2026 NPPES data Adult Health Nurse Practitioner NPI 1093209199 NP
Verify on CMS →

SARAH SPENCE, NP

Adult Health Nurse Practitioner in ATLANTA, Georgia. 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
979
Medicare Part D claims · 308 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.2614/100
▲ 9 pts above national avg 83.1 · [object Object]

What the federal data shows

SARAH SPENCE, NP reported a CMS MIPS final score of 92.2614/100 — above the 83.1 national average — and filed 979 Medicare Part D claims in 2023.

92.2614/100
MIPS score · +9 vs avg
979
Part D claims, 2023
91%
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.

SARAH SPENCE, NP's MIPS score vs every scored U.S. clinician

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

92 Top 32% higher than 68% 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 SARAH SPENCE, NP?

High performer (top quartile)

NPI registry status

Active

Issued 06/21/2018

NPI 1093209199

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

979 18% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

92.2614/100 9.1614% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

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

Georgia providers

Adult Health Nurse Practitioner share within Georgia

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

Medicare quality performance — MIPS

SARAH SPENCE, NP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
92.2614/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 92.2614/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Adult Health Nurse Practitioner) — 92.2614/100 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).

SARAH SPENCE, NP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding NP credentials at 5665 PEACHTREE DUNWOODY RD, ATLANTA, GA, 30342, with a listed phone of (404) 778-4898. NPI 1093209199 was issued on 06/21/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPENCE 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 979 prescription claims written by this provider, covering 308 Medicare beneficiaries and totaling roughly $84K in drug spend, split 9% brand-name and 91% 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 92.2614/100 for the 2023 performance year (Quality 73.8353), compared with the national average of 83.1.

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

5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342

Provider Details

NPI 1093209199
Specialty Adult Health Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 06/21/2018

CMS Quality Score (MIPS)

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

92.2614
Final Score
Avg: 83.1
73.8353
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where SARAH SPENCE, 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.

THE EMORY CLINIC INC
ATLANTA, GA

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

SARAH SPENCE, NP — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 979 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.

979
Total Claims
$84K
Total Drug Cost
308
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,831
Total Day Supply
51,389
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$56K
Generic Drug Cost
$28K
Antibiotic Claims
82

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.32
Gender Split
16% female / 84% male
Age Distribution
<65: 26, 65-74: 137, 75-84: 116, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

What SARAH SPENCE, NP 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
Tamsulosin Hcl
264
Finasteride
134
Testosterone Cypionate
77
Alfuzosin Hcl Er
Alfuzosin Hcl
75
Myrbetriq
Mirabegron
67
Solifenacin Succinate
48
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
41
Testosterone
29
Trospium Chloride
20
Gabapentin
18

* 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 SARAH SPENCE, NP 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

SARAH SPENCE, NP's 979 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Georgia

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

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

Frequently Asked Questions

What is SARAH SPENCE, NP's specialty?
SARAH SPENCE, NP specializes in Adult Health Nurse Practitioner and practices in ATLANTA, Georgia. Credentials: NP.
How much does SARAH SPENCE, NP prescribe under Medicare Part D?
In 2023, SARAH SPENCE, NP wrote 979 Medicare Part D claims totaling $84K in drug costs for 308 beneficiaries.
What is SARAH SPENCE, NP's Medicare quality score?
SARAH SPENCE, NP has a CMS MIPS Final Score of 92.2614/100 (Quality: 73.8353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SARAH SPENCE, NP located?
SARAH SPENCE, NP is located at 5665 PEACHTREE DUNWOODY RD, ATLANTA, GA, 30342. Phone: (404) 778-4898.
What is SARAH SPENCE, NP's NPI number?
SARAH SPENCE, NP's National Provider Identifier (NPI) is 1093209199, issued on 06/21/2018.
Does SARAH SPENCE, NP prescribe more brand-name or generic drugs?
SARAH SPENCE, NP's prescribing is 9% brand-name and 91% generic drugs by claim count, with $56K in brand drug costs.
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 SARAH SPENCE, NP prescribe most often?
Based on 2023 Medicare Part D data, SARAH SPENCE, NP's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Testosterone Cypionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SARAH SPENCE, NP accept Medicare?
SARAH SPENCE, NP appears in CMS Medicare data with 979 Part D claims and 308 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SARAH SPENCE, NP's credentials?
SARAH SPENCE, NP's NPI is 1093209199 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