2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1851680128 APRN, CLINICAL NURSE
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REGINA MARCINEK, APRN, CLINICAL NURSE

Adult Health Clinical Nurse Specialist in LEXINGTON, 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
490
Medicare Part D claims · 117 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
Generic prescribing
57%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$604.47
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

REGINA MARCINEK, APRN, CLINICAL NURSE reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 490 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
490
Part D claims, 2023
57%
generic prescribing
$604.47
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.

REGINA MARCINEK, APRN, CLINICAL NURSE's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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 REGINA MARCINEK, APRN, CLINICAL NURSE?

High performer (top quartile)

NPI registry status

Active

Issued 04/07/2011

NPI 1851680128

Primary specialty

Adult Health Clinical Nurse Specialist

Niche

1,375 US NPIs in this specialty

Medicare Part D claims

490 55% vs specialty avg

2023 prescription claims

Specialty avg: 1,088

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

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

Kentucky providers

Adult Health Clinical Nurse Specialist share within Kentucky

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

Medicare quality performance — MIPS

REGINA MARCINEK, APRN, CLINICAL NURSE's 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average

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

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

0%100%National avg83%99%
MIPS final score (Adult Health Clinical Nurse Specialist) — 100/100 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).

REGINA MARCINEK, APRN, CLINICAL NURSE appears in the CMS NPPES registry as a Adult Health Clinical Nurse Specialist provider holding APRN, CLINICAL NURSE credentials at 800 ROSE STREET ROOM MN-524, LEXINGTON, KY, 40536, with a listed phone of (859) 323-0511. NPI 1851680128 was issued on 04/07/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARCINEK 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 490 prescription claims written by this provider, covering 117 Medicare beneficiaries and totaling roughly $8K in drug spend, split 43% brand-name and 57% 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 100/100 for the 2023 performance year, 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

800 ROSE STREET ROOM MN-524
LEXINGTON, KY 40536

Provider Details

NPI 1851680128
Specialty Adult Health Clinical Nurse Specialist
Credentials APRN, CLINICAL NURSE
Gender Female
NPI Issued 04/07/2011

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where REGINA MARCINEK, APRN, CLINICAL NURSE 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.

UNIVERSITY OF KENTUCKY
LEXINGTON, KY

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 REGINA MARCINEK, APRN, CLINICAL NURSE. Source: openpaymentsdata.cms.gov.

Total received

$604

Largest payer

Astellas Pharma US 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

REGINA MARCINEK, APRN, CLINICAL NURSE — brand share 43.0%
Specialty average (est.)

43% brand-name claims vs 57% generic, on 490 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.

490
Total Claims
$8K
Total Drug Cost
117
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
959
Total Day Supply
28,658
Brand vs Generic
43% brand / 57% generic
Brand Drug Cost
$4K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
64.9 years
Avg HCC Risk Score
1.35
Gender Split
77% female / 23% male
Age Distribution
<65: 44, 65-74: 53, 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 REGINA MARCINEK, APRN, CLINICAL NURSE 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
357
Methimazole
71
Synthroid
Levothyroxine Sodium
19
Propranolol Hcl
11

* 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 REGINA MARCINEK, APRN, CLINICAL NURSE 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

REGINA MARCINEK, APRN, CLINICAL NURSE's 490 claims are below the specialty average of 1,088.

Nearby Adult Health Clinical Nurse Specialist Providers in Kentucky

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

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

Frequently Asked Questions

What is REGINA MARCINEK, APRN, CLINICAL NURSE's specialty?
REGINA MARCINEK, APRN, CLINICAL NURSE specializes in Adult Health Clinical Nurse Specialist and practices in LEXINGTON, Kentucky. Credentials: APRN, CLINICAL NURSE.
How much does REGINA MARCINEK, APRN, CLINICAL NURSE prescribe under Medicare Part D?
In 2023, REGINA MARCINEK, APRN, CLINICAL NURSE wrote 490 Medicare Part D claims totaling $8K in drug costs for 117 beneficiaries.
What is REGINA MARCINEK, APRN, CLINICAL NURSE's Medicare quality score?
REGINA MARCINEK, APRN, CLINICAL NURSE has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is REGINA MARCINEK, APRN, CLINICAL NURSE located?
REGINA MARCINEK, APRN, CLINICAL NURSE is located at 800 ROSE STREET ROOM MN-524, LEXINGTON, KY, 40536. Phone: (859) 323-0511.
What is REGINA MARCINEK, APRN, CLINICAL NURSE's NPI number?
REGINA MARCINEK, APRN, CLINICAL NURSE's National Provider Identifier (NPI) is 1851680128, issued on 04/07/2011.
Does REGINA MARCINEK, APRN, CLINICAL NURSE prescribe more brand-name or generic drugs?
REGINA MARCINEK, APRN, CLINICAL NURSE's prescribing is 43% brand-name and 57% generic drugs by claim count, with $4K 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 REGINA MARCINEK, APRN, CLINICAL NURSE prescribe most often?
Based on 2023 Medicare Part D data, REGINA MARCINEK, APRN, CLINICAL NURSE's most frequently prescribed drugs include Levothyroxine Sodium, Methimazole, Synthroid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does REGINA MARCINEK, APRN, CLINICAL NURSE accept Medicare?
REGINA MARCINEK, APRN, CLINICAL NURSE appears in CMS Medicare data with 490 Part D claims and 117 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify REGINA MARCINEK, APRN, CLINICAL NURSE's credentials?
REGINA MARCINEK, APRN, CLINICAL NURSE's NPI is 1851680128 with credentials APRN, CLINICAL NURSE. 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