2026 NPPES data Acute Care Nurse Practitioner NPI 1861105561 AGACNP-BC
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NICHOLAS GAGHEN, AGACNP-BC

Acute Care Nurse Practitioner in BIRMINGHAM, Alabama. 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
544
Medicare Part D claims · 213 beneficiaries · Acute Care Nurse Practitioner avg: 576
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.1K
54 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NICHOLAS GAGHEN, AGACNP-BC filed 544 Medicare Part D claims in 2023 as a Acute Care Nurse Practitioner in BIRMINGHAM, Alabama, prescribing 82% generic.

544
Part D claims, 2023
82%
generic prescribing
$1.1K
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.

NICHOLAS GAGHEN, AGACNP-BC's Medicare Part D volume vs every U.S. prescriber

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

544 Top 34% higher than 66% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 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 NICHOLAS GAGHEN, AGACNP-BC?

Quality data not reported

NPI registry status

Active

Issued 12/28/2022

NPI 1861105561

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,583 US NPIs in this specialty

Medicare Part D claims

544 6% vs specialty avg

2023 prescription claims

Specialty avg: 576

Specialty distribution in Alabama

How Acute Care Nurse Practitioner compares to other specialties among Alabama providers

Alabama providers

Acute Care Nurse Practitioner share within Alabama

1. Acute Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Acute Care Nurse Practitioner share within Alabama

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Acute Care 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).

NICHOLAS GAGHEN, AGACNP-BC appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider holding AGACNP-BC credentials at 100 PILOT MEDICAL DR STE 300, BIRMINGHAM, AL, 35235, with a listed phone of (205) 856-2284. NPI 1861105561 was issued on 12/28/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAGHEN 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 544 prescription claims written by this provider, covering 213 Medicare beneficiaries and totaling roughly $107K in drug spend, split 18% brand-name and 82% 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.

Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,583 enrolled providers across 53 states and an average of 576 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

100 PILOT MEDICAL DR STE 300
BIRMINGHAM, AL 35235

Provider Details

NPI 1861105561
Specialty Acute Care Nurse Practitioner
Credentials AGACNP-BC
Gender Male
NPI Issued 12/28/2022

Hospital and facility affiliations

Facilities where NICHOLAS GAGHEN, AGACNP-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.

BIRMINGHAM HEART CLINIC, PLLC
BIRMINGHAM, AL

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 NICHOLAS GAGHEN, AGACNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Novartis Pharmaceuticals 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.

Brand vs generic prescribing mix · Typical

NICHOLAS GAGHEN, AGACNP-BC — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 544 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.

544
Total Claims
$107K
Total Drug Cost
213
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,077
Total Day Supply
31,880
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$94K
Generic Drug Cost
$14K

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.65
Gender Split
59% female / 41% male
Age Distribution
<65: 19, 65-74: 93, 75-84: 72, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

What NICHOLAS GAGHEN, AGACNP-BC 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
Metoprolol Succinate
61
Eliquis
Apixaban
56
Amlodipine Besylate
36
Atorvastatin Calcium
25
Losartan Potassium
24
Carvedilol
19
Chlorthalidone
18
Ranolazine Er
Ranolazine
17
Rosuvastatin Calcium
17
Clopidogrel
Clopidogrel Bisulfate
14

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

Acute Care Nurse Practitioner Overview

How NICHOLAS GAGHEN, AGACNP-BC fits within the Acute Care Nurse Practitioner landscape nationally.

24,583
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider

NICHOLAS GAGHEN, AGACNP-BC's 544 claims are below the specialty average of 576.

Nearby Acute Care Nurse Practitioner Providers in Alabama

Other clinicians with the same primary specialty enrolled in Alabama, drawn from the same CMS NPPES roster as GAGHEN.

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

Frequently Asked Questions

What is NICHOLAS GAGHEN, AGACNP-BC's specialty?
NICHOLAS GAGHEN, AGACNP-BC specializes in Acute Care Nurse Practitioner and practices in BIRMINGHAM, Alabama. Credentials: AGACNP-BC.
How much does NICHOLAS GAGHEN, AGACNP-BC prescribe under Medicare Part D?
In 2023, NICHOLAS GAGHEN, AGACNP-BC wrote 544 Medicare Part D claims totaling $107K in drug costs for 213 beneficiaries.
Where is NICHOLAS GAGHEN, AGACNP-BC located?
NICHOLAS GAGHEN, AGACNP-BC is located at 100 PILOT MEDICAL DR STE 300, BIRMINGHAM, AL, 35235. Phone: (205) 856-2284.
What is NICHOLAS GAGHEN, AGACNP-BC's NPI number?
NICHOLAS GAGHEN, AGACNP-BC's National Provider Identifier (NPI) is 1861105561, issued on 12/28/2022.
Does NICHOLAS GAGHEN, AGACNP-BC prescribe more brand-name or generic drugs?
NICHOLAS GAGHEN, AGACNP-BC's prescribing is 18% brand-name and 82% generic drugs by claim count, with $94K in brand drug costs.
How many Acute Care Nurse Practitioner providers are there in the US?
There are 24,583 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
What drugs does NICHOLAS GAGHEN, AGACNP-BC prescribe most often?
Based on 2023 Medicare Part D data, NICHOLAS GAGHEN, AGACNP-BC's most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICHOLAS GAGHEN, AGACNP-BC accept Medicare?
NICHOLAS GAGHEN, AGACNP-BC appears in CMS Medicare data with 544 Part D claims and 213 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICHOLAS GAGHEN, AGACNP-BC's credentials?
NICHOLAS GAGHEN, AGACNP-BC's NPI is 1861105561 with credentials AGACNP-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

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