NPI registry status
Active
2026 NPPES data Clinical Nurse Specialist NPI 1013142462 CNS
Verify on CMS → Todd Ramer, CNS
Clinical Nurse Specialist in Choctaw, Oklahoma.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,760 in 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
524
Medicare Part D claims · 101 beneficiaries · Clinical Nurse Specialist avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$469.47
25 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Todd Ramer, CNS filed 524 Medicare Part D claims in 2024 as a Clinical Nurse Specialist in Choctaw, Oklahoma, prescribing 91% generic.
- 524
- Part D claims, 2024
- 91%
- generic prescribing
- $469.47
- industry payments (Sunshine Act)
- ≥65th
- pct by Part D claim volume (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 Todd Ramer, CNS
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1013142462), first enumerated 05/28/2009.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 524 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Industry payment transparency
$469.47 in reported industry payments (25 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.
Compare Ramer with other Clinical Nurse Specialist providers
Same primary specialty, same federal CMS NPPES roster.
Also enrolled in Oklahoma
- Joan Adams, APRN-CNS Oklahoma City, OK
- Sandra Attebery, RNC MSN CNSBC CWON C Muskogee, OK
- Denise Bennett, APRN-CNS Oklahoma City, OK
- Stacy Boothe, CNS Norman, OK
- Iris Borem, C.N.S. Tulsa, OK
- Susan Butcher, APRN, CNS Tulsa, OK
Other specialties in Choctaw: Speech-Language Pathologist (17) · Mental Health Counselor (16) · Counselor (16) · Physical Therapist (15)
CMS NPPES provider registry desk
NPI 1013142462 · Clinical Nurse Specialist
NPI-10 · ENUM-MID · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1013142462
- ENUM-MID 2009
- TAX-NARROW 1,760
- RX-LIGHT 524
- BOOK-THIN 71 in Oklahoma
- PHOTO-ENUM Melissa Reed, FNP-C · 2009
Todd Ramer, CNS's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
524 ≥ 65th percentile 65% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Todd Ramer, CNS?
Quality data not reportedPrimary specialty
Clinical Nurse Specialist
Medicare Part D claims
524 48% vs specialty avg
Specialty distribution in Oklahoma
How Clinical Nurse Specialist compares to other specialties among Oklahoma providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Clinical Nurse Specialist. Verify directly:
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 | 1013142462 |
|---|---|
| Specialty | Clinical Nurse Specialist |
| Credentials | CNS |
| Gender | Male |
| NPI Issued | 05/28/2009 |
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 Todd Ramer, CNS. Source: openpaymentsdata.cms.gov.
Total received
$469
Largest payer
Teva Pharmaceuticals 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 · Generic-heavy
Todd Ramer, CNS - brand share 9.0%
Clinical Nurse Specialist average
9% brand-name claims vs 91% generic, on 524 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.
524
Total Claims
$60K
Total Drug Cost
101
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 924.2
- Total Day Supply
- 26,608
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $49K
- Generic Drug Cost
- $11K
Patient Demographics
- Average Patient Age
- 65.5 years
- Avg HCC Risk Score
- 1.55
- Gender Split
- 51% female / 49% male
- Age Distribution
- <65: 37, 65-74: 42, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Todd Ramer, CNS prescribes most
Top Medicare Part D drugs by claim count, 2024
- Donepezil Hcl
Donepezil Hcl
36 claims
- Carbidopa-Levodopa
Carbidopa-Levodopa
33 claims
- Gabapentin
Gabapentin
32 claims
- Verapamil Er
Verapamil Er
28 claims
- Ropinirole Hcl
Ropinirole Hcl
27 claims
- Amitriptyline Hcl
Amitriptyline Hcl
23 claims
- Oxcarbazepine
Oxcarbazepine
23 claims
- Levetiracetam
Levetiracetam
19 claims
| Drug | Claims |
|---|---|
| Donepezil Hcl | 36 |
| Carbidopa-Levodopa Carbidopa/Levodopa | 33 |
| Gabapentin | 32 |
| Verapamil Er Verapamil Hcl | 28 |
| Ropinirole Hcl | 27 |
| Amitriptyline Hcl | 23 |
| Oxcarbazepine | 23 |
| Levetiracetam | 19 |
| Nurtec Odt Rimegepant Sulfate | 18 |
| Topiramate | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Clinical Nurse Specialist Overview
How Todd Ramer, CNS fits within the Clinical Nurse Specialist landscape nationally.
1,760
Clinical Nurse Specialist Providers in US
51
States with Clinical Nurse Specialist
1,012
Avg Claims per Provider
Todd Ramer, CNS's 524 claims are below the specialty average of 1,012.
Nationwide Clinical Nurse Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Ramer, both outside Oklahoma so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2009)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Clinical Nurse Specialist Providers in Oklahoma
Other clinicians with the same primary specialty enrolled in Oklahoma, drawn from the same CMS NPPES roster as Ramer.
One of 71 Clinical Nurse Specialist providers enrolled in Oklahoma, 11 are shown on this page.
Candace Carr
C.N.S.
Tulsa, OK
Deborah Crawford
C.N.S.
Tulsa, OK
Catherine Cunningham
CNS
Tulsa, OK
Violet Darrow
APRN-CNS
Tulsa, OK
David Deloera
RN MSN, AACNS-AG
Oklahoma City, OK
Compare Clinical Nurse Specialist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Todd Ramer, CNS's specialty? ▼
Todd Ramer, CNS specializes in Clinical Nurse Specialist and practices in Choctaw, Oklahoma. Credentials: CNS.
How much does Todd Ramer, CNS prescribe under Medicare Part D? ▼
In 2024, Todd Ramer, CNS wrote 524 Medicare Part D claims totaling $60K in drug costs for 101 beneficiaries.
Where is Todd Ramer, CNS located? ▼
Todd Ramer, CNS is located at 15805 NE 23RD ST, Choctaw, OK, 73020. Phone: (405) 390-0596.
What is Todd Ramer, CNS's NPI number? ▼
Todd Ramer, CNS's National Provider Identifier (NPI) is 1013142462, issued on 05/28/2009.
Does Todd Ramer, CNS prescribe more brand-name or generic drugs? ▼
Todd Ramer, CNS's prescribing is 9% brand-name and 91% generic drugs by claim count, with $49K in brand drug costs.
How many Clinical Nurse Specialist providers are there in the US? ▼
There are 1,760 Clinical Nurse Specialist providers across 51 states in the US. The average Clinical Nurse Specialist provider writes 1,012 Medicare Part D claims per year.
What drugs does Todd Ramer, CNS prescribe most often? ▼
Based on 2024 Medicare Part D data, Todd Ramer, CNS's most frequently prescribed drugs include Donepezil Hcl, Carbidopa-Levodopa, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Todd Ramer, CNS accept Medicare? ▼
Todd Ramer, CNS appears in CMS Medicare data with 524 Part D claims and 101 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Todd Ramer, CNS's credentials? ▼
Todd Ramer, CNS's NPI is 1013142462 with credentials 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.
- 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.