2026 NPPES data Interventional Cardiology Physician NPI 1265763163 APN
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GRETCHEN MAHANEY CALDWELL, APN

Interventional Cardiology Physician in SPRINGFIELD, 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
3K
Medicare Part D claims · 537 beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.012/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$287.62
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GRETCHEN MAHANEY CALDWELL, APN reported a CMS MIPS final score of 95.012/100 — above the 83.1 national average — and filed 3,222 Medicare Part D claims in 2023.

95.012/100
MIPS score · +12 vs avg
3K
Part D claims, 2023
82%
generic prescribing
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.

GRETCHEN MAHANEY CALDWELL, APN's MIPS score vs every scored U.S. clinician

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

95 Top 21% higher than 79% 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)

GRETCHEN MAHANEY CALDWELL, APN practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 GRETCHEN MAHANEY CALDWELL, APN?

High performer (top quartile)

NPI registry status

Active

Issued 01/18/2010

NPI 1265763163

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

3,222 8% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

MIPS final score

95.012/100 11.912000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Interventional Cardiology Physician compares to other specialties among Illinois providers

Illinois providers

Interventional Cardiology Physician share within Illinois

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within Illinois

Medicare quality performance — MIPS

GRETCHEN MAHANEY CALDWELL, APN's 2023 MIPS final score plotted against the Interventional Cardiology Physician national average

High performer (top quartile)
MIPS Final Score
95.012/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Cardiology Physician) — 95.012/100 vs national avg 83.1

0%100%National avg83%95%
MIPS final score (Interventional Cardiology Physician) — 95.012/100 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).

GRETCHEN MAHANEY CALDWELL, APN appears in the CMS NPPES registry as a Interventional Cardiology Physician provider holding APN credentials at 917 CLOCK TOWER DR STE 130, SPRINGFIELD, IL, 62704, with a listed phone of (217) 553-9332. NPI 1265763163 was issued on 01/18/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MAHANEY CALDWELL 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 3,222 prescription claims written by this provider, covering 537 Medicare beneficiaries and totaling roughly $563K in drug spend, split 18% brand-name and 82% 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 95.012/100 for the 2023 performance year (Quality 80.0239), compared with the national average of 83.1.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 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

917 CLOCK TOWER DR STE 130
SPRINGFIELD, IL 62704

Provider Details

NPI 1265763163
Specialty Interventional Cardiology Physician
Credentials APN
Gender Female
NPI Issued 01/18/2010

CMS Quality Score (MIPS)

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

95.012
Final Score
Avg: 83.1
80.0239
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where GRETCHEN MAHANEY CALDWELL, APN bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

PRAIRIE CARDIOVASCULAR CONSULTANTS LTD
PANA, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 GRETCHEN MAHANEY CALDWELL, APN. Source: openpaymentsdata.cms.gov.

Total received

$288

Largest payer

Novo Nordisk Inc

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 GRETCHEN MAHANEY CALDWELL, APN. To verify GRETCHEN MAHANEY CALDWELL, APN'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

GRETCHEN MAHANEY CALDWELL, APN — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 3,222 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.

3,222
Total Claims
$563K
Total Drug Cost
537
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,563
Total Day Supply
194,734
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$513K
Generic Drug Cost
$50K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.61
Gender Split
48% female / 52% male
Age Distribution
<65: 44, 65-74: 217, 75-84: 201, 85+: 75

Top Prescribed Drugs (Medicare Part D)

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

What GRETCHEN MAHANEY CALDWELL, APN 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
Isosorbide Mononitrate Er
Isosorbide Mononitrate
329
Metoprolol Succinate
299
Eliquis
Apixaban
237
Amlodipine Besylate
228
Furosemide
224
Carvedilol
190
Lisinopril
160
Metoprolol Tartrate
144
Atorvastatin Calcium
135
Entresto
Sacubitril/Valsartan
125

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

Interventional Cardiology Physician Overview

How GRETCHEN MAHANEY CALDWELL, APN fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

GRETCHEN MAHANEY CALDWELL, APN's 3,222 claims are above the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in Illinois

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

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GRETCHEN MAHANEY CALDWELL, APN's specialty?
GRETCHEN MAHANEY CALDWELL, APN specializes in Interventional Cardiology Physician and practices in SPRINGFIELD, Illinois. Credentials: APN.
How much does GRETCHEN MAHANEY CALDWELL, APN prescribe under Medicare Part D?
In 2023, GRETCHEN MAHANEY CALDWELL, APN wrote 3,222 Medicare Part D claims totaling $563K in drug costs for 537 beneficiaries.
What is GRETCHEN MAHANEY CALDWELL, APN's Medicare quality score?
GRETCHEN MAHANEY CALDWELL, APN has a CMS MIPS Final Score of 95.012/100 (Quality: 80.0239). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GRETCHEN MAHANEY CALDWELL, APN located?
GRETCHEN MAHANEY CALDWELL, APN is located at 917 CLOCK TOWER DR STE 130, SPRINGFIELD, IL, 62704. Phone: (217) 553-9332.
What is GRETCHEN MAHANEY CALDWELL, APN's NPI number?
GRETCHEN MAHANEY CALDWELL, APN's National Provider Identifier (NPI) is 1265763163, issued on 01/18/2010.
Does GRETCHEN MAHANEY CALDWELL, APN prescribe more brand-name or generic drugs?
GRETCHEN MAHANEY CALDWELL, APN's prescribing is 18% brand-name and 82% generic drugs by claim count, with $513K in brand drug costs.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does GRETCHEN MAHANEY CALDWELL, APN prescribe most often?
Based on 2023 Medicare Part D data, GRETCHEN MAHANEY CALDWELL, APN's most frequently prescribed drugs include Isosorbide Mononitrate Er, Metoprolol Succinate, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GRETCHEN MAHANEY CALDWELL, APN accept Medicare?
GRETCHEN MAHANEY CALDWELL, APN appears in CMS Medicare data with 3,222 Part D claims and 537 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GRETCHEN MAHANEY CALDWELL, APN's credentials?
GRETCHEN MAHANEY CALDWELL, APN's NPI is 1265763163 with credentials APN. 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