2026 NPPES data Advanced Practice Midwife NPI 1083778955 APRN
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GAIL KAPHAN, APRN

Advanced Practice Midwife in SPRINGFIELD, Massachusetts. 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
30
Medicare Part D claims · Advanced Practice Midwife avg: 99

What the federal data shows

GAIL KAPHAN, APRN filed 30 Medicare Part D claims in 2023 as a Advanced Practice Midwife in SPRINGFIELD, Massachusetts.

30
Part D claims, 2023

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.

GAIL KAPHAN, APRN's Medicare Part D volume vs every U.S. prescriber

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

30 0th percentile higher than 0% 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 GAIL KAPHAN, APRN?

Quality data not reported

NPI registry status

Active

Issued 12/21/2006

NPI 1083778955

Primary specialty

Advanced Practice Midwife

Mid-sized

10,893 US NPIs in this specialty

Medicare Part D claims

30 70% vs specialty avg

2023 prescription claims

Specialty avg: 99

Specialty distribution in Massachusetts

How Advanced Practice Midwife compares to other specialties among Massachusetts providers

Massachusetts providers

Advanced Practice Midwife share within Massachusetts

1. Advanced Practice Midwife42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Practice Midwife share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Advanced Practice Midwife (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Advanced Practice Midwife ABMS/AOA estimate

Est. board-certified rate (Advanced Practice Midwife) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Advanced Practice Midwife) — 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).

GAIL KAPHAN, APRN appears in the CMS NPPES registry as a Advanced Practice Midwife provider holding APRN credentials at 1985 MAIN ST, SPRINGFIELD, MA, 01103, with a listed phone of (413) 733-6639. NPI 1083778955 was issued on 12/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KAPHAN 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 30 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $7K 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.

Advanced Practice Midwife is a mid-sized specialty nationwide, with 10,893 enrolled providers across 55 states and an average of 99 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

1985 MAIN ST
SPRINGFIELD, MA 01103

Provider Details

NPI 1083778955
Specialty Advanced Practice Midwife
Credentials APRN
Gender Female
NPI Issued 12/21/2006

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to GAIL KAPHAN, APRN. To verify GAIL KAPHAN, APRN's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts 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.

30
Total Claims
$7K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
48
Total Day Supply
1,317
Generic Drug Cost
$562

Patient Demographics

Average Patient Age
55.8 years
Avg HCC Risk Score
0.97

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Estradiol
11

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

Advanced Practice Midwife Overview

How GAIL KAPHAN, APRN fits within the Advanced Practice Midwife landscape nationally.

10,893
Advanced Practice Midwife Providers in US
55
States with Advanced Practice Midwife
99
Avg Claims per Provider

GAIL KAPHAN, APRN's 30 claims are below the specialty average of 99.

Nearby Advanced Practice Midwife Providers in Massachusetts

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

Compare Advanced Practice Midwife nationally: see state-by-state distribution →

Frequently Asked Questions

What is GAIL KAPHAN, APRN's specialty?
GAIL KAPHAN, APRN specializes in Advanced Practice Midwife and practices in SPRINGFIELD, Massachusetts. Credentials: APRN.
How much does GAIL KAPHAN, APRN prescribe under Medicare Part D?
In 2023, GAIL KAPHAN, APRN wrote 30 Medicare Part D claims totaling $7K in drug costs for N/A beneficiaries.
Where is GAIL KAPHAN, APRN located?
GAIL KAPHAN, APRN is located at 1985 MAIN ST, SPRINGFIELD, MA, 01103. Phone: (413) 733-6639.
What is GAIL KAPHAN, APRN's NPI number?
GAIL KAPHAN, APRN's National Provider Identifier (NPI) is 1083778955, issued on 12/21/2006.
How many Advanced Practice Midwife providers are there in the US?
There are 10,893 Advanced Practice Midwife providers across 55 states in the US. The average Advanced Practice Midwife provider writes 99 Medicare Part D claims per year.
What drugs does GAIL KAPHAN, APRN prescribe most often?
Based on 2023 Medicare Part D data, GAIL KAPHAN, APRN's most frequently prescribed drugs include Estradiol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GAIL KAPHAN, APRN accept Medicare?
GAIL KAPHAN, APRN appears in CMS Medicare data with 30 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GAIL KAPHAN, APRN's credentials?
GAIL KAPHAN, APRN's NPI is 1083778955 with credentials APRN. 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