2026 NPPES data Family Nurse Practitioner NPI 1861467672 FNP-C
Verify on CMS →

RALPH MICHAEL, FNP-C

Family Nurse Practitioner in ASHEBORO, North Carolina. 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 · 732 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

RALPH MICHAEL, FNP-C filed 1,160 Medicare Part D claims in 2023 as a Family Nurse Practitioner in ASHEBORO, North Carolina, prescribing 96% generic.

1K
Part D claims, 2023
96%
generic prescribing

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.

RALPH MICHAEL, FNP-C's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,160 Top 23% higher than 77% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about RALPH MICHAEL, FNP-C?

Quality data not reported

NPI registry status

Active

Issued 02/23/2006

NPI 1861467672

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

1,160 5% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in North Carolina

How Family Nurse Practitioner compares to other specialties among North Carolina providers

North Carolina providers

Family Nurse Practitioner share within North Carolina

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

Specialty board-certification context

Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

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).

RALPH MICHAEL, FNP-C appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP-C credentials at 197 NC HIGHWAY 42 N, ASHEBORO, NC, 27203, with a listed phone of (336) 625-2560. NPI 1861467672 was issued on 02/23/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MICHAEL 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 1,160 prescription claims written by this provider, covering 732 Medicare beneficiaries and totaling roughly $6K in drug spend, split 4% brand-name and 96% 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.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

197 NC HIGHWAY 42 N
ASHEBORO, NC 27203

Provider Details

NPI 1861467672
Specialty Family Nurse Practitioner
Credentials FNP-C
Gender Male
NPI Issued 02/23/2006

Hospital and facility affiliations

Facilities where RALPH MICHAEL, FNP-C 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.

WHITE OAK FAMILY PHYSICIANS PA
RANDLEMAN, NC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

RALPH MICHAEL, FNP-C — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 1,160 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.

1,160
Total Claims
$6K
Total Drug Cost
732
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,162
Total Day Supply
8,352
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$467
Generic Drug Cost
$5K
Antibiotic Claims
558

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
1.13
Gender Split
60% female / 40% male
Age Distribution
<65: 123, 65-74: 328, 75-84: 225, 85+: 56

Top Prescribed Drugs (Medicare Part D)

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

What RALPH MICHAEL, FNP-C 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
Prednisone
324
Azithromycin
185
Amoxicillin
176
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
102
Naproxen
75
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
34
Doxycycline Hyclate
28
Lagevrio (Eua)
Molnupiravir
26
Gentamicin Sulfate
23
Albuterol Sulfate Hfa
Albuterol Sulfate
19

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

Family Nurse Practitioner Overview

How RALPH MICHAEL, FNP-C fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

RALPH MICHAEL, FNP-C's 1,160 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as MICHAEL.

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

Frequently Asked Questions

What is RALPH MICHAEL, FNP-C's specialty?
RALPH MICHAEL, FNP-C specializes in Family Nurse Practitioner and practices in ASHEBORO, North Carolina. Credentials: FNP-C.
How much does RALPH MICHAEL, FNP-C prescribe under Medicare Part D?
In 2023, RALPH MICHAEL, FNP-C wrote 1,160 Medicare Part D claims totaling $6K in drug costs for 732 beneficiaries.
Where is RALPH MICHAEL, FNP-C located?
RALPH MICHAEL, FNP-C is located at 197 NC HIGHWAY 42 N, ASHEBORO, NC, 27203. Phone: (336) 625-2560.
What is RALPH MICHAEL, FNP-C's NPI number?
RALPH MICHAEL, FNP-C's National Provider Identifier (NPI) is 1861467672, issued on 02/23/2006.
Does RALPH MICHAEL, FNP-C prescribe more brand-name or generic drugs?
RALPH MICHAEL, FNP-C's prescribing is 4% brand-name and 96% generic drugs by claim count, with $467 in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does RALPH MICHAEL, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, RALPH MICHAEL, FNP-C's most frequently prescribed drugs include Prednisone, Azithromycin, Amoxicillin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RALPH MICHAEL, FNP-C accept Medicare?
RALPH MICHAEL, FNP-C appears in CMS Medicare data with 1,160 Part D claims and 732 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RALPH MICHAEL, FNP-C's credentials?
RALPH MICHAEL, FNP-C's NPI is 1861467672 with credentials FNP-C. 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.
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