2026 NPPES data Critical Care Pediatric Nurse Practitioner NPI 1285754259 CPNP-AC
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LISA GILMORE, CPNP-AC

Critical Care Pediatric Nurse Practitioner in NEW YORK, 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
265
Medicare Part D claims · 27 beneficiaries · Critical Care Pediatric Nurse Practitioner avg: 90
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

LISA GILMORE, CPNP-AC filed 265 Medicare Part D claims in 2023 as a Critical Care Pediatric Nurse Practitioner in NEW YORK, New York, prescribing 86% generic.

265
Part D claims, 2023
86%
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.

LISA GILMORE, CPNP-AC's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

265 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about LISA GILMORE, CPNP-AC?

Quality data not reported

NPI registry status

Active

Issued 03/30/2007

NPI 1285754259

Primary specialty

Critical Care Pediatric Nurse Practitioner

Niche

1,146 US NPIs in this specialty

Medicare Part D claims

265 194% vs specialty avg

2023 prescription claims

Specialty avg: 90

Specialty distribution in New York

How Critical Care Pediatric Nurse Practitioner compares to other specialties among New York providers

New York providers

Critical Care Pediatric Nurse Practitioner share within New York

1. Critical Care Pediatric Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Pediatric Nurse Practitioner share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Critical Care Pediatric Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Critical Care Pediatric Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Critical Care Pediatric Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Critical Care Pediatric Nurse Practitioner) — ABMS / AOA estimate

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).

LISA GILMORE, CPNP-AC appears in the CMS NPPES registry as a Critical Care Pediatric Nurse Practitioner provider holding CPNP-AC credentials at 3959 BROADWAY, NEW YORK, NY, 10032, with a listed phone of (212) 305-8458. NPI 1285754259 was issued on 03/30/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILMORE 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 265 prescription claims written by this provider, covering 27 Medicare beneficiaries and totaling roughly $40K in drug spend, split 14% brand-name and 86% 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.

Critical Care Pediatric Nurse Practitioner is a narrow specialty nationwide, with 1,146 enrolled providers across 46 states and an average of 90 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

3959 BROADWAY
NEW YORK, NY 10032

Provider Details

NPI 1285754259
Specialty Critical Care Pediatric Nurse Practitioner
Credentials CPNP-AC
Gender Female
NPI Issued 03/30/2007

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 LISA GILMORE, CPNP-AC. To verify LISA GILMORE, CPNP-AC'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 · Typical

LISA GILMORE, CPNP-AC — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 265 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.

265
Total Claims
$40K
Total Drug Cost
27
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
490
Total Day Supply
14,294
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$17K
Generic Drug Cost
$23K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
38.0 years
Avg HCC Risk Score
0.85
Age Distribution
<65: 27, 65-74: 0, 75-84: 0, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

What LISA GILMORE, CPNP-AC 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
Warfarin Sodium
49
Digoxin
29
Metoprolol Tartrate
25
Metoprolol Succinate
24
Furosemide
22
Spironolactone
19
Atenolol
11
Azithromycin
11
Eliquis
Apixaban
11
Lisinopril
11

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

Critical Care Pediatric Nurse Practitioner Overview

How LISA GILMORE, CPNP-AC fits within the Critical Care Pediatric Nurse Practitioner landscape nationally.

1,146
Critical Care Pediatric Nurse Practitioner Providers in US
46
States with Critical Care Pediatric Nurse Practitioner
90
Avg Claims per Provider

LISA GILMORE, CPNP-AC's 265 claims are above the specialty average of 90.

Nearby Critical Care Pediatric Nurse Practitioner Providers in New York

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

Compare Critical Care Pediatric Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is LISA GILMORE, CPNP-AC's specialty?
LISA GILMORE, CPNP-AC specializes in Critical Care Pediatric Nurse Practitioner and practices in NEW YORK, New York. Credentials: CPNP-AC.
How much does LISA GILMORE, CPNP-AC prescribe under Medicare Part D?
In 2023, LISA GILMORE, CPNP-AC wrote 265 Medicare Part D claims totaling $40K in drug costs for 27 beneficiaries.
Where is LISA GILMORE, CPNP-AC located?
LISA GILMORE, CPNP-AC is located at 3959 BROADWAY, NEW YORK, NY, 10032. Phone: (212) 305-8458.
What is LISA GILMORE, CPNP-AC's NPI number?
LISA GILMORE, CPNP-AC's National Provider Identifier (NPI) is 1285754259, issued on 03/30/2007.
Does LISA GILMORE, CPNP-AC prescribe more brand-name or generic drugs?
LISA GILMORE, CPNP-AC's prescribing is 14% brand-name and 86% generic drugs by claim count, with $17K in brand drug costs.
How many Critical Care Pediatric Nurse Practitioner providers are there in the US?
There are 1,146 Critical Care Pediatric Nurse Practitioner providers across 46 states in the US. The average Critical Care Pediatric Nurse Practitioner provider writes 90 Medicare Part D claims per year.
What drugs does LISA GILMORE, CPNP-AC prescribe most often?
Based on 2023 Medicare Part D data, LISA GILMORE, CPNP-AC's most frequently prescribed drugs include Warfarin Sodium, Digoxin, Metoprolol Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LISA GILMORE, CPNP-AC accept Medicare?
LISA GILMORE, CPNP-AC appears in CMS Medicare data with 265 Part D claims and 27 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LISA GILMORE, CPNP-AC's credentials?
LISA GILMORE, CPNP-AC's NPI is 1285754259 with credentials CPNP-AC. 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.
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