2026 NPPES data Nurse Practitioner NPI 1043629140 NP-C
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OPAL BLAKE, NP-C

Nurse Practitioner in LAWRENCEVILLE, Georgia. 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
595
Medicare Part D claims · 118 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
48%
generic claims · 52% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.0667/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$102.62
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

OPAL BLAKE, NP-C reported a CMS MIPS final score of 84.0667/100 — above the 83.1 national average — and filed 595 Medicare Part D claims in 2023.

84.0667/100
MIPS score · +1 vs avg
595
Part D claims, 2023
48%
generic prescribing
$102.62
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.

OPAL BLAKE, NP-C's MIPS score vs every scored U.S. clinician

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

84 45th percentile higher than 45% 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%). This entry sits in this band. 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 OPAL BLAKE, NP-C?

Near national average

NPI registry status

Active

Issued 08/04/2014

NPI 1043629140

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

595 45% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

84.0667/100 0.966700000000003% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Nurse Practitioner compares to other specialties among Georgia providers

Georgia providers

Nurse Practitioner share within Georgia

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Georgia

Medicare quality performance — MIPS

OPAL BLAKE, NP-C's 2023 MIPS final score plotted against the Nurse Practitioner national average

Near national average
MIPS Final Score
84.0667/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 84.0667/100 vs national avg 83.1

0%100%National avg83%84.1%
MIPS final score (Nurse Practitioner) — 84.0667/100 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).

OPAL BLAKE, NP-C is a Nurse Practitioner provider practicing in LAWRENCEVILLE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NP-C. NPI: 1043629140. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

OPAL BLAKE, NP-C appears in the CMS NPPES registry as a Nurse Practitioner provider holding NP-C credentials at 631 PROFESSIONAL DR STE 350, LAWRENCEVILLE, GA, 30046, with a listed phone of (770) 995-0630. NPI 1043629140 was issued on 08/04/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLAKE 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 595 prescription claims written by this provider, covering 118 Medicare beneficiaries and totaling roughly $193K in drug spend, split 52% brand-name and 48% generic by claim count. 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 84.0667/100 for the 2023 performance year (Quality 61.3232, Cost 78.5086), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046

Provider Details

NPI 1043629140
Specialty Nurse Practitioner
Credentials NP-C
Gender Female
NPI Issued 08/04/2014

CMS Quality Score (MIPS)

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

84.0667
Final Score
Avg: 83.1
61.3232
Quality
78.5086
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where OPAL BLAKE, NP-C 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.

GWINNETT PULMONARY GROUP
LAWRENCEVILLE, GA

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 OPAL BLAKE, NP-C. Source: openpaymentsdata.cms.gov.

Total received

$103

Largest payer

AstraZeneca Pharmaceuticals LP

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.

Brand vs generic prescribing mix · Brand-heavy

OPAL BLAKE, NP-C — brand share 52.0%
Specialty average (est.)

52% brand-name claims vs 48% generic, on 595 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.

595
Total Claims
$193K
Total Drug Cost
118
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
786
Total Day Supply
19,591
Brand vs Generic
52% brand / 48% generic
Brand Drug Cost
$189K
Antibiotic Claims
56

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
2.11
Gender Split
76% female / 24% male
Age Distribution
<65: 16, 65-74: 55, 75-84: 29, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Montelukast Sodium
83
Prednisone
68
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
67
Albuterol Sulfate Hfa
Albuterol Sulfate
55
Eliquis
Apixaban
47
Fluticasone Propionate
31
Doxycycline Hyclate
24
Azithromycin
21
Breo Ellipta
Fluticasone/Vilanterol
21
Symbicort
Budesonide/Formoterol Fumarate
20

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

Nurse Practitioner Overview

How OPAL BLAKE, NP-C fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

OPAL BLAKE, NP-C's 595 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Georgia

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

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is OPAL BLAKE, NP-C's specialty?
OPAL BLAKE, NP-C specializes in Nurse Practitioner and practices in LAWRENCEVILLE, Georgia. Credentials: NP-C.
How much does OPAL BLAKE, NP-C prescribe under Medicare Part D?
In 2023, OPAL BLAKE, NP-C wrote 595 Medicare Part D claims totaling $193K in drug costs for 118 beneficiaries.
What is OPAL BLAKE, NP-C's Medicare quality score?
OPAL BLAKE, NP-C has a CMS MIPS Final Score of 84.0667/100 (Quality: 61.3232, Cost: 78.5086). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is OPAL BLAKE, NP-C located?
OPAL BLAKE, NP-C is located at 631 PROFESSIONAL DR STE 350, LAWRENCEVILLE, GA, 30046. Phone: (770) 995-0630.
What is OPAL BLAKE, NP-C's NPI number?
OPAL BLAKE, NP-C's National Provider Identifier (NPI) is 1043629140, issued on 08/04/2014.
Does OPAL BLAKE, NP-C prescribe more brand-name or generic drugs?
OPAL BLAKE, NP-C's prescribing is 52% brand-name and 48% generic drugs by claim count, with $189K in brand drug costs.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does OPAL BLAKE, NP-C prescribe most often?
Based on 2023 Medicare Part D data, OPAL BLAKE, NP-C's most frequently prescribed drugs include Montelukast Sodium, Prednisone, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does OPAL BLAKE, NP-C accept Medicare?
OPAL BLAKE, NP-C appears in CMS Medicare data with 595 Part D claims and 118 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify OPAL BLAKE, NP-C's credentials?
OPAL BLAKE, NP-C's NPI is 1043629140 with credentials NP-C. 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