2026 NPPES data Nurse Practitioner NPI 1548784945 FNP
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OPAL CALDWELL, FNP

Nurse Practitioner in MORRISTOWN, Tennessee. 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
2K
Medicare Part D claims · 570 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.6389/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$9.5K
83 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

OPAL CALDWELL, FNP reported a CMS MIPS final score of 89.6389/100 — above the 83.1 national average — and filed 2,462 Medicare Part D claims in 2023.

89.6389/100
MIPS score · +7 vs avg
2K
Part D claims, 2023
78%
generic prescribing
$9.5K
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 CALDWELL, FNP's MIPS score vs every scored U.S. clinician

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

90 Top 42% higher than 58% 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 CALDWELL, FNP?

High performer (top quartile)

NPI registry status

Active

Issued 07/28/2017

NPI 1548784945

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

2,462 127% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

89.6389/100 6.538900000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Nurse Practitioner share within Tennessee

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

Medicare quality performance — MIPS

OPAL CALDWELL, FNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
89.6389/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 89.6389/100 vs national avg 83.1

0%100%National avg83%89.6%
MIPS final score (Nurse Practitioner) — 89.6389/100 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 CALDWELL, FNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding FNP credentials at 705 N HIGH ST, MORRISTOWN, TN, 37814, with a listed phone of (423) 415-3310. NPI 1548784945 was issued on 07/28/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CALDWELL 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 2,462 prescription claims written by this provider, covering 570 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 22% brand-name and 78% 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 89.6389/100 for the 2023 performance year (Quality 77.663), 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

705 N HIGH ST
MORRISTOWN, TN 37814

Provider Details

NPI 1548784945
Specialty Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 07/28/2017

CMS Quality Score (MIPS)

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

89.6389
Final Score
Avg: 83.1
77.663
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where OPAL CALDWELL, FNP 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.

KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC
KNOXVILLE, TN

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 CALDWELL, FNP. Source: openpaymentsdata.cms.gov.

Total received

$9.5K

Largest payer

Phathom Pharmaceuticals, Inc.

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 · Typical

OPAL CALDWELL, FNP — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 2,462 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.

2,462
Total Claims
$1.5M
Total Drug Cost
570
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,311
Total Day Supply
91,088
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$1.4M
Generic Drug Cost
$94K
Antibiotic Claims
75

Patient Demographics

Average Patient Age
64.7 years
Avg HCC Risk Score
1.70
Gender Split
66% female / 34% male
Age Distribution
<65: 232, 65-74: 237, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What OPAL CALDWELL, FNP 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
Omeprazole
346
Pantoprazole Sodium
309
Famotidine
250
Dicyclomine Hcl
135
Dexlansoprazole Dr
Dexlansoprazole
133
Sucralfate
132
Linzess
Linaclotide
131
Ondansetron Hcl
107
Esomeprazole Magnesium
82
Cholestyramine
Cholestyramine (With Sugar)
71

* 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 CALDWELL, FNP 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 CALDWELL, FNP's 2,462 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Tennessee

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

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

Frequently Asked Questions

What is OPAL CALDWELL, FNP's specialty?
OPAL CALDWELL, FNP specializes in Nurse Practitioner and practices in MORRISTOWN, Tennessee. Credentials: FNP.
How much does OPAL CALDWELL, FNP prescribe under Medicare Part D?
In 2023, OPAL CALDWELL, FNP wrote 2,462 Medicare Part D claims totaling $1.5M in drug costs for 570 beneficiaries.
What is OPAL CALDWELL, FNP's Medicare quality score?
OPAL CALDWELL, FNP has a CMS MIPS Final Score of 89.6389/100 (Quality: 77.663). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is OPAL CALDWELL, FNP located?
OPAL CALDWELL, FNP is located at 705 N HIGH ST, MORRISTOWN, TN, 37814. Phone: (423) 415-3310.
What is OPAL CALDWELL, FNP's NPI number?
OPAL CALDWELL, FNP's National Provider Identifier (NPI) is 1548784945, issued on 07/28/2017.
Does OPAL CALDWELL, FNP prescribe more brand-name or generic drugs?
OPAL CALDWELL, FNP's prescribing is 22% brand-name and 78% generic drugs by claim count, with $1.4M 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 CALDWELL, FNP prescribe most often?
Based on 2023 Medicare Part D data, OPAL CALDWELL, FNP's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does OPAL CALDWELL, FNP accept Medicare?
OPAL CALDWELL, FNP appears in CMS Medicare data with 2,462 Part D claims and 570 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify OPAL CALDWELL, FNP's credentials?
OPAL CALDWELL, FNP's NPI is 1548784945 with credentials FNP. 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