2026 NPPES data Internal Medicine Physician NPI 1295239754
Verify on CMS →

TAYLOR CLAYTON

Internal Medicine Physician in EDGEWOOD, Kentucky. 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
438
Medicare Part D claims · 202 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
90.3837/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

TAYLOR CLAYTON reported a CMS MIPS final score of 90.3837/100 — above the 83.1 national average — and filed 438 Medicare Part D claims in 2023.

90.3837/100
MIPS score · +7 vs avg
438
Part D claims, 2023
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.

TAYLOR CLAYTON's MIPS score vs every scored U.S. clinician

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

90 Top 40% higher than 60% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

TAYLOR CLAYTON 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 TAYLOR CLAYTON?

High performer (top quartile)

NPI registry status

Active

Issued 03/20/2018

NPI 1295239754

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

438 84% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

90.3837/100 7.28370000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Internal Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Internal Medicine Physician share within Kentucky

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Kentucky

Medicare quality performance — MIPS

TAYLOR CLAYTON's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
90.3837/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 90.3837/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Internal Medicine Physician) — 90.3837/100 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).

TAYLOR CLAYTON appears in the CMS NPPES registry as a Internal Medicine Physician provider at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY, 41017, with a listed phone of (859) 301-8074. NPI 1295239754 was issued on 03/20/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CLAYTON 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 438 prescription claims written by this provider, covering 202 Medicare beneficiaries and totaling roughly $37K in drug spend, with an opioid prescribing rate of 6.8%. 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 90.3837/100 for the 2023 performance year (Quality 80.7674), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Provider Details

NPI 1295239754
Specialty Internal Medicine Physician
Gender Female
NPI Issued 03/20/2018

CMS Quality Score (MIPS)

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

90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where TAYLOR CLAYTON 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.

SUMMIT MEDICAL GROUP INC
EDGEWOOD, 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).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

438
Total Claims
$37K
Total Drug Cost
202
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
542
Total Day Supply
11,385
Generic Drug Cost
$5K
Opioid Claims
30 (6.8% rate)
Antibiotic Claims
75

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
2.50
Gender Split
59% female / 41% male
Age Distribution
<65: 36, 65-74: 77, 75-84: 67, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

What TAYLOR CLAYTON 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
Eliquis
Apixaban
25
Atorvastatin Calcium
18
Prednisone
18
Ondansetron Hcl
17
Pantoprazole Sodium
16
Furosemide
15
Amlodipine Besylate
13
Cefdinir
13
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
12
Metoprolol Succinate
12

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

Internal Medicine Physician Overview

How TAYLOR CLAYTON fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

TAYLOR CLAYTON's 438 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Kentucky

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TAYLOR CLAYTON's specialty?
TAYLOR CLAYTON specializes in Internal Medicine Physician and practices in EDGEWOOD, Kentucky.
How much does TAYLOR CLAYTON prescribe under Medicare Part D?
In 2023, TAYLOR CLAYTON wrote 438 Medicare Part D claims totaling $37K in drug costs for 202 beneficiaries.
What is TAYLOR CLAYTON's Medicare quality score?
TAYLOR CLAYTON has a CMS MIPS Final Score of 90.3837/100 (Quality: 80.7674). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TAYLOR CLAYTON located?
TAYLOR CLAYTON is located at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY, 41017. Phone: (859) 301-8074.
What is TAYLOR CLAYTON's NPI number?
TAYLOR CLAYTON's National Provider Identifier (NPI) is 1295239754, issued on 03/20/2018.
Does TAYLOR CLAYTON prescribe opioids?
Yes, TAYLOR CLAYTON had 30 opioid claims in 2023 with an opioid prescribing rate of 6.8%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does TAYLOR CLAYTON prescribe most often?
Based on 2023 Medicare Part D data, TAYLOR CLAYTON's most frequently prescribed drugs include Eliquis, Atorvastatin Calcium, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TAYLOR CLAYTON accept Medicare?
TAYLOR CLAYTON appears in CMS Medicare data with 438 Part D claims and 202 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TAYLOR CLAYTON's credentials?
TAYLOR CLAYTON's NPI is 1295239754. 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