2026 NPPES data Clinical Nurse Specialist NPI 1407259559
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CARISSA GORHAM

Clinical Nurse Specialist in PEORIA, Illinois. 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
230
Medicare Part D claims · 125 beneficiaries · Clinical Nurse Specialist avg: 953
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: CARISSA GORHAM is a Clinical Nurse Specialist ([object Object]) practicing in PEORIA, Illinois with a Medicare Part D prescribing footprint of 230 claims across 125 beneficiaries — 15% brand-name prescribing .

What stands out: CARISSA GORHAM filed 230 Medicare Part D claims in 2023 across PEORIA, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CARISSA GORHAM at a glance

Quality data not reported

NPI registry status

Active

Issued 10/03/2014

NPI 1407259559

Primary specialty

Clinical Nurse Specialist

Niche

1,708 US NPIs in this specialty

Medicare Part D claims

230 76% vs specialty avg

2023 prescription claims

Specialty avg: 953

Specialty distribution in Illinois

How Clinical Nurse Specialist compares to other specialties among Illinois providers

Illinois providers

Clinical Nurse Specialist share within Illinois

1. Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Nurse Specialist share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Clinical Nurse Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Clinical Nurse Specialist ABMS/AOA estimate

Est. board-certified rate (Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Clinical Nurse Specialist) — ABMS / AOA estimate

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).

CARISSA GORHAM is a Clinical Nurse Specialist provider practicing in PEORIA, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1407259559. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CARISSA GORHAM appears in the CMS NPPES registry as a Clinical Nurse Specialist provider at 530 NE GLEN OAK AVE, PEORIA, IL, 61637, with a listed phone of (309) 655-3000. NPI 1407259559 was issued on 10/03/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GORHAM 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 230 prescription claims written by this provider, covering 125 Medicare beneficiaries and totaling roughly $25K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 11.7%. 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.

Clinical Nurse Specialist is a narrow specialty nationwide, with 1,708 enrolled providers across 49 states and an average of 953 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

530 NE GLEN OAK AVE
PEORIA, IL 61637

Provider Details

NPI 1407259559
Specialty Clinical Nurse Specialist
Gender Female
NPI Issued 10/03/2014

Hospital and facility affiliations

Facilities where CARISSA GORHAM 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.

OSF MULTI-SPECIALTY GROUP
NORMAL, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to CARISSA GORHAM. To verify CARISSA GORHAM's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

CARISSA GORHAM — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 230 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.

230
Total Claims
$25K
Total Drug Cost
125
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
436
Total Day Supply
11,205
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$21K
Generic Drug Cost
$4K
Opioid Claims
27 (11.7% rate)
Antibiotic Claims
46

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.53
Gender Split
32% female / 68% male
Age Distribution
<65: 13, 65-74: 61, 75-84: 36, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tamsulosin Hcl
45
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
26
Finasteride
24
Cephalexin
18
Myrbetriq
Mirabegron
17
Oxybutynin Chloride
17
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
13

* 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 CARISSA GORHAM fits within the Clinical Nurse Specialist landscape nationally.

1,708
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider

CARISSA GORHAM's 230 claims are below the specialty average of 953.

Nearby Clinical Nurse Specialist Providers in Illinois

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

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

Frequently Asked Questions

What is CARISSA GORHAM's specialty?
CARISSA GORHAM specializes in Clinical Nurse Specialist and practices in PEORIA, Illinois.
How much does CARISSA GORHAM prescribe under Medicare Part D?
In 2023, CARISSA GORHAM wrote 230 Medicare Part D claims totaling $25K in drug costs for 125 beneficiaries.
Where is CARISSA GORHAM located?
CARISSA GORHAM is located at 530 NE GLEN OAK AVE, PEORIA, IL, 61637. Phone: (309) 655-3000.
What is CARISSA GORHAM's NPI number?
CARISSA GORHAM's National Provider Identifier (NPI) is 1407259559, issued on 10/03/2014.
Does CARISSA GORHAM prescribe more brand-name or generic drugs?
CARISSA GORHAM's prescribing is 15% brand-name and 85% generic drugs by claim count, with $21K in brand drug costs.
Does CARISSA GORHAM prescribe opioids?
Yes, CARISSA GORHAM had 27 opioid claims in 2023 with an opioid prescribing rate of 11.7%.
How many Clinical Nurse Specialist providers are there in the US?
There are 1,708 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does CARISSA GORHAM prescribe most often?
Based on 2023 Medicare Part D data, CARISSA GORHAM's most frequently prescribed drugs include Tamsulosin Hcl, Hydrocodone-Acetaminophen, Finasteride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARISSA GORHAM accept Medicare?
CARISSA GORHAM appears in CMS Medicare data with 230 Part D claims and 125 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARISSA GORHAM's credentials?
CARISSA GORHAM's NPI is 1407259559. 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.
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