SHEILA GAHAN, F.N.P.
Adult Health Nurse Practitioner in COOPERSTOWN, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
SHEILA GAHAN, F.N.P. reported a CMS MIPS final score of 86.6449/100 — above the 83.1 national average — and filed 33 Medicare Part D claims in 2023.
- 86.6449/100
- MIPS score · +4 vs avg
- 33
- Part D claims, 2023
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.
SHEILA GAHAN, F.N.P.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
87 Top 48% higher than 52% 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
What does the federal data show about SHEILA GAHAN, F.N.P.?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New York
How Adult Health Nurse Practitioner compares to other specialties among New York providers
Adult Health Nurse Practitioner share within New York
Adult Health Nurse Practitioner is one of the more visible NUCC categories in New York
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
SHEILA GAHAN, F.N.P.'s 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average
- MIPS Final Score
- 86.6449/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Adult Health Nurse Practitioner) — 86.6449/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Adult Health Nurse Practitioner US NPIs
86.6449/100 MIPS final score — 3.5 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Adult Health Nurse Practitioner. Quality dim: 80.1318.
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).
SHEILA GAHAN, F.N.P. appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding F.N.P. credentials at 1 ATWELL RD, COOPERSTOWN, NY, 13326, with a listed phone of (607) 547-3283. NPI 1972552313 was issued on 05/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAHAN 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 33 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $5K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.6449/100 for the 2023 performance year (Quality 80.1318), compared with the national average of 83.1.
Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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 | 1972552313 |
|---|---|
| Specialty | Adult Health Nurse Practitioner |
| Credentials | F.N.P. |
| Gender | Female |
| NPI Issued | 05/10/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm SHEILA GAHAN, F.N.P.'s current license status, disciplinary history, and board certifications with the New York State Education Department, Office of the Professions in New York before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
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 SHEILA GAHAN, F.N.P.. To verify SHEILA GAHAN, F.N.P.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 52
- Total Day Supply
- 1,506
- Generic Drug Cost
- $351
Patient Demographics
- Average Patient Age
- 67.8 years
- Avg HCC Risk Score
- 1.39
Adult Health Nurse Practitioner Overview
How SHEILA GAHAN, F.N.P. fits within the Adult Health Nurse Practitioner landscape nationally.
SHEILA GAHAN, F.N.P.'s 33 claims are below the specialty average of 1,201.
Nearby Adult Health 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 GAHAN.
Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →
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Frequently Asked Questions
What is SHEILA GAHAN, F.N.P.'s specialty? ▼
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What is SHEILA GAHAN, F.N.P.'s NPI number? ▼
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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.
- 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