NPI registry status
Active
2026 NPPES data Behavioral Neurology & Neuropsychiatry Physician NPI 1376733295 M.D.
Verify on CMS → Eric Gausche, M.D.
Behavioral Neurology & Neuropsychiatry Physician in Chicago, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 285 in Behavioral Neurology & Neuropsychiatry Physician, 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
150
Medicare Part D claims · 23 beneficiaries · Behavioral Neurology & Neuropsychiatry Physician avg: 763
MIPS score
94.1/100
▲ 11 pts above national avg 83.5 · Exceptional
What the federal data shows
Eric Gausche, M.D. reported a CMS MIPS final score of 94.1/100 - above the 83.5 national average - and filed 150 Medicare Part D claims in 2024.
- 94.1/100
- MIPS score · +11 vs avg
- 150
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥73rd
- pct among measured MIPS (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 Eric Gausche, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1376733295), first enumerated 07/26/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 150 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 94.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- State context
State board disciplinary context
Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Eric Gausche, M.D.'s individual license status. Verify directly with the state medical board.
Source: IDFPR annual report 2023
- 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.
CMS NPPES provider registry desk
NPI 1376733295 · Behavioral Neurology & Neuropsychiatry Physician
NPI-10 · ENUM-MID · TAX-TRACE · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1376733295
- ENUM-MID 2007
- TAX-TRACE 285
- MIPS-ELITE 94.1/100
- RX-LIGHT 150
- BOOK-THIN 13 in Illinois
- PHOTO-FINISH Joann Sciacca · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Michael Schrift,…
Michael Schrift, D.O., M.A.
93.1 MIPS pts
- Joann Sciacca · …
Joann Sciacca
94 MIPS pts
- Gausche · this p…
Gausche · this provider
94.1 MIPS pts
- Daniel Cohen, M.…
Daniel Cohen, M.D.
95.1 MIPS pts
- Lauren McCollum,…
Lauren McCollum, MD
95.7 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Eric Gausche, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
94 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Eric Gausche, M.D. sits
This provider among behavioral neurology & neuropsychiatry physician peers
Across the 45 behavioral neurology & neuropsychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Eric Gausche, M.D. writes more Part D claims than 24% of them and scores higher on MIPS quality than 62% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one behavioral neurology & neuropsychiatry physician peer from a representative sample of 44; the gold marker is Eric Gausche, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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)Primary specialty
Behavioral Neurology & Neuropsychiatry Physician
Medicare Part D claims
150 80% vs specialty avg
MIPS final score
94.1/100 10.6 pts vs avg
Specialty distribution in Illinois
How Behavioral Neurology & Neuropsychiatry Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Eric Gausche, M.D.'s 2023 MIPS final score plotted against the Behavioral Neurology & Neuropsychiatry Physician national average
- MIPS Final Score
- 94.1/100
- vs 83.5 national avg · 2023 performance year
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 | 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
Measured-score avg: 83.5
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 2024.
150
Total Claims
$11K
Total Drug Cost
23
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 279.8
- Total Day Supply
- 8,319
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 61.7 years
- Avg HCC Risk Score
- 1.35
- Gender Split
- 52% female / 48% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Eric Gausche, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Quetiapine Fumarate
Quetiapine Fumarate
23 claims
- Venlafaxine Hcl Er
Venlafaxine Hcl Er
16 claims
- Mirtazapine
Mirtazapine
15 claims
- Trazodone Hcl
Trazodone Hcl
12 claims
- Lithium Carbonate
Lithium Carbonate
11 claims
- Venlafaxine Hcl
Venlafaxine Hcl
11 claims
| Drug | Claims |
|---|---|
| Quetiapine Fumarate | 23 |
| Venlafaxine Hcl Er Venlafaxine Hcl | 16 |
| Mirtazapine | 15 |
| Trazodone Hcl | 12 |
| Lithium Carbonate | 11 |
| Venlafaxine Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Behavioral Neurology & Neuropsychiatry Physician in IL →
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Behavioral Neurology & Neuropsychiatry Physician Overview
How Eric Gausche, M.D. fits within the Behavioral Neurology & Neuropsychiatry Physician landscape nationally.
285
Behavioral Neurology & Neuropsychiatry Physician Providers in US
44
States with Behavioral Neurology & Neuropsychiatry Physician
763
Avg Claims per Provider
Eric Gausche, M.D.'s 150 claims are below the specialty average of 763.
Nationwide Behavioral Neurology & Neuropsychiatry Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Gausche, both outside Illinois so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (94.1 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 13 Behavioral Neurology & Neuropsychiatry Physician providers enrolled in Illinois, 5 are shown here.
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 2024, Eric Gausche, M.D. wrote 150 Medicare Part D claims totaling $11K in drug costs for 23 beneficiaries.
What is Eric Gausche, M.D.'s Medicare quality score? ▼
Eric Gausche, M.D. has a CMS MIPS Final Score of 94.1/100 (Quality: 82.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 285 Behavioral Neurology & Neuropsychiatry Physician providers across 44 states in the US. The average Behavioral Neurology & Neuropsychiatry Physician provider writes 763 Medicare Part D claims per year.
What drugs does Eric Gausche, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Eric Gausche, M.D.'s most frequently prescribed drugs include Quetiapine Fumarate, Venlafaxine Hcl Er, Mirtazapine. 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 150 Part D claims and 23 Medicare beneficiaries in 2024. 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
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.
- 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 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.