2026 NPPES data Advanced Practice Midwife NPI 1972577229 RXN, CNM
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STESHA IRONS-KAHL, RXN, CNM

Advanced Practice Midwife in FORT COLLINS, Colorado. 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
323
Medicare Part D claims · 95 beneficiaries · Advanced Practice Midwife avg: 99
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.2096/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$27.98
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

STESHA IRONS-KAHL, RXN, CNM reported a CMS MIPS final score of 76.2096/100 — below the 83.1 national average — and filed 323 Medicare Part D claims in 2023.

76.2096/100
MIPS score · -7 vs avg
323
Part D claims, 2023
82%
generic prescribing
$27.98
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.

STESHA IRONS-KAHL, RXN, CNM's MIPS score vs every scored U.S. clinician

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

76 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 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

What does the federal data show about STESHA IRONS-KAHL, RXN, CNM?

Below national average

NPI registry status

Active

Issued 02/14/2006

NPI 1972577229

Primary specialty

Advanced Practice Midwife

Mid-sized

10,893 US NPIs in this specialty

Medicare Part D claims

323 226% vs specialty avg

2023 prescription claims

Specialty avg: 99

MIPS final score

76.2096/100 6.8904% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Advanced Practice Midwife compares to other specialties among Colorado providers

Colorado providers

Advanced Practice Midwife share within Colorado

1. Advanced Practice Midwife42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Practice Midwife share within Colorado

Medicare quality performance — MIPS

STESHA IRONS-KAHL, RXN, CNM's 2023 MIPS final score plotted against the Advanced Practice Midwife national average

Below national average
MIPS Final Score
76.2096/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Advanced Practice Midwife) — 76.2096/100 vs national avg 83.1

0%100%National avg83%76.2%
MIPS final score (Advanced Practice Midwife) — 76.2096/100 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).

STESHA IRONS-KAHL, RXN, CNM appears in the CMS NPPES registry as a Advanced Practice Midwife provider holding RXN, CNM credentials at 1107 S LEMAY AVE, FORT COLLINS, CO, 80524, with a listed phone of (970) 493-7442. NPI 1972577229 was issued on 02/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what IRONS-KAHL 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 323 prescription claims written by this provider, covering 95 Medicare beneficiaries and totaling roughly $30K in drug spend, split 18% brand-name and 82% 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 76.2096/100 for the 2023 performance year (Quality 76.1725, Cost 47.026), compared with the national average of 83.1.

Advanced Practice Midwife is a mid-sized specialty nationwide, with 10,893 enrolled providers across 55 states and an average of 99 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

1107 S LEMAY AVE
FORT COLLINS, CO 80524

Provider Details

NPI 1972577229
Specialty Advanced Practice Midwife
Credentials RXN, CNM
Gender Female
NPI Issued 02/14/2006

CMS Quality Score (MIPS)

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

76.2096
Final Score
Avg: 83.1
76.1725
Quality
47.026
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where STESHA IRONS-KAHL, RXN, CNM 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.

FORT COLLINS WOMENS CLINIC PC
FORT COLLINS, CO

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 STESHA IRONS-KAHL, RXN, CNM. Source: openpaymentsdata.cms.gov.

Total received

$28

Largest payer

Astellas Pharma 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.

Brand vs generic prescribing mix · Typical

STESHA IRONS-KAHL, RXN, CNM — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 323 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.

323
Total Claims
$30K
Total Drug Cost
95
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
710
Total Day Supply
20,504
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$13K
Generic Drug Cost
$17K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
0.70
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

What STESHA IRONS-KAHL, RXN, CNM 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
Estradiol
75
Estradiol (Twice Weekly)
Estradiol
35
Levothyroxine Sodium
29
Dotti
Estradiol
23
Progesterone
"Progesterone
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Advanced Practice Midwife Overview

How STESHA IRONS-KAHL, RXN, CNM fits within the Advanced Practice Midwife landscape nationally.

10,893
Advanced Practice Midwife Providers in US
55
States with Advanced Practice Midwife
99
Avg Claims per Provider

STESHA IRONS-KAHL, RXN, CNM's 323 claims are above the specialty average of 99.

Nearby Advanced Practice Midwife Providers in Colorado

Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as IRONS-KAHL.

Compare Advanced Practice Midwife nationally: see state-by-state distribution →

Frequently Asked Questions

What is STESHA IRONS-KAHL, RXN, CNM's specialty?
STESHA IRONS-KAHL, RXN, CNM specializes in Advanced Practice Midwife and practices in FORT COLLINS, Colorado. Credentials: RXN, CNM.
How much does STESHA IRONS-KAHL, RXN, CNM prescribe under Medicare Part D?
In 2023, STESHA IRONS-KAHL, RXN, CNM wrote 323 Medicare Part D claims totaling $30K in drug costs for 95 beneficiaries.
What is STESHA IRONS-KAHL, RXN, CNM's Medicare quality score?
STESHA IRONS-KAHL, RXN, CNM has a CMS MIPS Final Score of 76.2096/100 (Quality: 76.1725, Cost: 47.026). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is STESHA IRONS-KAHL, RXN, CNM located?
STESHA IRONS-KAHL, RXN, CNM is located at 1107 S LEMAY AVE, FORT COLLINS, CO, 80524. Phone: (970) 493-7442.
What is STESHA IRONS-KAHL, RXN, CNM's NPI number?
STESHA IRONS-KAHL, RXN, CNM's National Provider Identifier (NPI) is 1972577229, issued on 02/14/2006.
Does STESHA IRONS-KAHL, RXN, CNM prescribe more brand-name or generic drugs?
STESHA IRONS-KAHL, RXN, CNM's prescribing is 18% brand-name and 82% generic drugs by claim count, with $13K in brand drug costs.
How many Advanced Practice Midwife providers are there in the US?
There are 10,893 Advanced Practice Midwife providers across 55 states in the US. The average Advanced Practice Midwife provider writes 99 Medicare Part D claims per year.
What drugs does STESHA IRONS-KAHL, RXN, CNM prescribe most often?
Based on 2023 Medicare Part D data, STESHA IRONS-KAHL, RXN, CNM's most frequently prescribed drugs include Estradiol, Estradiol (Twice Weekly), Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STESHA IRONS-KAHL, RXN, CNM accept Medicare?
STESHA IRONS-KAHL, RXN, CNM appears in CMS Medicare data with 323 Part D claims and 95 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STESHA IRONS-KAHL, RXN, CNM's credentials?
STESHA IRONS-KAHL, RXN, CNM's NPI is 1972577229 with credentials RXN, CNM. 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