NPI registry status
Active
2026 NPPES data Nurse Practitioner NPI 1770986010 NP-C
Verify on CMS → Melanie Banal, NP-C
Nurse Practitioner in Breese, 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 87,227 in 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
254
Medicare Part D claims · 106 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
94.6/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$45.4
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Melanie Banal, NP-C reported a CMS MIPS final score of 94.6/100 - above the 83.1 national average - and filed 254 Medicare Part D claims in 2023.
- 94.6/100
- MIPS score · +12 vs avg
- 254
- Part D claims, 2023
- $45.4
- 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.
Melanie Banal, NP-C's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
95 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 Melanie Banal, NP-C sits
This provider among nurse practitioner peers
Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Melanie Banal, NP-C writes more Part D claims than 40% of them and scores higher on MIPS quality than 75% - placing this provider in the lower-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 nurse practitioner peer from a representative sample of 60; the gold marker is Melanie Banal, NP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Melanie Banal, NP-C?
High performer (top quartile)Primary specialty
Nurse Practitioner
Medicare Part D claims
254 77% vs specialty avg
MIPS final score
94.6/100 11.5 pts vs avg
Specialty distribution in Illinois
How Nurse Practitioner compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Melanie Banal, NP-C's 2023 MIPS final score plotted against the Nurse Practitioner national average
- MIPS Final Score
- 94.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nurse Practitioner) - 94.6/100 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).
Melanie Banal, NP-C appears in the CMS NPPES registry as a Nurse Practitioner provider holding NP-C credentials at 14160 JAMESTOWN RD, Breese, IL, 62230, with a listed phone of (618) 526-7154. NPI 1770986010 was issued on 10/01/2014.
Medicare Part D records for calendar year 2023 show 254 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $5K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.6/100 for the 2023 performance year (Quality 85.2), compared with the national average of 83.1.
Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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 | 1770986010 |
|---|---|
| Specialty | Nurse Practitioner |
| Credentials | NP-C |
| Gender | Female |
| NPI Issued | 10/01/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.6154
Final Score
Avg: 83.1
85.1795
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Melanie Banal, NP-C 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.
Ahs IL Medical Group LLC
Granite City, 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 Melanie Banal, NP-C. Source: openpaymentsdata.cms.gov.
Total received
$45
Largest payer
Exact Sciences Corporation
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 Melanie Banal, NP-C. To verify Melanie Banal, NP-C'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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
254
Total Claims
$5K
Total Drug Cost
106
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 288
- Total Day Supply
- 6,808
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 41
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 1.74
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 18, 65-74: 46, 75-84: 25, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Melanie Banal, NP-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Mupirocin
Mupirocin
39 claims
- Ketoconazole
Ketoconazole
29 claims
- Cephalexin
Cephalexin
20 claims
- Metoprolol Tartrate 14
Metoprolol Tartrate
14 claims
- Benazepril Hcl 12
Benazepril Hcl
12 claims
- Diclofenac Sodium 12
Diclofenac Sodium
12 claims
- Omeprazole 12
Omeprazole
12 claims
- Oxybutynin Chlorid… 12
Oxybutynin Chloride Er
12 claims
| Drug | Claims |
|---|---|
| Mupirocin | 39 |
| Ketoconazole | 29 |
| Cephalexin | 20 |
| Metoprolol Tartrate | 14 |
| Benazepril Hcl | 12 |
| Diclofenac Sodium | 12 |
| Omeprazole | 12 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 12 |
| Potassium Chloride | 12 |
| Meloxicam | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nurse Practitioner Overview
How Melanie Banal, NP-C fits within the Nurse Practitioner landscape nationally.
87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider
Melanie Banal, NP-C's 254 claims are below the specialty average of 1,084.
Nearby Nurse Practitioner Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Banal.
Dr. Janice Abadilla
FNP-BC
Peoria, IL
Dr. Roseviminda Abano
CNP
Gurnee, IL
Philomena Abebe
Park Ridge, IL
Dr. Milagros Abellera
APN
Chicago, IL
Dr. Edwina Abloh
APN-CNP
Skokie, IL
Compare Nurse Practitioner 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 Nurse Practitioner 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
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Frequently Asked Questions
What is Melanie Banal, NP-C's specialty? ▼
Melanie Banal, NP-C specializes in Nurse Practitioner and practices in Breese, Illinois. Credentials: NP-C.
How much does Melanie Banal, NP-C prescribe under Medicare Part D? ▼
In 2023, Melanie Banal, NP-C wrote 254 Medicare Part D claims totaling $5K in drug costs for 106 beneficiaries.
What is Melanie Banal, NP-C's Medicare quality score? ▼
Melanie Banal, NP-C has a CMS MIPS Final Score of 94.6/100 (Quality: 85.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Melanie Banal, NP-C located? ▼
Melanie Banal, NP-C is located at 14160 JAMESTOWN RD, Breese, IL, 62230. Phone: (618) 526-7154.
What is Melanie Banal, NP-C's NPI number? ▼
Melanie Banal, NP-C's National Provider Identifier (NPI) is 1770986010, issued on 10/01/2014.
How many Nurse Practitioner providers are there in the US? ▼
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does Melanie Banal, NP-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Melanie Banal, NP-C's most frequently prescribed drugs include Mupirocin, Ketoconazole, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Melanie Banal, NP-C accept Medicare? ▼
Melanie Banal, NP-C appears in CMS Medicare data with 254 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Melanie Banal, NP-C's credentials? ▼
Melanie Banal, NP-C's NPI is 1770986010 with credentials NP-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
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.