2026 NPPES data Addiction (Substance Use Disorder) Counselor NPI 1699813212 NP
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SANDRA KELLEY, NP

Addiction (Substance Use Disorder) Counselor 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
18
Medicare Part D claims · Addiction (Substance Use Disorder) Counselor avg: 645
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$1.1K
13 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SANDRA KELLEY, NP reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 18 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
18
Part D claims, 2023
$1.1K
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.

SANDRA KELLEY, NP'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 SANDRA KELLEY, NP?

High performer (top quartile)

NPI registry status

Active

Issued 02/03/2007

NPI 1699813212

Primary specialty

Addiction (Substance Use Disorder) Counselor

High-volume

109,141 US NPIs in this specialty

Medicare Part D claims

18 97% vs specialty avg

2023 prescription claims

Specialty avg: 645

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Addiction (Substance Use Disorder) Counselor compares to other specialties among Kentucky providers

Kentucky providers

Addiction (Substance Use Disorder) Counselor share within Kentucky

1. Addiction (Substance Use Disorder) Counselor42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction (Substance Use Disorder) Counselor share within Kentucky

Medicare quality performance — MIPS

SANDRA KELLEY, NP's 2023 MIPS final score plotted against the Addiction (Substance Use Disorder) Counselor national average

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

MIPS final score (Addiction (Substance Use Disorder) Counselor) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Addiction (Substance Use Disorder) Counselor) — 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).

SANDRA KELLEY, NP appears in the CMS NPPES registry as a Addiction (Substance Use Disorder) Counselor provider holding NP credentials at 845 ANGLIANA AVE, LEXINGTON, KY, 40508, with a listed phone of (859) 323-9321. NPI 1699813212 was issued on 02/03/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KELLEY 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 18 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $483 in drug spend. 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.

Addiction (Substance Use Disorder) Counselor is a high-volume specialty nationwide, with 109,141 enrolled providers across 55 states and an average of 645 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

845 ANGLIANA AVE
LEXINGTON, KY 40508

Provider Details

NPI 1699813212
Specialty Addiction (Substance Use Disorder) Counselor
Credentials NP
Gender Female
NPI Issued 02/03/2007

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 SANDRA KELLEY, NP 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.

LJKS
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 SANDRA KELLEY, NP. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

IDORSIA PHARMACEUTICALS 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

18
Total Claims
$483
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
18
Total Day Supply
238
Brand Drug Cost
$0
Generic Drug Cost
$483

Patient Demographics

Average Patient Age
62.3 years
Avg HCC Risk Score
0.97

Addiction (Substance Use Disorder) Counselor Overview

How SANDRA KELLEY, NP fits within the Addiction (Substance Use Disorder) Counselor landscape nationally.

109,141
Addiction (Substance Use Disorder) Counselor Providers in US
55
States with Addiction (Substance Use Disorder) Counselor
645
Avg Claims per Provider

SANDRA KELLEY, NP's 18 claims are below the specialty average of 645.

Nearby Addiction (Substance Use Disorder) Counselor Providers in Kentucky

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

Compare Addiction (Substance Use Disorder) Counselor nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANDRA KELLEY, NP's specialty?
SANDRA KELLEY, NP specializes in Addiction (Substance Use Disorder) Counselor and practices in LEXINGTON, Kentucky. Credentials: NP.
How much does SANDRA KELLEY, NP prescribe under Medicare Part D?
In 2023, SANDRA KELLEY, NP wrote 18 Medicare Part D claims totaling $483 in drug costs for N/A beneficiaries.
What is SANDRA KELLEY, NP's Medicare quality score?
SANDRA KELLEY, NP 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 SANDRA KELLEY, NP located?
SANDRA KELLEY, NP is located at 845 ANGLIANA AVE, LEXINGTON, KY, 40508. Phone: (859) 323-9321.
What is SANDRA KELLEY, NP's NPI number?
SANDRA KELLEY, NP's National Provider Identifier (NPI) is 1699813212, issued on 02/03/2007.
How many Addiction (Substance Use Disorder) Counselor providers are there in the US?
There are 109,141 Addiction (Substance Use Disorder) Counselor providers across 55 states in the US. The average Addiction (Substance Use Disorder) Counselor provider writes 645 Medicare Part D claims per year.
Does SANDRA KELLEY, NP accept Medicare?
SANDRA KELLEY, NP appears in CMS Medicare data with 18 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANDRA KELLEY, NP's credentials?
SANDRA KELLEY, NP's NPI is 1699813212 with credentials NP. 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