2026 NPPES data Nurse Practitioner NPI 1588187470 APRN
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RACHEL PIACSEK, APRN

Nurse Practitioner in RICHMOND, Kentucky. 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
558
Medicare Part D claims · 162 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.5077/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$46.63
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RACHEL PIACSEK, APRN reported a CMS MIPS final score of 95.5077/100 — above the 83.1 national average — and filed 558 Medicare Part D claims in 2023.

95.5077/100
MIPS score · +12 vs avg
558
Part D claims, 2023
75%
generic prescribing
$46.63
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 PIACSEK, APRN's MIPS score vs every scored U.S. clinician

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

96 Top 21% higher than 79% 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 PIACSEK, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 07/21/2017

NPI 1588187470

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

558 49% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

95.5077/100 12.407700000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Nurse Practitioner compares to other specialties among Kentucky providers

Kentucky providers

Nurse Practitioner share within Kentucky

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

Medicare quality performance — MIPS

RACHEL PIACSEK, APRN's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
95.5077/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 95.5077/100 vs national avg 83.1

0%100%National avg83%95.5%
MIPS final score (Nurse Practitioner) — 95.5077/100 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 PIACSEK, APRN appears in the CMS NPPES registry as a Nurse Practitioner provider holding APRN credentials at 789 EASTERN BYP STE 16, RICHMOND, KY, 40475, with a listed phone of (859) 624-6501. NPI 1588187470 was issued on 07/21/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PIACSEK 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 558 prescription claims written by this provider, covering 162 Medicare beneficiaries and totaling roughly $195K in drug spend, split 25% brand-name and 75% 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 95.5077/100 for the 2023 performance year (Quality 89.5953), 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

789 EASTERN BYP STE 16
RICHMOND, KY 40475

Provider Details

NPI 1588187470
Specialty Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 07/21/2017

CMS Quality Score (MIPS)

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

95.5077
Final Score
Avg: 83.1
89.5953
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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

Total received

$47

Largest payer

ABBVIE 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 · Above average

RACHEL PIACSEK, APRN — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 558 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.

558
Total Claims
$195K
Total Drug Cost
162
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,024
Total Day Supply
30,226
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$182K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.70
Gender Split
65% female / 35% male
Age Distribution
<65: 42, 65-74: 46, 75-84: 48, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

What RACHEL PIACSEK, 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
Donepezil Hcl
68
Memantine Hcl
54
Ropinirole Hcl
41
Carbidopa-Levodopa
Carbidopa/Levodopa
36
Qulipta
Atogepant
24
Nurtec Odt
Rimegepant Sulfate
23
Emgality Pen
Galcanezumab-Gnlm
21
Gabapentin
20
Namzaric
Memantine Hcl/Donepezil Hcl
19
Aimovig Autoinjector
Erenumab-Aooe
18

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

Nurse Practitioner Overview

How RACHEL PIACSEK, APRN 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

RACHEL PIACSEK, APRN's 558 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Kentucky

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

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

Frequently Asked Questions

What is RACHEL PIACSEK, APRN's specialty?
RACHEL PIACSEK, APRN specializes in Nurse Practitioner and practices in RICHMOND, Kentucky. Credentials: APRN.
How much does RACHEL PIACSEK, APRN prescribe under Medicare Part D?
In 2023, RACHEL PIACSEK, APRN wrote 558 Medicare Part D claims totaling $195K in drug costs for 162 beneficiaries.
What is RACHEL PIACSEK, APRN's Medicare quality score?
RACHEL PIACSEK, APRN has a CMS MIPS Final Score of 95.5077/100 (Quality: 89.5953). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RACHEL PIACSEK, APRN located?
RACHEL PIACSEK, APRN is located at 789 EASTERN BYP STE 16, RICHMOND, KY, 40475. Phone: (859) 624-6501.
What is RACHEL PIACSEK, APRN's NPI number?
RACHEL PIACSEK, APRN's National Provider Identifier (NPI) is 1588187470, issued on 07/21/2017.
Does RACHEL PIACSEK, APRN prescribe more brand-name or generic drugs?
RACHEL PIACSEK, APRN's prescribing is 25% brand-name and 75% generic drugs by claim count, with $182K 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 RACHEL PIACSEK, APRN prescribe most often?
Based on 2023 Medicare Part D data, RACHEL PIACSEK, APRN's most frequently prescribed drugs include Donepezil Hcl, Memantine Hcl, Ropinirole Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RACHEL PIACSEK, APRN accept Medicare?
RACHEL PIACSEK, APRN appears in CMS Medicare data with 558 Part D claims and 162 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RACHEL PIACSEK, APRN's credentials?
RACHEL PIACSEK, APRN's NPI is 1588187470 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