2026 NPPES data Orthopedic Registered Nurse NPI 1689985061
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RACHEL GRAY NELSON

Orthopedic Registered Nurse in NEWNAN, 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
2K
Medicare Part D claims · 366 beneficiaries · Orthopedic Registered Nurse avg: 568
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.8/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$1.7K
94 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RACHEL GRAY NELSON reported a CMS MIPS final score of 90.8/100 — above the 83.1 national average — and filed 2,384 Medicare Part D claims in 2023.

90.8/100
MIPS score · +8 vs avg
2K
Part D claims, 2023
91%
generic prescribing
$1.7K
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.

RACHEL GRAY NELSON's MIPS score vs every scored U.S. clinician

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

91 Top 40% higher than 60% 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

What does the federal data show about RACHEL GRAY NELSON?

High performer (top quartile)

NPI registry status

Active

Issued 06/30/2010

NPI 1689985061

Primary specialty

Orthopedic Registered Nurse

Rare

283 US NPIs in this specialty

Medicare Part D claims

2,384 320% vs specialty avg

2023 prescription claims

Specialty avg: 568

MIPS final score

90.8/100 7.700000000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Orthopedic Registered Nurse compares to other specialties among Georgia providers

Georgia providers

Orthopedic Registered Nurse share within Georgia

1. Orthopedic Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopedic Registered Nurse share within Georgia

Medicare quality performance — MIPS

RACHEL GRAY NELSON's 2023 MIPS final score plotted against the Orthopedic Registered Nurse national average

High performer (top quartile)
MIPS Final Score
90.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopedic Registered Nurse) — 90.8/100 vs national avg 83.1

0%100%National avg83%90.8%
MIPS final score (Orthopedic Registered Nurse) — 90.8/100 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).

RACHEL GRAY NELSON appears in the CMS NPPES registry as a Orthopedic Registered Nurse provider at 1825 HIGHWAY 34 E, NEWNAN, GA, 30265, with a listed phone of (770) 252-3767. NPI 1689985061 was issued on 06/30/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRAY NELSON 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 2,384 prescription claims written by this provider, covering 366 Medicare beneficiaries and totaling roughly $205K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 1.5%. 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 90.8/100 for the 2023 performance year, compared with the national average of 83.1.

Orthopedic Registered Nurse is a narrow specialty nationwide, with 283 enrolled providers across 48 states and an average of 568 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

1825 HIGHWAY 34 E
NEWNAN, GA 30265

Provider Details

NPI 1689985061
Specialty Orthopedic Registered Nurse
Gender Female
NPI Issued 06/30/2010

CMS Quality Score (MIPS)

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

90.8
Final Score
Avg: 83.1
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RACHEL GRAY NELSON 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.

PHYSIOTHERAPY ASSOCIATES INC
PEACHTREE CITY, GA
PIEDMONT MEDICAL CARE CORPORATION
ATLANTA, 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 RACHEL GRAY NELSON. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

Largest payer

Lilly USA, LLC

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 · Generic-heavy

RACHEL GRAY NELSON — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 2,384 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.

2,384
Total Claims
$205K
Total Drug Cost
366
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,457
Total Day Supply
159,341
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$169K
Generic Drug Cost
$35K
Opioid Claims
36 (1.5% rate)
Antibiotic Claims
44

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
1.17
Gender Split
78% female / 22% male
Age Distribution
<65: 46, 65-74: 190, 75-84: 98, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

What RACHEL GRAY NELSON 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
Atorvastatin Calcium
138
Amlodipine Besylate
115
Losartan Potassium
110
Levothyroxine Sodium
85
Lisinopril
83
Metformin Hcl
62
Omeprazole
62
Rosuvastatin Calcium
59
Tizanidine Hcl
55
Escitalopram Oxalate
51

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

Orthopedic Registered Nurse Overview

How RACHEL GRAY NELSON fits within the Orthopedic Registered Nurse landscape nationally.

283
Orthopedic Registered Nurse Providers in US
48
States with Orthopedic Registered Nurse
568
Avg Claims per Provider

RACHEL GRAY NELSON's 2,384 claims are above the specialty average of 568.

Nearby Orthopedic Registered Nurse Providers in Georgia

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

Compare Orthopedic Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is RACHEL GRAY NELSON's specialty?
RACHEL GRAY NELSON specializes in Orthopedic Registered Nurse and practices in NEWNAN, Georgia.
How much does RACHEL GRAY NELSON prescribe under Medicare Part D?
In 2023, RACHEL GRAY NELSON wrote 2,384 Medicare Part D claims totaling $205K in drug costs for 366 beneficiaries.
What is RACHEL GRAY NELSON's Medicare quality score?
RACHEL GRAY NELSON has a CMS MIPS Final Score of 90.8/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RACHEL GRAY NELSON located?
RACHEL GRAY NELSON is located at 1825 HIGHWAY 34 E, NEWNAN, GA, 30265. Phone: (770) 252-3767.
What is RACHEL GRAY NELSON's NPI number?
RACHEL GRAY NELSON's National Provider Identifier (NPI) is 1689985061, issued on 06/30/2010.
Does RACHEL GRAY NELSON prescribe more brand-name or generic drugs?
RACHEL GRAY NELSON's prescribing is 9% brand-name and 91% generic drugs by claim count, with $169K in brand drug costs.
Does RACHEL GRAY NELSON prescribe opioids?
Yes, RACHEL GRAY NELSON had 36 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Orthopedic Registered Nurse providers are there in the US?
There are 283 Orthopedic Registered Nurse providers across 48 states in the US. The average Orthopedic Registered Nurse provider writes 568 Medicare Part D claims per year.
What drugs does RACHEL GRAY NELSON prescribe most often?
Based on 2023 Medicare Part D data, RACHEL GRAY NELSON's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RACHEL GRAY NELSON accept Medicare?
RACHEL GRAY NELSON appears in CMS Medicare data with 2,384 Part D claims and 366 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RACHEL GRAY NELSON's credentials?
RACHEL GRAY NELSON's NPI is 1689985061. 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