EDILIA GOMES, PMHNP-BC, MSW appears in the CMS NPPES registry as a Social Worker provider holding PMHNP-BC, MSW credentials at 1 W FOSTER ST STE 2, MELROSE, MA, 02176, with a listed phone of (781) 824-6464. NPI 1992860571 was issued on 12/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOMES 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 638 prescription claims written by this provider, covering 51 Medicare beneficiaries and totaling roughly $33K in drug spend, split 3% brand-name and 97% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.2643/100 for the 2023 performance year (Quality 78.8411, Cost 58.7066), compared with the national average of 83.1.

Social Worker is a high-volume specialty nationwide, with 139,752 enrolled providers across 54 states and an average of 1,486 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.