2026 NPPES data Adult Health Nurse Practitioner NPI 1821054669 APN
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RANDY EARLS, APN

Adult Health Nurse Practitioner in UNION CITY, Tennessee. 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
915
Medicare Part D claims · 99 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

RANDY EARLS, APN filed 915 Medicare Part D claims in 2023 as a Adult Health Nurse Practitioner in UNION CITY, Tennessee, prescribing 93% generic.

915
Part D claims, 2023
93%
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.

RANDY EARLS, APN's Medicare Part D volume vs every U.S. prescriber

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

915 Top 25% higher than 75% 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%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 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 RANDY EARLS, APN?

Quality data not reported

NPI registry status

Active

Issued 04/21/2006

NPI 1821054669

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

915 24% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

Specialty distribution in Tennessee

How Adult Health Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Adult Health Nurse Practitioner share within Tennessee

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Adult Health 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).

RANDY EARLS, APN appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding APN credentials at 700 SHERRILL ST, UNION CITY, TN, 38261, with a listed phone of (731) 884-3900. NPI 1821054669 was issued on 04/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EARLS 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 915 prescription claims written by this provider, covering 99 Medicare beneficiaries and totaling roughly $39K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 14.4%. 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.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

700 SHERRILL ST
UNION CITY, TN 38261

Provider Details

NPI 1821054669
Specialty Adult Health Nurse Practitioner
Credentials APN
Gender Male
NPI Issued 04/21/2006

Hospital and facility affiliations

Facilities where RANDY EARLS, APN 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.

CARDIOVASCULAR CLINIC OF WEST TN PC
JACKSON, TN
OMNI MEDICAL AND REHAB, INC.
MILAN, TN

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

RANDY EARLS, APN — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 915 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.

915
Total Claims
$39K
Total Drug Cost
99
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,180
Total Day Supply
29,327
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$25K
Generic Drug Cost
$13K
Opioid Claims
132 (14.4% rate)
Antibiotic Claims
33

Patient Demographics

Average Patient Age
65.5 years
Avg HCC Risk Score
1.60
Gender Split
65% female / 35% male
Age Distribution
<65: 38, 65-74: 40, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What RANDY EARLS, APN 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
63
Gabapentin
62
Tizanidine Hcl
59
Alprazolam
42
Tramadol Hcl
36
Albuterol Sulfate Hfa
Albuterol Sulfate
35
Lisinopril
26
Oxycodone Hcl
23
Amlodipine Besylate
21
Carvedilol
17

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

Adult Health Nurse Practitioner Overview

How RANDY EARLS, APN fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

RANDY EARLS, APN's 915 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Tennessee

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

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

Frequently Asked Questions

What is RANDY EARLS, APN's specialty?
RANDY EARLS, APN specializes in Adult Health Nurse Practitioner and practices in UNION CITY, Tennessee. Credentials: APN.
How much does RANDY EARLS, APN prescribe under Medicare Part D?
In 2023, RANDY EARLS, APN wrote 915 Medicare Part D claims totaling $39K in drug costs for 99 beneficiaries.
Where is RANDY EARLS, APN located?
RANDY EARLS, APN is located at 700 SHERRILL ST, UNION CITY, TN, 38261. Phone: (731) 884-3900.
What is RANDY EARLS, APN's NPI number?
RANDY EARLS, APN's National Provider Identifier (NPI) is 1821054669, issued on 04/21/2006.
Does RANDY EARLS, APN prescribe more brand-name or generic drugs?
RANDY EARLS, APN's prescribing is 7% brand-name and 93% generic drugs by claim count, with $25K in brand drug costs.
Does RANDY EARLS, APN prescribe opioids?
Yes, RANDY EARLS, APN had 132 opioid claims in 2023 with an opioid prescribing rate of 14.4%.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does RANDY EARLS, APN prescribe most often?
Based on 2023 Medicare Part D data, RANDY EARLS, APN's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RANDY EARLS, APN accept Medicare?
RANDY EARLS, APN appears in CMS Medicare data with 915 Part D claims and 99 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RANDY EARLS, APN's credentials?
RANDY EARLS, APN's NPI is 1821054669 with credentials APN. 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