2026 NPPES data Medical-Surgical Clinical Nurse Specialist NPI 1538184270 APRN
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TERESA PALMER, APRN

Medical-Surgical Clinical Nurse Specialist in KNOXVILLE, Tennessee. 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
309
Medicare Part D claims · 64 beneficiaries · Medical-Surgical Clinical Nurse Specialist avg: 570
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.6914/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$32.33
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TERESA PALMER, APRN reported a CMS MIPS final score of 95.6914/100 — above the 83.1 national average — and filed 309 Medicare Part D claims in 2023.

95.6914/100
MIPS score · +13 vs avg
309
Part D claims, 2023
90%
generic prescribing
$32.33
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.

TERESA PALMER, APRN's MIPS score vs every scored U.S. clinician

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

96 Top 21% higher than 79% 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

What does the federal data show about TERESA PALMER, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 07/13/2006

NPI 1538184270

Primary specialty

Medical-Surgical Clinical Nurse Specialist

Rare

281 US NPIs in this specialty

Medicare Part D claims

309 46% vs specialty avg

2023 prescription claims

Specialty avg: 570

MIPS final score

95.6914/100 12.591400000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Medical-Surgical Clinical Nurse Specialist compares to other specialties among Tennessee providers

Tennessee providers

Medical-Surgical Clinical Nurse Specialist share within Tennessee

1. Medical-Surgical Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical-Surgical Clinical Nurse Specialist share within Tennessee

Medicare quality performance — MIPS

TERESA PALMER, APRN's 2023 MIPS final score plotted against the Medical-Surgical Clinical Nurse Specialist national average

High performer (top quartile)
MIPS Final Score
95.6914/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical-Surgical Clinical Nurse Specialist) — 95.6914/100 vs national avg 83.1

0%100%National avg83%95.7%
MIPS final score (Medical-Surgical Clinical Nurse Specialist) — 95.6914/100 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).

TERESA PALMER, APRN appears in the CMS NPPES registry as a Medical-Surgical Clinical Nurse Specialist provider holding APRN credentials at 1924 ALCOA HWY, KNOXVILLE, TN, 37920, with a listed phone of (865) 305-7255. NPI 1538184270 was issued on 07/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PALMER 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 309 prescription claims written by this provider, covering 64 Medicare beneficiaries and totaling roughly $23K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 43.0%. 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 95.6914/100 for the 2023 performance year (Quality 85.2885), compared with the national average of 83.1.

Medical-Surgical Clinical Nurse Specialist is a narrow specialty nationwide, with 281 enrolled providers across 39 states and an average of 570 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

1924 ALCOA HWY
KNOXVILLE, TN 37920

Provider Details

NPI 1538184270
Specialty Medical-Surgical Clinical Nurse Specialist
Credentials APRN
Gender Female
NPI Issued 07/13/2006

CMS Quality Score (MIPS)

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

95.6914
Final Score
Avg: 83.1
85.2885
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where TERESA PALMER, APRN 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 HEALTH SYSTEM, INC.
KNOXVILLE, 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 TERESA PALMER, APRN. Source: openpaymentsdata.cms.gov.

Total received

$32

Largest payer

Genentech USA, 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

TERESA PALMER, APRN — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 309 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.

309
Total Claims
$23K
Total Drug Cost
64
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
325
Total Day Supply
8,028
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$15K
Generic Drug Cost
$7K
Opioid Claims
133 (43.0% rate)

Patient Demographics

Average Patient Age
66.6 years
Avg HCC Risk Score
3.61
Gender Split
58% female / 42% male
Age Distribution
<65: 23, 65-74: 32, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What TERESA PALMER, APRN 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
Oxycodone Hcl
37
Xtampza Er
Oxycodone Myristate
19
Gabapentin
16
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
16
Lorazepam
15
Fentanyl
12
Alprazolam
11
Mirtazapine
11

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

Medical-Surgical Clinical Nurse Specialist Overview

How TERESA PALMER, APRN fits within the Medical-Surgical Clinical Nurse Specialist landscape nationally.

281
Medical-Surgical Clinical Nurse Specialist Providers in US
39
States with Medical-Surgical Clinical Nurse Specialist
570
Avg Claims per Provider

TERESA PALMER, APRN's 309 claims are below the specialty average of 570.

Nearby Medical-Surgical Clinical Nurse Specialist Providers in Tennessee

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

Compare Medical-Surgical Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is TERESA PALMER, APRN's specialty?
TERESA PALMER, APRN specializes in Medical-Surgical Clinical Nurse Specialist and practices in KNOXVILLE, Tennessee. Credentials: APRN.
How much does TERESA PALMER, APRN prescribe under Medicare Part D?
In 2023, TERESA PALMER, APRN wrote 309 Medicare Part D claims totaling $23K in drug costs for 64 beneficiaries.
What is TERESA PALMER, APRN's Medicare quality score?
TERESA PALMER, APRN has a CMS MIPS Final Score of 95.6914/100 (Quality: 85.2885). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TERESA PALMER, APRN located?
TERESA PALMER, APRN is located at 1924 ALCOA HWY, KNOXVILLE, TN, 37920. Phone: (865) 305-7255.
What is TERESA PALMER, APRN's NPI number?
TERESA PALMER, APRN's National Provider Identifier (NPI) is 1538184270, issued on 07/13/2006.
Does TERESA PALMER, APRN prescribe more brand-name or generic drugs?
TERESA PALMER, APRN's prescribing is 10% brand-name and 90% generic drugs by claim count, with $15K in brand drug costs.
Does TERESA PALMER, APRN prescribe opioids?
Yes, TERESA PALMER, APRN had 133 opioid claims in 2023 with an opioid prescribing rate of 43.0%.
How many Medical-Surgical Clinical Nurse Specialist providers are there in the US?
There are 281 Medical-Surgical Clinical Nurse Specialist providers across 39 states in the US. The average Medical-Surgical Clinical Nurse Specialist provider writes 570 Medicare Part D claims per year.
What drugs does TERESA PALMER, APRN prescribe most often?
Based on 2023 Medicare Part D data, TERESA PALMER, APRN's most frequently prescribed drugs include Oxycodone Hcl, Xtampza Er, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TERESA PALMER, APRN accept Medicare?
TERESA PALMER, APRN appears in CMS Medicare data with 309 Part D claims and 64 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TERESA PALMER, APRN's credentials?
TERESA PALMER, APRN's NPI is 1538184270 with credentials APRN. 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