NPI registry status
Active
2026 NPPES data Clinical Nurse Specialist NPI 1861422594 APN
Verify on CMS → Judith Paice, APN
Clinical Nurse Specialist 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 1,715 in Clinical Nurse Specialist, 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
2K
Medicare Part D claims · 113 beneficiaries · Clinical Nurse Specialist avg: 953
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1/100
▲ 11 pts above national avg 83.1 · Exceptional
Industry payments
$140.13
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Judith Paice, APN reported a CMS MIPS final score of 94.1/100 - above the 83.1 national average - and filed 1,638 Medicare Part D claims in 2023.
- 94.1/100
- MIPS score · +11 vs avg
- 2K
- Part D claims, 2023
- 91%
- generic prescribing
- $140.13
- industry payments (Sunshine Act)
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.
Judith Paice, APN's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
94 Top 25% higher than 75% of 477,587 scored providers
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
Where Judith Paice, APN sits
This provider among clinical nurse specialist peers
Across the 134 clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Judith Paice, APN writes more Part D claims than 79% of them and scores higher on MIPS quality than 72% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one clinical nurse specialist peer from a representative sample of 60; the gold marker is Judith Paice, APN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Judith Paice, APN?
High performer (top quartile)Primary specialty
Clinical Nurse Specialist
Medicare Part D claims
1,638 72% vs specialty avg
MIPS final score
94.1/100 11 pts vs avg
Specialty distribution in Illinois
How Clinical Nurse Specialist compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Judith Paice, APN's 2023 MIPS final score plotted against the Clinical Nurse Specialist national average
- MIPS Final Score
- 94.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Clinical Nurse Specialist) - 94.1/100 vs national avg 83.1
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).
Judith Paice, APN appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding APN credentials at 680 N LAKE SHORE DR, Chicago, IL, 60611, with a listed phone of (312) 695-9797. NPI 1861422594 was issued on 07/05/2006.
Medicare Part D records for calendar year 2023 show 1,638 prescription claims written by this provider, covering 113 Medicare beneficiaries and totaling roughly $141K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 68.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1/100 for the 2023 performance year (Quality 82.6), compared with the national average of 83.1.
Clinical Nurse Specialist is a narrow specialty nationwide, with 1,715 enrolled providers across 49 states and an average of 953 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
Provider Details
| NPI | 1861422594 |
|---|---|
| Specialty | Clinical Nurse Specialist |
| Credentials | APN |
| Gender | Female |
| NPI Issued | 07/05/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.1036
Final Score
Avg: 83.1
82.5938
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Judith Paice, 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.
Northwestern Medical Faculty Foundation
Chicago, 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 Judith Paice, APN. Source: openpaymentsdata.cms.gov.
Total received
$140
Largest payer
AstraZeneca Pharmaceuticals LP
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 Judith Paice, APN. To verify Judith Paice, 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 · Generic-heavy
Judith Paice, APN - brand share 9.0%
Clinical Nurse Specialist average
9% brand-name claims vs 91% generic, on 1,638 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.
1,638
Total Claims
$141K
Total Drug Cost
113
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,794
- Total Day Supply
- 43,980
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $69K
- Generic Drug Cost
- $73K
- Opioid Claims
- 1,126 (68.7% rate)
Patient Demographics
- Average Patient Age
- 68.2 years
- Avg HCC Risk Score
- 3.39
- Gender Split
- 58% female / 42% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Judith Paice, APN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
259 claims
- Morphine Sulfate Er
Morphine Sulfate Er
230 claims
- Oxycodone Hcl
Oxycodone Hcl
227 claims
- Gabapentin
Gabapentin
144 claims
- Fentanyl
Fentanyl
136 claims
- Pregabalin
Pregabalin
114 claims
- Hydromorphone Hcl 97
Hydromorphone Hcl
97 claims
- Duloxetine Hcl 83
Duloxetine Hcl
83 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 259 |
| Morphine Sulfate Er Morphine Sulfate | 230 |
| Oxycodone Hcl | 227 |
| Gabapentin | 144 |
| Fentanyl | 136 |
| Pregabalin | 114 |
| Hydromorphone Hcl | 97 |
| Duloxetine Hcl | 83 |
| Morphine Sulfate | 62 |
| Xtampza Er Oxycodone Myristate | 38 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Clinical Nurse Specialist Overview
How Judith Paice, APN fits within the Clinical Nurse Specialist landscape nationally.
1,715
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider
Judith Paice, APN's 1,638 claims are above the specialty average of 953.
Nearby Clinical Nurse Specialist Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Paice.
Dr. Jeffrey Albaugh
PHD, APRN, CUCNS
Glenview, IL
Dr. Chris Ayers
CNS
Galesburg, IL
Dr. Virginia Baker
MSN APN
Chicago, IL
Dr. Maria Barnes
C.N.S.
Chicago, IL
Dr. Cynthia Barrett
A.P.N. CCNS
Jerseyville, IL
Compare Clinical Nurse Specialist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Clinical Nurse Specialist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Judith Paice, APN's specialty? ▼
Judith Paice, APN specializes in Clinical Nurse Specialist and practices in Chicago, Illinois. Credentials: APN.
How much does Judith Paice, APN prescribe under Medicare Part D? ▼
In 2023, Judith Paice, APN wrote 1,638 Medicare Part D claims totaling $141K in drug costs for 113 beneficiaries.
What is Judith Paice, APN's Medicare quality score? ▼
Judith Paice, APN has a CMS MIPS Final Score of 94.1/100 (Quality: 82.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Judith Paice, APN located? ▼
Judith Paice, APN is located at 680 N LAKE SHORE DR, Chicago, IL, 60611. Phone: (312) 695-9797.
What is Judith Paice, APN's NPI number? ▼
Judith Paice, APN's National Provider Identifier (NPI) is 1861422594, issued on 07/05/2006.
Does Judith Paice, APN prescribe more brand-name or generic drugs? ▼
Judith Paice, APN's prescribing is 9% brand-name and 91% generic drugs by claim count, with $69K in brand drug costs.
Does Judith Paice, APN prescribe opioids? ▼
Yes, Judith Paice, APN had 1,126 opioid claims in 2023 with an opioid prescribing rate of 68.7%.
How many Clinical Nurse Specialist providers are there in the US? ▼
There are 1,715 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does Judith Paice, APN prescribe most often? ▼
Based on 2023 Medicare Part D data, Judith Paice, APN's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Morphine Sulfate Er, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Judith Paice, APN accept Medicare? ▼
Judith Paice, APN appears in CMS Medicare data with 1,638 Part D claims and 113 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Judith Paice, APN's credentials? ▼
Judith Paice, APN's NPI is 1861422594 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.