2026 NPPES data Acute Care Clinical Nurse Specialist NPI 1497187090 NP
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PAILAI KING, NP

Acute Care Clinical Nurse Specialist in SAN DIEGO, California. 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
1K
Medicare Part D claims · 263 beneficiaries · Acute Care Clinical Nurse Specialist avg: 773
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.7534/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$2.8K
86 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PAILAI KING, NP reported a CMS MIPS final score of 77.7534/100 — below the 83.1 national average — and filed 1,060 Medicare Part D claims in 2023.

77.7534/100
MIPS score · -5 vs avg
1K
Part D claims, 2023
77%
generic prescribing
$2.8K
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.

PAILAI KING, NP's MIPS score vs every scored U.S. clinician

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

78 24th percentile higher than 24% 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

What does the federal data show about PAILAI KING, NP?

Below national average

NPI registry status

Active

Issued 08/06/2013

NPI 1497187090

Primary specialty

Acute Care Clinical Nurse Specialist

Niche

510 US NPIs in this specialty

Medicare Part D claims

1,060 37% vs specialty avg

2023 prescription claims

Specialty avg: 773

MIPS final score

77.7534/100 5.346599999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Acute Care Clinical Nurse Specialist compares to other specialties among California providers

California providers

Acute Care Clinical Nurse Specialist share within California

1. Acute Care Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Acute Care Clinical Nurse Specialist share within California

Medicare quality performance — MIPS

PAILAI KING, NP's 2023 MIPS final score plotted against the Acute Care Clinical Nurse Specialist national average

Below national average
MIPS Final Score
77.7534/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Acute Care Clinical Nurse Specialist) — 77.7534/100 vs national avg 83.1

0%100%National avg83%77.8%
MIPS final score (Acute Care Clinical Nurse Specialist) — 77.7534/100 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).

PAILAI KING, NP appears in the CMS NPPES registry as a Acute Care Clinical Nurse Specialist provider holding NP credentials at 3131 BERGER AVE STE 200, SAN DIEGO, CA, 92123, with a listed phone of (858) 244-6800. NPI 1497187090 was issued on 08/06/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KING 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 1,060 prescription claims written by this provider, covering 263 Medicare beneficiaries and totaling roughly $307K in drug spend, split 23% brand-name and 77% 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 77.7534/100 for the 2023 performance year (Quality 61.3566, Cost 66.7792), compared with the national average of 83.1.

Acute Care Clinical Nurse Specialist is a narrow specialty nationwide, with 510 enrolled providers across 47 states and an average of 773 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

3131 BERGER AVE STE 200
SAN DIEGO, CA 92123

Provider Details

NPI 1497187090
Specialty Acute Care Clinical Nurse Specialist
Credentials NP
Gender Female
NPI Issued 08/06/2013

CMS Quality Score (MIPS)

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

77.7534
Final Score
Avg: 83.1
61.3566
Quality
66.7792
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAILAI KING, NP 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.

SAN DIEGO CARDIAC CENTER MEDICAL GROUP INC.
SAN DIEGO, CA

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 PAILAI KING, NP. Source: openpaymentsdata.cms.gov.

Total received

$2.8K

Largest payer

Abbott Laboratories

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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to PAILAI KING, NP. To verify PAILAI KING, NP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PAILAI KING, NP — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 1,060 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.

1,060
Total Claims
$307K
Total Drug Cost
263
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,491
Total Day Supply
74,142
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$286K
Generic Drug Cost
$21K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
1.73
Gender Split
43% female / 57% male

Top Prescribed Drugs (Medicare Part D)

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

What PAILAI KING, NP 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
Metoprolol Succinate
115
Eliquis
Apixaban
112
Metoprolol Tartrate
75
Flecainide Acetate
69
Sotalol
Sotalol Hcl
68
Xarelto
Rivaroxaban
67
Losartan Potassium
40
Amlodipine Besylate
39
Atorvastatin Calcium
38
Carvedilol
37

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

Acute Care Clinical Nurse Specialist Overview

How PAILAI KING, NP fits within the Acute Care Clinical Nurse Specialist landscape nationally.

510
Acute Care Clinical Nurse Specialist Providers in US
47
States with Acute Care Clinical Nurse Specialist
773
Avg Claims per Provider

PAILAI KING, NP's 1,060 claims are above the specialty average of 773.

Nearby Acute Care Clinical Nurse Specialist Providers in California

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

Compare Acute Care Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAILAI KING, NP's specialty?
PAILAI KING, NP specializes in Acute Care Clinical Nurse Specialist and practices in SAN DIEGO, California. Credentials: NP.
How much does PAILAI KING, NP prescribe under Medicare Part D?
In 2023, PAILAI KING, NP wrote 1,060 Medicare Part D claims totaling $307K in drug costs for 263 beneficiaries.
What is PAILAI KING, NP's Medicare quality score?
PAILAI KING, NP has a CMS MIPS Final Score of 77.7534/100 (Quality: 61.3566, Cost: 66.7792). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAILAI KING, NP located?
PAILAI KING, NP is located at 3131 BERGER AVE STE 200, SAN DIEGO, CA, 92123. Phone: (858) 244-6800.
What is PAILAI KING, NP's NPI number?
PAILAI KING, NP's National Provider Identifier (NPI) is 1497187090, issued on 08/06/2013.
Does PAILAI KING, NP prescribe more brand-name or generic drugs?
PAILAI KING, NP's prescribing is 23% brand-name and 77% generic drugs by claim count, with $286K in brand drug costs.
How many Acute Care Clinical Nurse Specialist providers are there in the US?
There are 510 Acute Care Clinical Nurse Specialist providers across 47 states in the US. The average Acute Care Clinical Nurse Specialist provider writes 773 Medicare Part D claims per year.
What drugs does PAILAI KING, NP prescribe most often?
Based on 2023 Medicare Part D data, PAILAI KING, NP's most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Metoprolol Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAILAI KING, NP accept Medicare?
PAILAI KING, NP appears in CMS Medicare data with 1,060 Part D claims and 263 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAILAI KING, NP's credentials?
PAILAI KING, NP's NPI is 1497187090 with credentials NP. 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