2026 NPPES data Women's Health Nurse Practitioner NPI 1265418933 CNM, CWHNP
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DEBRA CUNNINGHAM, CNM, CWHNP

Women's Health Nurse Practitioner in ALTON, 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
169
Medicare Part D claims · 55 beneficiaries · Women's Health Nurse Practitioner avg: 262
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$22.19
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DEBRA CUNNINGHAM, CNM, CWHNP filed 169 Medicare Part D claims in 2023 as a Women's Health Nurse Practitioner in ALTON, Illinois, prescribing 88% generic.

169
Part D claims, 2023
88%
generic prescribing
$22.19
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.

DEBRA CUNNINGHAM, CNM, CWHNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

169 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about DEBRA CUNNINGHAM, CNM, CWHNP?

Quality data not reported

NPI registry status

Active

Issued 12/15/2005

NPI 1265418933

Primary specialty

Women's Health Nurse Practitioner

Mid-sized

9,452 US NPIs in this specialty

Medicare Part D claims

169 35% vs specialty avg

2023 prescription claims

Specialty avg: 262

Specialty distribution in Illinois

How Women's Health Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Women's Health Nurse Practitioner share within Illinois

1. Women's Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Women's Health Nurse Practitioner share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Women's Health Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Women's Health Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Women's Health Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Women's Health Nurse Practitioner) — 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).

DEBRA CUNNINGHAM, CNM, CWHNP appears in the CMS NPPES registry as a Women's Health Nurse Practitioner provider holding CNM, CWHNP credentials at 4 MEMORIAL DR STE 125, ALTON, IL, 62002, with a listed phone of (618) 463-7755. NPI 1265418933 was issued on 12/15/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CUNNINGHAM 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 169 prescription claims written by this provider, covering 55 Medicare beneficiaries and totaling roughly $7K in drug spend, split 12% brand-name and 88% generic by claim count. 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.

Women's Health Nurse Practitioner is a mid-sized specialty nationwide, with 9,452 enrolled providers across 55 states and an average of 262 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

4 MEMORIAL DR STE 125
ALTON, IL 62002

Provider Details

NPI 1265418933
Specialty Women's Health Nurse Practitioner
Credentials CNM, CWHNP
Gender Female
NPI Issued 12/15/2005

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 DEBRA CUNNINGHAM, CNM, CWHNP. Source: openpaymentsdata.cms.gov.

Total received

$22

Largest payer

MAYNE PHARMA COMMERCIAL LLC

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 — 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 DEBRA CUNNINGHAM, CNM, CWHNP. To verify DEBRA CUNNINGHAM, CNM, CWHNP'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

DEBRA CUNNINGHAM, CNM, CWHNP — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 169 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.

169
Total Claims
$7K
Total Drug Cost
55
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
340
Total Day Supply
9,128
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$2K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
66.0 years
Avg HCC Risk Score
0.91
Gender Split
100% female / 0% male
Age Distribution
<65: 11, 65-74: 34, 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 DEBRA CUNNINGHAM, CNM, CWHNP 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
Estradiol
37
Fluconazole
15
Alendronate Sodium
14
Progesterone
"Progesterone
N/A

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

Women's Health Nurse Practitioner Overview

How DEBRA CUNNINGHAM, CNM, CWHNP fits within the Women's Health Nurse Practitioner landscape nationally.

9,452
Women's Health Nurse Practitioner Providers in US
55
States with Women's Health Nurse Practitioner
262
Avg Claims per Provider

DEBRA CUNNINGHAM, CNM, CWHNP's 169 claims are below the specialty average of 262.

Nearby Women's Health Nurse Practitioner Providers in Illinois

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

Compare Women's Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is DEBRA CUNNINGHAM, CNM, CWHNP's specialty?
DEBRA CUNNINGHAM, CNM, CWHNP specializes in Women's Health Nurse Practitioner and practices in ALTON, Illinois. Credentials: CNM, CWHNP.
How much does DEBRA CUNNINGHAM, CNM, CWHNP prescribe under Medicare Part D?
In 2023, DEBRA CUNNINGHAM, CNM, CWHNP wrote 169 Medicare Part D claims totaling $7K in drug costs for 55 beneficiaries.
Where is DEBRA CUNNINGHAM, CNM, CWHNP located?
DEBRA CUNNINGHAM, CNM, CWHNP is located at 4 MEMORIAL DR STE 125, ALTON, IL, 62002. Phone: (618) 463-7755.
What is DEBRA CUNNINGHAM, CNM, CWHNP's NPI number?
DEBRA CUNNINGHAM, CNM, CWHNP's National Provider Identifier (NPI) is 1265418933, issued on 12/15/2005.
Does DEBRA CUNNINGHAM, CNM, CWHNP prescribe more brand-name or generic drugs?
DEBRA CUNNINGHAM, CNM, CWHNP's prescribing is 12% brand-name and 88% generic drugs by claim count, with $2K in brand drug costs.
How many Women's Health Nurse Practitioner providers are there in the US?
There are 9,452 Women's Health Nurse Practitioner providers across 55 states in the US. The average Women's Health Nurse Practitioner provider writes 262 Medicare Part D claims per year.
What drugs does DEBRA CUNNINGHAM, CNM, CWHNP prescribe most often?
Based on 2023 Medicare Part D data, DEBRA CUNNINGHAM, CNM, CWHNP's most frequently prescribed drugs include Estradiol, Fluconazole, Alendronate Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DEBRA CUNNINGHAM, CNM, CWHNP accept Medicare?
DEBRA CUNNINGHAM, CNM, CWHNP appears in CMS Medicare data with 169 Part D claims and 55 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DEBRA CUNNINGHAM, CNM, CWHNP's credentials?
DEBRA CUNNINGHAM, CNM, CWHNP's NPI is 1265418933 with credentials CNM, CWHNP. 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