2026 NPPES data Behavioral Neurology & Neuropsychiatry Physician NPI 1376733295 M.D.
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ERIC GAUSCHE, M.D.

Behavioral Neurology & Neuropsychiatry Physician in CHICAGO, 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
408
Medicare Part D claims · 40 beneficiaries · Behavioral Neurology & Neuropsychiatry Physician avg: 804
MIPS score
94.1036/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

ERIC GAUSCHE, M.D. reported a CMS MIPS final score of 94.1036/100 — above the 83.1 national average — and filed 408 Medicare Part D claims in 2023.

94.1036/100
MIPS score · +11 vs avg
408
Part D claims, 2023
Likely
board-certified (heuristic)

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.

ERIC GAUSCHE, M.D.'s MIPS score vs every scored U.S. clinician

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

94 Top 25% higher than 75% 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

Board certification likely (heuristic — not verified)

ERIC GAUSCHE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ERIC GAUSCHE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/26/2007

NPI 1376733295

Primary specialty

Behavioral Neurology & Neuropsychiatry Physician

Rare

268 US NPIs in this specialty

Medicare Part D claims

408 49% vs specialty avg

2023 prescription claims

Specialty avg: 804

MIPS final score

94.1036/100 11.003600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Behavioral Neurology & Neuropsychiatry Physician compares to other specialties among Illinois providers

Illinois providers

Behavioral Neurology & Neuropsychiatry Physician share within Illinois

1. Behavioral Neurology & Neuropsychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Behavioral Neurology & Neuropsychiatry Physician share within Illinois

Medicare quality performance — MIPS

ERIC GAUSCHE, M.D.'s 2023 MIPS final score plotted against the Behavioral Neurology & Neuropsychiatry Physician national average

High performer (top quartile)
MIPS Final Score
94.1036/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Behavioral Neurology & Neuropsychiatry Physician) — 94.1036/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Behavioral Neurology & Neuropsychiatry Physician) — 94.1036/100 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).

ERIC GAUSCHE, M.D. appears in the CMS NPPES registry as a Behavioral Neurology & Neuropsychiatry Physician provider holding M.D. credentials at 680 N. LAKE SHORE DRIVE, CHICAGO, IL, 60611, with a listed phone of (312) 695-0665. NPI 1376733295 was issued on 07/26/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAUSCHE 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 408 prescription claims written by this provider, covering 40 Medicare beneficiaries and totaling roughly $32K in drug spend. 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 94.1036/100 for the 2023 performance year (Quality 82.5938), compared with the national average of 83.1.

Behavioral Neurology & Neuropsychiatry Physician is a narrow specialty nationwide, with 268 enrolled providers across 43 states and an average of 804 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

680 N. LAKE SHORE DRIVE
CHICAGO, IL 60611

Provider Details

NPI 1376733295
Specialty Behavioral Neurology & Neuropsychiatry Physician
Credentials M.D.
Gender Male
NPI Issued 07/26/2007

CMS Quality Score (MIPS)

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

94.1036
Final Score
Avg: 83.1
82.5938
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 ERIC GAUSCHE, M.D.. To verify ERIC GAUSCHE, M.D.'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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

408
Total Claims
$32K
Total Drug Cost
40
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
698
Total Day Supply
20,362
Generic Drug Cost
$12K

Patient Demographics

Average Patient Age
61.1 years
Avg HCC Risk Score
1.42
Gender Split
53% female / 48% male
Age Distribution
<65: 19, 65-74: N/A, 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 ERIC GAUSCHE, M.D. 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
Quetiapine Fumarate
49
Sertraline Hcl
47
Lithium Carbonate
39
Venlafaxine Hcl Er
Venlafaxine Hcl
27
Olanzapine
26
Bupropion Xl
Bupropion Hcl
19
Clonazepam
19
Mirtazapine
18
Trazodone Hcl
18
Venlafaxine Hcl
18

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

Behavioral Neurology & Neuropsychiatry Physician Overview

How ERIC GAUSCHE, M.D. fits within the Behavioral Neurology & Neuropsychiatry Physician landscape nationally.

268
Behavioral Neurology & Neuropsychiatry Physician Providers in US
43
States with Behavioral Neurology & Neuropsychiatry Physician
804
Avg Claims per Provider

ERIC GAUSCHE, M.D.'s 408 claims are below the specialty average of 804.

Nearby Behavioral Neurology & Neuropsychiatry Physician Providers in Illinois

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

Compare Behavioral Neurology & Neuropsychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ERIC GAUSCHE, M.D.'s specialty?
ERIC GAUSCHE, M.D. specializes in Behavioral Neurology & Neuropsychiatry Physician and practices in CHICAGO, Illinois. Credentials: M.D..
How much does ERIC GAUSCHE, M.D. prescribe under Medicare Part D?
In 2023, ERIC GAUSCHE, M.D. wrote 408 Medicare Part D claims totaling $32K in drug costs for 40 beneficiaries.
What is ERIC GAUSCHE, M.D.'s Medicare quality score?
ERIC GAUSCHE, M.D. has a CMS MIPS Final Score of 94.1036/100 (Quality: 82.5938). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ERIC GAUSCHE, M.D. located?
ERIC GAUSCHE, M.D. is located at 680 N. LAKE SHORE DRIVE, CHICAGO, IL, 60611. Phone: (312) 695-0665.
What is ERIC GAUSCHE, M.D.'s NPI number?
ERIC GAUSCHE, M.D.'s National Provider Identifier (NPI) is 1376733295, issued on 07/26/2007.
How many Behavioral Neurology & Neuropsychiatry Physician providers are there in the US?
There are 268 Behavioral Neurology & Neuropsychiatry Physician providers across 43 states in the US. The average Behavioral Neurology & Neuropsychiatry Physician provider writes 804 Medicare Part D claims per year.
What drugs does ERIC GAUSCHE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ERIC GAUSCHE, M.D.'s most frequently prescribed drugs include Quetiapine Fumarate, Sertraline Hcl, Lithium Carbonate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ERIC GAUSCHE, M.D. accept Medicare?
ERIC GAUSCHE, M.D. appears in CMS Medicare data with 408 Part D claims and 40 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ERIC GAUSCHE, M.D.'s credentials?
ERIC GAUSCHE, M.D.'s NPI is 1376733295 with credentials M.D.. 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