frequently Asked Questions

What is NICOLE OTTENS, D.O.'s specialty?
NICOLE OTTENS, D.O. specializes in Family Medicine Physician and practices in MATTOON, Illinois. Credentials: D.O..
How much does NICOLE OTTENS, D.O. prescribe under Medicare Part D?
In 2023, NICOLE OTTENS, D.O. wrote 114 Medicare Part D claims totaling $653 in drug costs for 78 beneficiaries.
What is NICOLE OTTENS, D.O.'s Medicare quality score?
NICOLE OTTENS, D.O. has a CMS MIPS Final Score of 91.8056/100 (Quality: 75.5932). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLE OTTENS, D.O. located?
NICOLE OTTENS, D.O. is located at 1000 HEALTH CENTER DR, MATTOON, IL, 61938. Phone: (217) 258-2551.
What is NICOLE OTTENS, D.O.'s NPI number?
NICOLE OTTENS, D.O.'s National Provider Identifier (NPI) is 1750531638, issued on 09/26/2008.
Does NICOLE OTTENS, D.O. prescribe opioids?
Yes, NICOLE OTTENS, D.O. had 16 opioid claims in 2023 with an opioid prescribing rate of 14.0%.
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 OTTENS, D.O. prescribe most often?
Based on 2023 Medicare Part D data, NICOLE OTTENS, D.O.'s most frequently prescribed drugs include Prednisone, Ondansetron Odt, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE OTTENS, D.O. accept Medicare?
NICOLE OTTENS, D.O. appears in CMS Medicare data with 114 Part D claims and 78 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE OTTENS, D.O.'s credentials?
NICOLE OTTENS, D.O.'s NPI is 1750531638 with credentials D.O.. 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