SONYA RAWLS
Adult Health Clinical Nurse Specialist in CHICAGO, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
SONYA RAWLS reported a CMS MIPS final score of 97.7188/100 — above the 83.1 national average — and filed 486 Medicare Part D claims in 2023.
- 97.7188/100
- MIPS score · +15 vs avg
- 486
- 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.
SONYA RAWLS's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
98 Top 15% higher than 85% 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 SONYA RAWLS?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Illinois
How Adult Health Clinical Nurse Specialist compares to other specialties among Illinois providers
Adult Health Clinical Nurse Specialist share within Illinois
Adult Health Clinical Nurse Specialist is one of the more visible NUCC categories in Illinois
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
SONYA RAWLS's 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average
- MIPS Final Score
- 97.7188/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Adult Health Clinical Nurse Specialist) — 97.7188/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Adult Health Clinical Nurse Specialist US NPIs
97.7188/100 MIPS final score — 14.6 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Adult Health Clinical Nurse Specialist. Quality dim: 75.4375.
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).
SONYA RAWLS appears in the CMS NPPES registry as a Adult Health Clinical Nurse Specialist provider at 5841 S MARYLAND AVE, CHICAGO, IL, 60637, with a listed phone of (888) 824-0200. NPI 1861679128 was issued on 01/29/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAWLS 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 486 prescription claims written by this provider, covering 162 Medicare beneficiaries and totaling roughly $26K in drug spend, with an opioid prescribing rate of 4.1%. 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 97.7188/100 for the 2023 performance year (Quality 75.4375), compared with the national average of 83.1.
Adult Health Clinical Nurse Specialist is a narrow specialty nationwide, with 1,375 enrolled providers across 49 states and an average of 1,088 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 | 1861679128 |
|---|---|
| Specialty | Adult Health Clinical Nurse Specialist |
| Gender | Female |
| NPI Issued | 01/29/2008 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm SONYA RAWLS's current license status, disciplinary history, and board certifications with the Illinois Department of Financial and Professional Regulation in Illinois 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
Hospital and facility affiliations
Facilities where SONYA RAWLS 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.
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 SONYA RAWLS. To verify SONYA RAWLS's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
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.
Prescribing Breakdown
- 30-Day Fills
- 1,030
- Total Day Supply
- 29,626
- Generic Drug Cost
- $10K
- Opioid Claims
- 20 (4.1% rate)
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 81.5 years
- Avg HCC Risk Score
- 1.63
- Gender Split
- 70% female / 30% male
- Age Distribution
- <65: 0, 65-74: 40, 75-84: 61, 85+: 61
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What SONYA RAWLS prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amlodipine Besylate
Amlodipine Besylate
47 claims
- Atorvastatin Calcium
Atorvastatin Calcium
32 claims
- Losartan Potassium
Losartan Potassium
27 claims
- Hydrochlorothiazide
Hydrochlorothiazide
20 claims
- Lisinopril
Lisinopril
19 claims
- Carvedilol 16
Carvedilol
16 claims
- Furosemide 12
Furosemide
12 claims
- Levothyroxine Sodium 12
Levothyroxine Sodium
12 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 47 |
| Atorvastatin Calcium | 32 |
| Losartan Potassium | 27 |
| Hydrochlorothiazide | 20 |
| Lisinopril | 19 |
| Carvedilol | 16 |
| Furosemide | 12 |
| Levothyroxine Sodium | 12 |
| Metoprolol Succinate | 12 |
| Potassium Chloride | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Health Clinical Nurse Specialist Overview
How SONYA RAWLS fits within the Adult Health Clinical Nurse Specialist landscape nationally.
SONYA RAWLS's 486 claims are below the specialty average of 1,088.
Nearby Adult Health Clinical Nurse Specialist Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as RAWLS.
Compare Adult Health Clinical Nurse Specialist nationally: see state-by-state distribution →
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Frequently Asked Questions
What is SONYA RAWLS's specialty? ▼
How much does SONYA RAWLS prescribe under Medicare Part D? ▼
What is SONYA RAWLS's Medicare quality score? ▼
Where is SONYA RAWLS located? ▼
What is SONYA RAWLS's NPI number? ▼
Does SONYA RAWLS prescribe opioids? ▼
How many Adult Health Clinical Nurse Specialist providers are there in the US? ▼
What drugs does SONYA RAWLS prescribe most often? ▼
Does SONYA RAWLS accept Medicare? ▼
How can I verify SONYA RAWLS's credentials? ▼
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