Richard Cain, APRN, NP-C appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APRN, NP-C credentials at 210 W PARK STE 104, Livingston, TX, 77351, with a listed phone of (936) 328-5820. NPI 1700236510 was issued on 06/13/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Cain 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 5,051 prescription claims written by this provider, covering 515 Medicare beneficiaries and totaling roughly $654K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 0.6%. 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 98.3/100 for the 2023 performance year (Quality 80.6), compared with the national average of 83.1.

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.