NPI registry status
Active
2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1811357197 APN, PMHNP-BC
Verify on CMS → Leah Semko, APN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner 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 40,776 in Psychiatric/Mental Health Nurse Practitioner, 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
1K
Medicare Part D claims · 68 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.8/100
▼ 3 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Leah Semko, APN, PMHNP-BC reported a CMS MIPS final score of 80.8/100 - below the 83.5 national average - and filed 1,234 Medicare Part D claims in 2023.
- 80.8/100
- MIPS score · -3 vs avg
- 1K
- Part D claims, 2023
- 94%
- generic prescribing
- ≥30th
- pct among measured MIPS (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1811357197 · Psychiatric/Mental Health Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MID · MIPS-INLINE · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1811357197
- ENUM-MID 2016
- TAX-MID 41K Psychiatric/Mental Health
- MIPS-INLINE 80.8/100
- RX-MID 1,234
- BOOK-LIGHT 1,124 in Illinois
- PHOTO-FINISH Samuel Nave · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Semko · this pro…
Semko · this provider
80.8 MIPS pts
- Samuel Nave · near
Samuel Nave
80.8 MIPS pts
- Kathryn Logan · …
Kathryn Logan
80.9 MIPS pts
- Carine Djuidje ·…
Carine Djuidje
80.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Leah Semko, APN, PMHNP-BC's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
81 ≥ 30th percentile 30% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Leah Semko, APN, PMHNP-BC sits
This provider among psychiatric/mental health nurse practitioner peers
Across the 1,808 psychiatric/mental health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Leah Semko, APN, PMHNP-BC writes more Part D claims than 68% of them and scores higher on MIPS quality than 26% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one psychiatric/mental health nurse practitioner peer from a representative sample of 60; the gold marker is Leah Semko, APN, PMHNP-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Leah Semko, APN, PMHNP-BC?
Near national averagePrimary specialty
Psychiatric/Mental Health Nurse Practitioner
Medicare Part D claims
1,234 33% vs specialty avg
MIPS final score
80.8/100 2.7 pts vs avg
Specialty distribution in Illinois
How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Leah Semko, APN, PMHNP-BC's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average
- MIPS Final Score
- 80.8/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1811357197 |
|---|---|
| Specialty | Psychiatric/Mental Health Nurse Practitioner |
| Credentials | APN, PMHNP-BC |
| Gender | Female |
| NPI Issued | 03/01/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.83
Final Score
Measured-score avg: 83.5
64.9666
Quality
63.1534
Cost
72
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Leah Semko, APN, PMHNP-BC 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.
Mount Sinai Community 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).
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 Leah Semko, APN, PMHNP-BC. To verify Leah Semko, APN, PMHNP-BC'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
Leah Semko, APN, PMHNP-BC - brand share 6.0%
Psychiatric/Mental Health Nurse Practitioner average
6% brand-name claims vs 94% generic, on 1,234 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.
1,234
Total Claims
$231K
Total Drug Cost
68
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,618
- Total Day Supply
- 47,925
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $196K
- Generic Drug Cost
- $35K
Patient Demographics
- Average Patient Age
- 50.0 years
- Avg HCC Risk Score
- 1.23
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 56, 65-74: 11, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Leah Semko, APN, PMHNP-BC prescribes most
Top Medicare Part D drugs by claim count, 2023
- Quetiapine Fumarate
Quetiapine Fumarate
140 claims
- Clonazepam
Clonazepam
99 claims
- Sertraline Hcl
Sertraline Hcl
91 claims
- Trazodone Hcl
Trazodone Hcl
77 claims
- Risperidone
Risperidone
60 claims
- Buspirone Hcl 52
Buspirone Hcl
52 claims
- Bupropion Xl 50
Bupropion Xl
50 claims
- Divalproex Sodium Er 45
Divalproex Sodium Er
45 claims
| Drug | Claims |
|---|---|
| Quetiapine Fumarate | 140 |
| Clonazepam | 99 |
| Sertraline Hcl | 91 |
| Trazodone Hcl | 77 |
| Risperidone | 60 |
| Buspirone Hcl | 52 |
| Bupropion Xl Bupropion Hcl | 50 |
| Divalproex Sodium Er Divalproex Sodium | 45 |
| Mirtazapine | 44 |
| Escitalopram Oxalate | 43 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Psychiatric/Mental Health Nurse Practitioner in IL →
All providers in Illinois →
Compare specialties →
Psychiatric/Mental Health Nurse Practitioner Overview
How Leah Semko, APN, PMHNP-BC fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.
40,776
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider
Leah Semko, APN, PMHNP-BC's 1,234 claims are above the specialty average of 927.
Nationwide Psychiatric/Mental Health Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Semko, both outside Illinois so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (80.8 here).
Same NPPES enumeration year (2016)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Semko.
One of 1,124 Psychiatric/Mental Health Nurse Practitioner providers enrolled in Illinois, 5 are shown here.
Dr. Afolasade Abayomi Jarrett
PMHNP-BC
Crest Hill, IL
Dr. Lindsay Abbott
PMHNP-BC
Chicago, IL
Muinat Abdulmajeed
Plainfield, IL
Dr. Olasumbo Abegunde
NP
Poplar Grove, IL
Rubabetu Abimbola Akinola
Aurora, IL
Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Leah Semko, APN, PMHNP-BC's specialty? ▼
Leah Semko, APN, PMHNP-BC specializes in Psychiatric/Mental Health Nurse Practitioner and practices in Chicago, Illinois. Credentials: APN, PMHNP-BC.
How much does Leah Semko, APN, PMHNP-BC prescribe under Medicare Part D? ▼
In 2023, Leah Semko, APN, PMHNP-BC wrote 1,234 Medicare Part D claims totaling $231K in drug costs for 68 beneficiaries.
What is Leah Semko, APN, PMHNP-BC's Medicare quality score? ▼
Leah Semko, APN, PMHNP-BC has a CMS MIPS Final Score of 80.8/100 (Quality: 65, Cost: 63.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Leah Semko, APN, PMHNP-BC located? ▼
Leah Semko, APN, PMHNP-BC is located at 2653 W OGDEN AVE, Chicago, IL, 60608. Phone: (773) 257-5300.
What is Leah Semko, APN, PMHNP-BC's NPI number? ▼
Leah Semko, APN, PMHNP-BC's National Provider Identifier (NPI) is 1811357197, issued on 03/01/2016.
Does Leah Semko, APN, PMHNP-BC prescribe more brand-name or generic drugs? ▼
Leah Semko, APN, PMHNP-BC's prescribing is 6% brand-name and 94% generic drugs by claim count, with $196K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US? ▼
There are 40,776 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does Leah Semko, APN, PMHNP-BC prescribe most often? ▼
Based on 2023 Medicare Part D data, Leah Semko, APN, PMHNP-BC's most frequently prescribed drugs include Quetiapine Fumarate, Clonazepam, Sertraline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Leah Semko, APN, PMHNP-BC accept Medicare? ▼
Leah Semko, APN, PMHNP-BC appears in CMS Medicare data with 1,234 Part D claims and 68 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Leah Semko, APN, PMHNP-BC's credentials? ▼
Leah Semko, APN, PMHNP-BC's NPI is 1811357197 with credentials APN, PMHNP-BC. 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
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.