2026 NPPES data Emergency Clinical Nurse Specialist NPI 1477536043 RPA-C
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JOHN CANHAM, RPA-C

Emergency Clinical Nurse Specialist in ROCHESTER, New York. 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
12
Medicare Part D claims · Emergency Clinical Nurse Specialist avg: 585
Generic prescribing
8%
generic claims · 92% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.1715/100
▲ 2 pts above national avg 83.1 · [object Object]

What the federal data shows

JOHN CANHAM, RPA-C reported a CMS MIPS final score of 85.1715/100 — above the 83.1 national average — and filed 12 Medicare Part D claims in 2023.

85.1715/100
MIPS score · +2 vs avg
12
Part D claims, 2023
8%
generic prescribing

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.

JOHN CANHAM, RPA-C's MIPS score vs every scored U.S. clinician

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

85 49th percentile higher than 49% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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

What does the federal data show about JOHN CANHAM, RPA-C?

High performer (top quartile)

NPI registry status

Active

Issued 11/28/2005

NPI 1477536043

Primary specialty

Emergency Clinical Nurse Specialist

Rare

88 US NPIs in this specialty

Medicare Part D claims

12 98% vs specialty avg

2023 prescription claims

Specialty avg: 585

MIPS final score

85.1715/100 2.0715000000000003% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Emergency Clinical Nurse Specialist compares to other specialties among New York providers

New York providers

Emergency Clinical Nurse Specialist share within New York

1. Emergency Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Clinical Nurse Specialist share within New York

Medicare quality performance — MIPS

JOHN CANHAM, RPA-C's 2023 MIPS final score plotted against the Emergency Clinical Nurse Specialist national average

High performer (top quartile)
MIPS Final Score
85.1715/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Clinical Nurse Specialist) — 85.1715/100 vs national avg 83.1

0%100%National avg83%85.2%
MIPS final score (Emergency Clinical Nurse Specialist) — 85.1715/100 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).

JOHN CANHAM, RPA-C appears in the CMS NPPES registry as a Emergency Clinical Nurse Specialist provider holding RPA-C credentials at 919 WESTFALL RD, ROCHESTER, NY, 14618, with a listed phone of (585) 271-2800. NPI 1477536043 was issued on 11/28/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CANHAM 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 12 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $515 in drug spend, split 92% brand-name and 8% 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 85.1715/100 for the 2023 performance year (Quality 70.9229, Cost 62.9821), compared with the national average of 83.1.

Emergency Clinical Nurse Specialist is a narrow specialty nationwide, with 88 enrolled providers across 30 states and an average of 585 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

919 WESTFALL RD
ROCHESTER, NY 14618

Provider Details

NPI 1477536043
Specialty Emergency Clinical Nurse Specialist
Credentials RPA-C
Gender Male
NPI Issued 11/28/2005

CMS Quality Score (MIPS)

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

85.1715
Final Score
Avg: 83.1
70.9229
Quality
62.9821
Cost
100
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to JOHN CANHAM, RPA-C. To verify JOHN CANHAM, RPA-C's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

JOHN CANHAM, RPA-C — brand share 92.0%
Specialty average (est.)

92% brand-name claims vs 8% generic, on 12 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.

12
Total Claims
$515
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12
Total Day Supply
206
Brand vs Generic
92% brand / 8% generic
Brand Drug Cost
$495

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.18

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
11

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

Emergency Clinical Nurse Specialist Overview

How JOHN CANHAM, RPA-C fits within the Emergency Clinical Nurse Specialist landscape nationally.

88
Emergency Clinical Nurse Specialist Providers in US
30
States with Emergency Clinical Nurse Specialist
585
Avg Claims per Provider

JOHN CANHAM, RPA-C's 12 claims are below the specialty average of 585.

Nearby Emergency Clinical Nurse Specialist Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as CANHAM.

Compare Emergency Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN CANHAM, RPA-C's specialty?
JOHN CANHAM, RPA-C specializes in Emergency Clinical Nurse Specialist and practices in ROCHESTER, New York. Credentials: RPA-C.
How much does JOHN CANHAM, RPA-C prescribe under Medicare Part D?
In 2023, JOHN CANHAM, RPA-C wrote 12 Medicare Part D claims totaling $515 in drug costs for N/A beneficiaries.
What is JOHN CANHAM, RPA-C's Medicare quality score?
JOHN CANHAM, RPA-C has a CMS MIPS Final Score of 85.1715/100 (Quality: 70.9229, Cost: 62.9821). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN CANHAM, RPA-C located?
JOHN CANHAM, RPA-C is located at 919 WESTFALL RD, ROCHESTER, NY, 14618. Phone: (585) 271-2800.
What is JOHN CANHAM, RPA-C's NPI number?
JOHN CANHAM, RPA-C's National Provider Identifier (NPI) is 1477536043, issued on 11/28/2005.
Does JOHN CANHAM, RPA-C prescribe more brand-name or generic drugs?
JOHN CANHAM, RPA-C's prescribing is 92% brand-name and 8% generic drugs by claim count, with $495 in brand drug costs.
How many Emergency Clinical Nurse Specialist providers are there in the US?
There are 88 Emergency Clinical Nurse Specialist providers across 30 states in the US. The average Emergency Clinical Nurse Specialist provider writes 585 Medicare Part D claims per year.
What drugs does JOHN CANHAM, RPA-C prescribe most often?
Based on 2023 Medicare Part D data, JOHN CANHAM, RPA-C's most frequently prescribed drugs include Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN CANHAM, RPA-C accept Medicare?
JOHN CANHAM, RPA-C appears in CMS Medicare data with 12 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 JOHN CANHAM, RPA-C's credentials?
JOHN CANHAM, RPA-C's NPI is 1477536043 with credentials RPA-C. 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