James Gilligan, MSN, ACNP-BC

45% fewer Medicare Part D claims than the average acute care nurse practitioner in 2024

327 Medicare Part D claims for 85 beneficiaries, against an average of 594 among the 13,133 providers of this specialty who prescribed in Part D. Brand-name drugs were 55% of claims.

Most prescribed

1. Nano 2nd Gen Pen Needle71 claims
2. Lantus Solostar52 claims
3. Ultra-Fine Micro Pen Needle27 claims
4. Novolog Flexpen25 claims
5. Humalog Kwikpen U-10024 claims
6. Novofine 3217 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's Medicare quality score for 2023: 78.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

1. Freedom Health Interventional Centers LLCPhoenix, AZ
2. Unomed LLCPhoenix, AZ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.