NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1275169187 NURSE PRACTITIONER
Verify on CMS → Sudha Kumar, NURSE PRACTITIONER
Family Nurse Practitioner in Elizabethton, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family 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
617
Medicare Part D claims · 241 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
89/100
▲ 5 pts above national avg 83.5 · Above neutral
Industry payments
$101.5
6 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Sudha Kumar, NURSE PRACTITIONER reported a CMS MIPS final score of 89/100 - above the 83.5 national average - and filed 617 Medicare Part D claims in 2023.
- 89/100
- MIPS score · +5 vs avg
- 617
- Part D claims, 2023
- $101.5
- industry payments (Sunshine Act)
- ≥54th
- pct among measured MIPS (lower-bound band)
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 Sudha Kumar, NURSE PRACTITIONER
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 1275169187), first enumerated 03/23/2020.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 617 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 89/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$101.5 in reported industry payments (6 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1275169187 · Family Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-ABOVE · RX-LIGHT · BOOK-MID · PHOTO-FINISH
- NPI-10 1275169187
- ENUM-RECENT 2020
- TAX-MEGA 211K Family Nurse
- MIPS-ABOVE 89/100
- RX-LIGHT 617
- BOOK-MID 7,834 in Tennessee
- PHOTO-FINISH Christa Hemmila · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Sarah Testa · lo…
Sarah Testa
88.9 MIPS pts
- Kumar · this pro…
Kumar · this provider
89 MIPS pts
- Christa Hemmila …
Christa Hemmila
89 MIPS pts
- Angela Gonzalez …
Angela Gonzalez
89 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Sudha Kumar, NURSE PRACTITIONER'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.
89 ≥ 54th percentile 54% 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 Sudha Kumar, NURSE PRACTITIONER sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Sudha Kumar, NURSE PRACTITIONER writes more Part D claims than 59% of them and scores higher on MIPS quality than 56% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Sudha Kumar, NURSE PRACTITIONER. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Sudha Kumar, NURSE PRACTITIONER?
High performer (top quartile)Primary specialty
Family Nurse Practitioner
Medicare Part D claims
617 50% vs specialty avg
MIPS final score
89/100 5.5 pts vs avg
Specialty distribution in Tennessee
How Family Nurse Practitioner compares to other specialties among Tennessee providers
Medicare quality performance, MIPS
Sudha Kumar, NURSE PRACTITIONER's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 89/100
- 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 | 1275169187 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | NURSE PRACTITIONER |
| Gender | Female |
| NPI Issued | 03/23/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
88.9533
Final Score
Measured-score avg: 83.5
83.2214
Quality
86.623
Cost
92
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Sudha Kumar, NURSE PRACTITIONER 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.
Medical Care PLLC
Elizabethton, TN
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 Sudha Kumar, NURSE PRACTITIONER. Source: openpaymentsdata.cms.gov.
Total received
$102
Largest payer
AstraZeneca Pharmaceuticals LP
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.
617
Total Claims
$42K
Total Drug Cost
241
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,117
- Total Day Supply
- 27,832
- Generic Drug Cost
- $9K
- Antibiotic Claims
- 134
Patient Demographics
- Average Patient Age
- 67.4 years
- Avg HCC Risk Score
- 1.52
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 70, 65-74: 113, 75-84: 46, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sudha Kumar, NURSE PRACTITIONER prescribes most
Top Medicare Part D drugs by claim count, 2023
- Azithromycin
Azithromycin
32 claims
- Prednisone
Prednisone
31 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
27 claims
- Doxycycline Hyclate
Doxycycline Hyclate
25 claims
- Methylprednisolone
Methylprednisolone
23 claims
- Amoxicillin
Amoxicillin
21 claims
- Lisinopril
Lisinopril
20 claims
- Nitrofurantoin Mon…
Nitrofurantoin Mono-Macro
20 claims
| Drug | Claims |
|---|---|
| Azithromycin | 32 |
| Prednisone | 31 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 27 |
| Doxycycline Hyclate | 25 |
| Methylprednisolone | 23 |
| Amoxicillin | 21 |
| Lisinopril | 20 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 20 |
| Amlodipine Besylate | 19 |
| Losartan Potassium | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Sudha Kumar, NURSE PRACTITIONER fits within the Family Nurse Practitioner landscape nationally.
210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider
Sudha Kumar, NURSE PRACTITIONER's 617 claims are below the specialty average of 1,222.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Kumar, both outside Tennessee so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (89 here).
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Kumar.
One of 7,834 Family Nurse Practitioner providers enrolled in Tennessee, 5 are shown here.
Dr. Benjamin Aaron
FNP-C
Cookeville, TN
Dr. Sandra Aaron
FNP-BC
Ooltewah, TN
Dr. Jessica Abbott
FNP
Nashville, TN
Keshia Abbott
Cookeville, TN
Shelton Abbott
Johnson City, TN
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Sudha Kumar, NURSE PRACTITIONER's specialty? ▼
Sudha Kumar, NURSE PRACTITIONER specializes in Family Nurse Practitioner and practices in Elizabethton, Tennessee. Credentials: NURSE PRACTITIONER.
How much does Sudha Kumar, NURSE PRACTITIONER prescribe under Medicare Part D? ▼
In 2023, Sudha Kumar, NURSE PRACTITIONER wrote 617 Medicare Part D claims totaling $42K in drug costs for 241 beneficiaries.
What is Sudha Kumar, NURSE PRACTITIONER's Medicare quality score? ▼
Sudha Kumar, NURSE PRACTITIONER has a CMS MIPS Final Score of 89/100 (Quality: 83.2, Cost: 86.6). 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 Sudha Kumar, NURSE PRACTITIONER located? ▼
Sudha Kumar, NURSE PRACTITIONER is located at 1500 W ELK AVE, Elizabethton, TN, 37643. Phone: (423) 543-2584.
What is Sudha Kumar, NURSE PRACTITIONER's NPI number? ▼
Sudha Kumar, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1275169187, issued on 03/23/2020.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 210,832 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Sudha Kumar, NURSE PRACTITIONER prescribe most often? ▼
Based on 2023 Medicare Part D data, Sudha Kumar, NURSE PRACTITIONER's most frequently prescribed drugs include Azithromycin, Prednisone, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sudha Kumar, NURSE PRACTITIONER accept Medicare? ▼
Sudha Kumar, NURSE PRACTITIONER appears in CMS Medicare data with 617 Part D claims and 241 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sudha Kumar, NURSE PRACTITIONER's credentials? ▼
Sudha Kumar, NURSE PRACTITIONER's NPI is 1275169187 with credentials NURSE PRACTITIONER. 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
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.