2026 NPPES data Family Nurse Practitioner NPI 1639627870
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RUTHMARY LASTICK LELION

Family Nurse Practitioner in GARLAND, Texas. 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
660
Medicare Part D claims · 100 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
39%
generic claims · 61% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1335/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$106.34
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RUTHMARY LASTICK LELION reported a CMS MIPS final score of 90.1335/100 — above the 83.1 national average — and filed 660 Medicare Part D claims in 2023.

90.1335/100
MIPS score · +7 vs avg
660
Part D claims, 2023
39%
generic prescribing
$106.34
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.

RUTHMARY LASTICK LELION's MIPS score vs every scored U.S. clinician

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

90 Top 40% higher than 60% 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 RUTHMARY LASTICK LELION?

High performer (top quartile)

NPI registry status

Active

Issued 09/16/2016

NPI 1639627870

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

660 46% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

90.1335/100 7.033500000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Family Nurse Practitioner compares to other specialties among Texas providers

Texas providers

Family Nurse Practitioner share within Texas

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

Medicare quality performance — MIPS

RUTHMARY LASTICK LELION's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
90.1335/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 90.1335/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Family Nurse Practitioner) — 90.1335/100 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).

RUTHMARY LASTICK LELION appears in the CMS NPPES registry as a Family Nurse Practitioner provider at 805 AMBROSE CT, GARLAND, TX, 75040, with a listed phone of (214) 440-1985. NPI 1639627870 was issued on 09/16/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LASTICK LELION 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 660 prescription claims written by this provider, covering 100 Medicare beneficiaries and totaling roughly $261K in drug spend, split 61% brand-name and 39% 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 90.1335/100 for the 2023 performance year (Quality 85.1149, Cost 63.4986), 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.

Practice Address

805 AMBROSE CT
GARLAND, TX 75040

Provider Details

NPI 1639627870
Specialty Family Nurse Practitioner
Gender Female
NPI Issued 09/16/2016

CMS Quality Score (MIPS)

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

90.1335
Final Score
Avg: 83.1
85.1149
Quality
63.4986
Cost
88
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RUTHMARY LASTICK LELION 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.

DALLAS COUNTY HOSPITAL DISTRICT
IRVING, TX

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 RUTHMARY LASTICK LELION. Source: openpaymentsdata.cms.gov.

Total received

$106

Largest payer

Takeda Pharmaceuticals U.S.A., 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.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to RUTHMARY LASTICK LELION. To verify RUTHMARY LASTICK LELION's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

RUTHMARY LASTICK LELION — brand share 61.0%
Specialty average (est.)

61% brand-name claims vs 39% generic, on 660 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.

660
Total Claims
$261K
Total Drug Cost
100
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,104
Total Day Supply
32,555
Brand vs Generic
61% brand / 39% generic
Brand Drug Cost
$255K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
65.3 years
Avg HCC Risk Score
3.58
Gender Split
43% female / 57% male
Age Distribution
<65: 29, 65-74: 61, 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 RUTHMARY LASTICK LELION 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
Ozempic
Semaglutide
60
Metformin Hcl
57
Novolin 70-30
Insulin Nph Hum/Reg Insulin Hm
43
Jardiance
Empagliflozin
42
Humulin 70-30
Insulin Nph Hum/Reg Insulin Hm
30
Atorvastatin Calcium
24
Novolog Mix 70-30 Flexpen
Insulin Aspart Prot/Insuln Asp
20
Victoza 3-Pak
Liraglutide
20
Tradjenta
Linagliptin
19
Novolin N
Insulin Nph Human Isophane
18

* 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 RUTHMARY LASTICK LELION 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

RUTHMARY LASTICK LELION's 660 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as LASTICK LELION.

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

Frequently Asked Questions

What is RUTHMARY LASTICK LELION's specialty?
RUTHMARY LASTICK LELION specializes in Family Nurse Practitioner and practices in GARLAND, Texas.
How much does RUTHMARY LASTICK LELION prescribe under Medicare Part D?
In 2023, RUTHMARY LASTICK LELION wrote 660 Medicare Part D claims totaling $261K in drug costs for 100 beneficiaries.
What is RUTHMARY LASTICK LELION's Medicare quality score?
RUTHMARY LASTICK LELION has a CMS MIPS Final Score of 90.1335/100 (Quality: 85.1149, Cost: 63.4986). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RUTHMARY LASTICK LELION located?
RUTHMARY LASTICK LELION is located at 805 AMBROSE CT, GARLAND, TX, 75040. Phone: (214) 440-1985.
What is RUTHMARY LASTICK LELION's NPI number?
RUTHMARY LASTICK LELION's National Provider Identifier (NPI) is 1639627870, issued on 09/16/2016.
Does RUTHMARY LASTICK LELION prescribe more brand-name or generic drugs?
RUTHMARY LASTICK LELION's prescribing is 61% brand-name and 39% generic drugs by claim count, with $255K 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 RUTHMARY LASTICK LELION prescribe most often?
Based on 2023 Medicare Part D data, RUTHMARY LASTICK LELION's most frequently prescribed drugs include Ozempic, Metformin Hcl, Novolin 70-30. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RUTHMARY LASTICK LELION accept Medicare?
RUTHMARY LASTICK LELION appears in CMS Medicare data with 660 Part D claims and 100 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RUTHMARY LASTICK LELION's credentials?
RUTHMARY LASTICK LELION's NPI is 1639627870. 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