2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1235252990 APRN
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RACHEL MALISH, APRN

Adult Health Clinical Nurse Specialist in AUSTIN, Texas. 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 · 179 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
Generic prescribing
56%
generic claims · 44% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.517/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$152.31
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RACHEL MALISH, APRN reported a CMS MIPS final score of 78.517/100 — below the 83.1 national average — and filed 1,250 Medicare Part D claims in 2023.

78.517/100
MIPS score · -5 vs avg
1K
Part D claims, 2023
56%
generic prescribing
$152.31
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 MALISH, APRN's MIPS score vs every scored U.S. clinician

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

79 27th percentile higher than 27% 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 RACHEL MALISH, APRN?

Near national average

NPI registry status

Active

Issued 04/09/2007

NPI 1235252990

Primary specialty

Adult Health Clinical Nurse Specialist

Niche

1,375 US NPIs in this specialty

Medicare Part D claims

1,250 15% vs specialty avg

2023 prescription claims

Specialty avg: 1,088

MIPS final score

78.517/100 4.582999999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Adult Health Clinical Nurse Specialist compares to other specialties among Texas providers

Texas providers

Adult Health Clinical Nurse Specialist share within Texas

1. Adult Health Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Clinical Nurse Specialist share within Texas

Medicare quality performance — MIPS

RACHEL MALISH, APRN's 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average

Near national average
MIPS Final Score
78.517/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Clinical Nurse Specialist) — 78.517/100 vs national avg 83.1

0%100%National avg83%78.5%
MIPS final score (Adult Health Clinical Nurse Specialist) — 78.517/100 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 MALISH, APRN appears in the CMS NPPES registry as a Adult Health Clinical Nurse Specialist provider holding APRN credentials at 5625 EIGER RD, AUSTIN, TX, 78735, with a listed phone of (512) 892-7076. NPI 1235252990 was issued on 04/09/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MALISH 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 1,250 prescription claims written by this provider, covering 179 Medicare beneficiaries and totaling roughly $760K in drug spend, split 44% brand-name and 56% 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 78.517/100 for the 2023 performance year (Quality 75.7631, Cost 52.6267), compared with the national average of 83.1.

Adult Health Clinical Nurse Specialist is a narrow specialty nationwide, with 1,375 enrolled providers across 49 states and an average of 1,088 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

5625 EIGER RD
AUSTIN, TX 78735

Provider Details

NPI 1235252990
Specialty Adult Health Clinical Nurse Specialist
Credentials APRN
Gender Female
NPI Issued 04/09/2007

CMS Quality Score (MIPS)

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

78.517
Final Score
Avg: 83.1
75.7631
Quality
52.6267
Cost
100
Promoting Interoperability

Reporting: Group practice

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 MALISH, APRN. Source: openpaymentsdata.cms.gov.

Total received

$152

Largest payer

Nevro Corp.

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to RACHEL MALISH, APRN. To verify RACHEL MALISH, APRN's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

RACHEL MALISH, APRN — brand share 44.0%
Specialty average (est.)

44% brand-name claims vs 56% generic, on 1,250 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.

1,250
Total Claims
$760K
Total Drug Cost
179
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,935
Total Day Supply
87,155
Brand vs Generic
44% brand / 56% generic
Brand Drug Cost
$706K
Generic Drug Cost
$11K

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.78
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

What RACHEL MALISH, APRN 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
Levothyroxine Sodium
69
Trulicity
Dulaglutide
62
Atorvastatin Calcium
51
Losartan Potassium
46
Ozempic
Semaglutide
45
Tresiba Flextouch U-200
Insulin Degludec
38
Hydrochlorothiazide
35
Jardiance
Empagliflozin
35
Ezetimibe
33
Rosuvastatin Calcium
33

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

Adult Health Clinical Nurse Specialist Overview

How RACHEL MALISH, APRN fits within the Adult Health Clinical Nurse Specialist landscape nationally.

1,375
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,088
Avg Claims per Provider

RACHEL MALISH, APRN's 1,250 claims are above the specialty average of 1,088.

Nearby Adult Health Clinical Nurse Specialist Providers in Texas

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

Compare Adult Health Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is RACHEL MALISH, APRN's specialty?
RACHEL MALISH, APRN specializes in Adult Health Clinical Nurse Specialist and practices in AUSTIN, Texas. Credentials: APRN.
How much does RACHEL MALISH, APRN prescribe under Medicare Part D?
In 2023, RACHEL MALISH, APRN wrote 1,250 Medicare Part D claims totaling $760K in drug costs for 179 beneficiaries.
What is RACHEL MALISH, APRN's Medicare quality score?
RACHEL MALISH, APRN has a CMS MIPS Final Score of 78.517/100 (Quality: 75.7631, Cost: 52.6267). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RACHEL MALISH, APRN located?
RACHEL MALISH, APRN is located at 5625 EIGER RD, AUSTIN, TX, 78735. Phone: (512) 892-7076.
What is RACHEL MALISH, APRN's NPI number?
RACHEL MALISH, APRN's National Provider Identifier (NPI) is 1235252990, issued on 04/09/2007.
Does RACHEL MALISH, APRN prescribe more brand-name or generic drugs?
RACHEL MALISH, APRN's prescribing is 44% brand-name and 56% generic drugs by claim count, with $706K in brand drug costs.
How many Adult Health Clinical Nurse Specialist providers are there in the US?
There are 1,375 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,088 Medicare Part D claims per year.
What drugs does RACHEL MALISH, APRN prescribe most often?
Based on 2023 Medicare Part D data, RACHEL MALISH, APRN's most frequently prescribed drugs include Levothyroxine Sodium, Trulicity, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RACHEL MALISH, APRN accept Medicare?
RACHEL MALISH, APRN appears in CMS Medicare data with 1,250 Part D claims and 179 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RACHEL MALISH, APRN's credentials?
RACHEL MALISH, APRN's NPI is 1235252990 with credentials APRN. 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