2026 NPPES data Adult Health Nurse Practitioner NPI 1124602768 AGACNP-BC
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Spencer Ashby, AGACNP-BC

Adult Health Nurse Practitioner in Lees Summit, Missouri.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,519 in Adult Health Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
100
Medicare Part D claims · 63 beneficiaries · Adult Health Nurse Practitioner avg: 1K
MIPS score
86.9/100
▲ 4 pts above national avg 83.1 · Above neutral
Industry payments
$23.33
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Spencer Ashby, AGACNP-BC reported a CMS MIPS final score of 86.9/100 - above the 83.1 national average - and filed 100 Medicare Part D claims in 2023.

86.9/100
MIPS score · +4 vs avg
100
Part D claims, 2023
$23.33
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.

Spencer Ashby, AGACNP-BC's MIPS score vs every scored U.S. clinician

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

87 Top 48% higher than 52% 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%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. 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

Where Spencer Ashby, AGACNP-BC sits

This provider among adult health nurse practitioner peers

Across the 4,289 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Spencer Ashby, AGACNP-BC writes more Part D claims than 22% of them and scores higher on MIPS quality than 52% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 3Spencer Ashby, AGACNP-BC-Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 52
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Spencer Ashby, AGACNP-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Spencer Ashby, AGACNP-BC?

High performer (top quartile)

NPI registry status

Active

Issued 05/10/2021

NPI 1124602768

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,519 US NPIs in this specialty

Medicare Part D claims

100 92% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

86.9/100 3.8 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

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

Missouri providers
Pharmacist - 4.8%Pharmacist4.8%Professional Counselor - 4.8%Professional Counselor4.8%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Clinical Social Worker - 4.5%Clinical Social Worker4.5%Family Nurse Practitioner - 4.3%Family Nurse Practitioner4.3%Physical Therapist - 4%Physical Therapist4%Adult Health Nurse Practitioner - 0.7%Adult Health Nurse Practitioner0.7%
Largest specialties in Missouri (% of in-state providers)

Medicare quality performance, MIPS

Spencer Ashby, AGACNP-BC's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
86.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) - 86.9/100 vs national avg 83.1

0%100%National avg83%86.9%
MIPS final score (Adult Health Nurse Practitioner) - 86.9/100 vs national avg 83.1
How MIPS and board certification work

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).

Spencer Ashby, AGACNP-BC appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding AGACNP-BC credentials at 200 NE MISSOURI RD STE 306, Lees Summit, MO, 64086, with a listed phone of (913) 428-2900. NPI 1124602768 was issued on 05/10/2021.

Medicare Part D records for calendar year 2023 show 100 prescription claims written by this provider, covering 63 Medicare beneficiaries and totaling roughly $2K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.9/100 for the 2023 performance year (Quality 77.5, Cost 57.7), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,519 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

200 NE MISSOURI RD STE 306
Lees Summit, MO 64086

Provider Details

NPI 1124602768
Specialty Adult Health Nurse Practitioner
Credentials AGACNP-BC
Gender Female
NPI Issued 05/10/2021

CMS Quality Score (MIPS)

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

86.8825
Final Score
Avg: 83.1
77.4655
Quality
57.7133
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Spencer Ashby, AGACNP-BC 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.

Pain Source Solutions LLC
N Kansas City, MO
University Health Physicians
Kansas City, MO

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 Spencer Ashby, AGACNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$23

Largest payer

Boston Scientific Corporation

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.

100
Total Claims
$2K
Total Drug Cost
63
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
101
Total Day Supply
1,282
Generic Drug Cost
$755
Antibiotic Claims
25

Patient Demographics

Average Patient Age
59.6 years
Avg HCC Risk Score
1.58
Gender Split
46% female / 54% male
Age Distribution
<65: 35, 65-74: 20, 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.

Drug Claims
Ibuprofen
14

* 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 Spencer Ashby, AGACNP-BC fits within the Adult Health Nurse Practitioner landscape nationally.

29,519
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

Spencer Ashby, AGACNP-BC's 100 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Missouri

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Missouri medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Adult Health Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Spencer Ashby, AGACNP-BC's specialty?
Spencer Ashby, AGACNP-BC specializes in Adult Health Nurse Practitioner and practices in Lees Summit, Missouri. Credentials: AGACNP-BC.
How much does Spencer Ashby, AGACNP-BC prescribe under Medicare Part D?
In 2023, Spencer Ashby, AGACNP-BC wrote 100 Medicare Part D claims totaling $2K in drug costs for 63 beneficiaries.
What is Spencer Ashby, AGACNP-BC's Medicare quality score?
Spencer Ashby, AGACNP-BC has a CMS MIPS Final Score of 86.9/100 (Quality: 77.5, Cost: 57.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Spencer Ashby, AGACNP-BC located?
Spencer Ashby, AGACNP-BC is located at 200 NE MISSOURI RD STE 306, Lees Summit, MO, 64086. Phone: (913) 428-2900.
What is Spencer Ashby, AGACNP-BC's NPI number?
Spencer Ashby, AGACNP-BC's National Provider Identifier (NPI) is 1124602768, issued on 05/10/2021.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,519 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 Spencer Ashby, AGACNP-BC prescribe most often?
Based on 2023 Medicare Part D data, Spencer Ashby, AGACNP-BC's most frequently prescribed drugs include Ibuprofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Spencer Ashby, AGACNP-BC accept Medicare?
Spencer Ashby, AGACNP-BC appears in CMS Medicare data with 100 Part D claims and 63 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Spencer Ashby, AGACNP-BC's credentials?
Spencer Ashby, AGACNP-BC's NPI is 1124602768 with credentials AGACNP-BC. 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.