NPI registry status
Active
2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1841675253 RN, CNS
Verify on CMS → Tammy Smith, RN, CNS
Adult Health Clinical Nurse Specialist in Texarkana, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,376 in Adult Health Clinical Nurse Specialist, 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
686
Medicare Part D claims · 231 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
59.2/100
▼ 24 pts below national avg 83.5 · Mid-tier
Industry payments
$161.62
8 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Tammy Smith, RN, CNS reported a CMS MIPS final score of 59.2/100 - below the 83.5 national average - and filed 686 Medicare Part D claims in 2024.
- 59.2/100
- MIPS score · -24 vs avg
- 686
- Part D claims, 2024
- 91%
- generic prescribing
- $161.62
- 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.
Federal trust snapshot
What official records show about Tammy Smith, RN, CNS
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 1841675253), first enumerated 07/27/2015.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 686 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 59.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Industry payment transparency
$161.62 in reported industry payments (8 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Tammy Smith, RN, CNS's individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- 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 1841675253 · Adult Health Clinical Nurse Specialist
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-LOW · RX-LIGHT · BOOK-THIN · NEAR-MIPS
- NPI-10 1841675253
- ENUM-MID 2015
- TAX-NARROW 1,376
- MIPS-LOW 59.2/100
- RX-LIGHT 686
- BOOK-THIN 223 in Texas
- NEAR-MIPS Christine Mosebach,… · 4.4
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Suneeta Rai, ACN…
Suneeta Rai, ACNS, FNP
52.9 MIPS pts
- Smith · this pro…
Smith · this provider
59.2 MIPS pts
- Christine Moseba…
Christine Mosebach, APRN, ACNS-BS
63.6 MIPS pts
- Jennifer Badia-R…
Jennifer Badia-Ranker, ACNS-BC
64 MIPS pts
- Ladawna Leeth, A…
Ladawna Leeth, APN
67.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Tammy Smith, RN, CNS'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.
59 ≥ 6th percentile 6% 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 Tammy Smith, RN, CNS sits
This provider among adult health clinical nurse specialist peers
Across the 141 adult health clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Tammy Smith, RN, CNS writes more Part D claims than 57% of them and scores higher on MIPS quality than 4% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one adult health clinical nurse specialist peer from a representative sample of 60; the gold marker is Tammy Smith, RN, CNS. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Tammy Smith, RN, CNS?
Below national averagePrimary specialty
Adult Health Clinical Nurse Specialist
Medicare Part D claims
686 43% vs specialty avg
MIPS final score
59.2/100 24.3 pts vs avg
Specialty distribution in Texas
How Adult Health Clinical Nurse Specialist compares to other specialties among Texas providers
Medicare quality performance, MIPS
Tammy Smith, RN, CNS's 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average
- MIPS Final Score
- 59.2/100
- 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 | 1841675253 |
|---|---|
| Specialty | Adult Health Clinical Nurse Specialist |
| Credentials | RN, CNS |
| Gender | Female |
| NPI Issued | 07/27/2015 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
59.1733
Final Score
Measured-score avg: 83.5
53.6964
Quality
14.757
Cost
95
Promoting Interoperability
Reporting: Group practice
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 Tammy Smith, RN, CNS. Source: openpaymentsdata.cms.gov.
Total received
$162
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.
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Tammy Smith, RN, CNS. To verify Tammy Smith, RN, CNS's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Tammy Smith, RN, CNS - brand share 9.0%
Adult Health Clinical Nurse Specialist average
9% brand-name claims vs 91% generic, on 686 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.
686
Total Claims
$82K
Total Drug Cost
231
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,570.933
- Total Day Supply
- 45,470
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $73K
- Generic Drug Cost
- $9K
- Antibiotic Claims
- 46
Patient Demographics
- Average Patient Age
- 73.7 years
- Avg HCC Risk Score
- 1.46
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 21, 65-74: 112, 75-84: 74, 85+: 24
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Tammy Smith, RN, CNS prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
34 claims
- Omeprazole
Omeprazole
30 claims
- Lisinopril
Lisinopril
27 claims
- Gabapentin
Gabapentin
22 claims
- Levothyroxine Sodium
Levothyroxine Sodium
21 claims
- Amlodipine Besylate
Amlodipine Besylate
20 claims
- Montelukast Sodium
Montelukast Sodium
19 claims
- Azithromycin
Azithromycin
18 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 34 |
| Omeprazole | 30 |
| Lisinopril | 27 |
| Gabapentin | 22 |
| Levothyroxine Sodium | 21 |
| Amlodipine Besylate | 20 |
| Montelukast Sodium | 19 |
| Azithromycin | 18 |
| Metoprolol Succinate | 18 |
| Clopidogrel Clopidogrel Bisulfate | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Health Clinical Nurse Specialist Overview
How Tammy Smith, RN, CNS fits within the Adult Health Clinical Nurse Specialist landscape nationally.
1,376
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,202
Avg Claims per Provider
Tammy Smith, RN, CNS's 686 claims are below the specialty average of 1,202.
Nationwide Adult Health Clinical Nurse Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Smith, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (59.2 here).
Same NPPES enumeration year (2015)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult Health Clinical Nurse Specialist Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Smith.
One of 223 Adult Health Clinical Nurse Specialist providers enrolled in Texas, 5 are shown here.
Zeena Abdul-Kafor
Round Rock, TX
Michelle Alexandre
ACNS-BC
Plano, TX
Sherry Alvarado
RN,MSN,ACNS-BC
Temple, TX
Jennifer Arce
APRN, FNP, CNS
Austin, TX
Jeanette Armstrong
San Antonio, TX
Compare Adult Health Clinical Nurse Specialist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Tammy Smith, RN, CNS's specialty? ▼
Tammy Smith, RN, CNS specializes in Adult Health Clinical Nurse Specialist and practices in Texarkana, Texas. Credentials: RN, CNS.
How much does Tammy Smith, RN, CNS prescribe under Medicare Part D? ▼
In 2024, Tammy Smith, RN, CNS wrote 686 Medicare Part D claims totaling $82K in drug costs for 231 beneficiaries.
What is Tammy Smith, RN, CNS's Medicare quality score? ▼
Tammy Smith, RN, CNS has a CMS MIPS Final Score of 59.2/100 (Quality: 53.7, Cost: 14.8). 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 Tammy Smith, RN, CNS located? ▼
Tammy Smith, RN, CNS is located at 5904 SUMMERFIELD DR, Texarkana, TX, 75503. Phone: (430) 200-4350.
What is Tammy Smith, RN, CNS's NPI number? ▼
Tammy Smith, RN, CNS's National Provider Identifier (NPI) is 1841675253, issued on 07/27/2015.
Does Tammy Smith, RN, CNS prescribe more brand-name or generic drugs? ▼
Tammy Smith, RN, CNS's prescribing is 9% brand-name and 91% generic drugs by claim count, with $73K in brand drug costs.
How many Adult Health Clinical Nurse Specialist providers are there in the US? ▼
There are 1,376 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,202 Medicare Part D claims per year.
What drugs does Tammy Smith, RN, CNS prescribe most often? ▼
Based on 2024 Medicare Part D data, Tammy Smith, RN, CNS's most frequently prescribed drugs include Atorvastatin Calcium, Omeprazole, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Tammy Smith, RN, CNS accept Medicare? ▼
Tammy Smith, RN, CNS appears in CMS Medicare data with 686 Part D claims and 231 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Tammy Smith, RN, CNS's credentials? ▼
Tammy Smith, RN, CNS's NPI is 1841675253 with credentials RN, CNS. 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.