NPI registry status
Active
2026 NPPES data Occupational Medicine Physician NPI 1922269307 PA
Verify on CMS → Stephanie Pridemore, PA
Occupational Medicine Physician in Lexington, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,244 in Occupational Medicine Physician, 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
251
Medicare Part D claims · 160 beneficiaries · Occupational Medicine Physician avg: 587
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.5/100
▲ 12 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Stephanie Pridemore, PA reported a CMS MIPS final score of 95.5/100 - above the 83.5 national average - and filed 251 Medicare Part D claims in 2024.
- 95.5/100
- MIPS score · +12 vs avg
- 251
- Part D claims, 2024
- 92%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Federal trust snapshot
What official records show about Stephanie Pridemore, PA
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1922269307), first enumerated 06/19/2008.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 251 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 95.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1922269307 · Occupational Medicine Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1922269307
- ENUM-MID 2008
- TAX-NARROW 2,244
- MIPS-ELITE 95.5/100
- RX-LIGHT 251
- BOOK-THIN 26 in Kentucky
- PHOTO-FINISH Ge Ma, MD · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Linda Go, M.D. ·…
Linda Go, M.D.
94.6 MIPS pts
- James Ross, MD ·…
James Ross, MD
95.3 MIPS pts
- Pridemore · this…
Pridemore · this provider
95.5 MIPS pts
- Ge Ma, MD · near
Ge Ma, MD
95.6 MIPS pts
- Jeremy Biggs, MD…
Jeremy Biggs, MD MSPH
95.7 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Stephanie Pridemore, PA's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
96 ≥ 78th percentile 78% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Stephanie Pridemore, PA sits
This provider among occupational medicine physician peers
Across the 43 occupational medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Stephanie Pridemore, PA writes more Part D claims than 42% of them and scores higher on MIPS quality than 84% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one occupational medicine physician peer from a representative sample of 42; the gold marker is Stephanie Pridemore, PA. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Stephanie Pridemore, PA practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Stephanie Pridemore, PA?
High performer (top quartile)Primary specialty
Occupational Medicine Physician
Medicare Part D claims
251 57% vs specialty avg
MIPS final score
95.5/100 12 pts vs avg
Specialty distribution in Kentucky
How Occupational Medicine Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Stephanie Pridemore, PA's 2023 MIPS final score plotted against the Occupational Medicine Physician national average
- MIPS Final Score
- 95.5/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1922269307 |
|---|---|
| Specialty | Occupational Medicine Physician |
| Credentials | PA |
| Gender | Female |
| NPI Issued | 06/19/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.5077
Final Score
Measured-score avg: 83.5
89.5953
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Stephanie Pridemore, PA 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.
University OF Kentucky
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).
Brand vs generic prescribing mix · Generic-heavy
Stephanie Pridemore, PA - brand share 8.0%
Occupational Medicine Physician average
8% brand-name claims vs 92% generic, on 251 2024 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 2024.
251
Total Claims
$4K
Total Drug Cost
160
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 251
- Total Day Supply
- 2,779
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 93
Patient Demographics
- Average Patient Age
- 69.2 years
- Avg HCC Risk Score
- 1.08
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 40, 65-74: 65, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Stephanie Pridemore, PA prescribes most
Top Medicare Part D drugs by claim count, 2024
- Prednisone
Prednisone
43 claims
- Azithromycin 16
Azithromycin
16 claims
- Doxycycline Monohy… 16
Doxycycline Monohydrate
16 claims
- Cephalexin 15
Cephalexin
15 claims
- Albuterol Sulfate … 14
Albuterol Sulfate Hfa
14 claims
- Mupirocin 14
Mupirocin
14 claims
- Amoxicillin 12
Amoxicillin
12 claims
| Drug | Claims |
|---|---|
| Prednisone | 43 |
| Azithromycin | 16 |
| Doxycycline Monohydrate | 16 |
| Cephalexin | 15 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 14 |
| Mupirocin | 14 |
| Amoxicillin | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Occupational Medicine Physician Overview
How Stephanie Pridemore, PA fits within the Occupational Medicine Physician landscape nationally.
2,244
Occupational Medicine Physician Providers in US
52
States with Occupational Medicine Physician
587
Avg Claims per Provider
Stephanie Pridemore, PA's 251 claims are below the specialty average of 587.
Nationwide Occupational Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Pridemore, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (95.5 here).
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Occupational Medicine Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Pridemore.
One of 26 Occupational Medicine Physician providers enrolled in Kentucky, 5 are shown here.
Dr. Jules Barefoot
MD
Louisville, KY
Dr. Robert Berlin
M.D.
Louisville, KY
Dr. Robert Boyer
MD
Lexington, KY
Sarah Bumgardner
PA-C
Lexington, KY
Dr. Patricia Canfield
D.O.
Erlanger, KY
Compare Occupational Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Stephanie Pridemore, PA's specialty? ▼
Stephanie Pridemore, PA specializes in Occupational Medicine Physician and practices in Lexington, Kentucky. Credentials: PA.
How much does Stephanie Pridemore, PA prescribe under Medicare Part D? ▼
In 2024, Stephanie Pridemore, PA wrote 251 Medicare Part D claims totaling $4K in drug costs for 160 beneficiaries.
What is Stephanie Pridemore, PA's Medicare quality score? ▼
Stephanie Pridemore, PA has a CMS MIPS Final Score of 95.5/100 (Quality: 89.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Stephanie Pridemore, PA located? ▼
Stephanie Pridemore, PA is located at 740 S LIMESTONE STE C300, Lexington, KY, 40536. Phone: (859) 257-5405.
What is Stephanie Pridemore, PA's NPI number? ▼
Stephanie Pridemore, PA's National Provider Identifier (NPI) is 1922269307, issued on 06/19/2008.
Does Stephanie Pridemore, PA prescribe more brand-name or generic drugs? ▼
Stephanie Pridemore, PA's prescribing is 8% brand-name and 92% generic drugs by claim count, with $2K in brand drug costs.
How many Occupational Medicine Physician providers are there in the US? ▼
There are 2,244 Occupational Medicine Physician providers across 52 states in the US. The average Occupational Medicine Physician provider writes 587 Medicare Part D claims per year.
What drugs does Stephanie Pridemore, PA prescribe most often? ▼
Based on 2024 Medicare Part D data, Stephanie Pridemore, PA's most frequently prescribed drugs include Prednisone, Azithromycin, Doxycycline Monohydrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Stephanie Pridemore, PA accept Medicare? ▼
Stephanie Pridemore, PA appears in CMS Medicare data with 251 Part D claims and 160 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Stephanie Pridemore, PA's credentials? ▼
Stephanie Pridemore, PA's NPI is 1922269307 with credentials PA. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.