2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1861679128
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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.

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
486
Medicare Part D claims · 162 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
MIPS score
97.7188/100
▲ 15 pts above national avg 83.1 · [object Object]

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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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)

NPI registry status

Active

Issued 01/29/2008

NPI 1861679128

Primary specialty

Adult Health Clinical Nurse Specialist

Niche

1,375 US NPIs in this specialty

Medicare Part D claims

486 55% vs specialty avg

2023 prescription claims

Specialty avg: 1,088

MIPS final score

97.7188/100 14.618800000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Adult Health Clinical Nurse Specialist compares to other specialties among Illinois providers

Illinois providers

Adult Health Clinical Nurse Specialist share within Illinois

1. Adult Health Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Clinical Nurse Specialist share within Illinois

Medicare quality performance — MIPS

SONYA RAWLS's 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average

High performer (top quartile)
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

0%100%National avg83%97.7%
MIPS final score (Adult Health Clinical Nurse Specialist) — 97.7188/100 vs national avg 83.1

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

5841 S MARYLAND AVE
CHICAGO, IL 60637

Provider Details

NPI 1861679128
Specialty Adult Health Clinical Nurse Specialist
Gender Female
NPI Issued 01/29/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

97.7188
Final Score
Avg: 83.1
75.4375
Quality
100
Promoting Interoperability

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.

UNIVERSITY OF CHICAGO
CHICAGO, 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).

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.

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.

486
Total Claims
$26K
Total Drug Cost
162
Medicare Beneficiaries

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

1,375
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,088
Avg Claims per Provider

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 →

Frequently Asked Questions

What is SONYA RAWLS's specialty?
SONYA RAWLS specializes in Adult Health Clinical Nurse Specialist and practices in CHICAGO, Illinois.
How much does SONYA RAWLS prescribe under Medicare Part D?
In 2023, SONYA RAWLS wrote 486 Medicare Part D claims totaling $26K in drug costs for 162 beneficiaries.
What is SONYA RAWLS's Medicare quality score?
SONYA RAWLS has a CMS MIPS Final Score of 97.7188/100 (Quality: 75.4375). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SONYA RAWLS located?
SONYA RAWLS is located at 5841 S MARYLAND AVE, CHICAGO, IL, 60637. Phone: (888) 824-0200.
What is SONYA RAWLS's NPI number?
SONYA RAWLS's National Provider Identifier (NPI) is 1861679128, issued on 01/29/2008.
Does SONYA RAWLS prescribe opioids?
Yes, SONYA RAWLS had 20 opioid claims in 2023 with an opioid prescribing rate of 4.1%.
How many Adult Health Clinical Nurse Specialist providers are there in the US?
There are 1,375 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,088 Medicare Part D claims per year.
What drugs does SONYA RAWLS prescribe most often?
Based on 2023 Medicare Part D data, SONYA RAWLS's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SONYA RAWLS accept Medicare?
SONYA RAWLS appears in CMS Medicare data with 486 Part D claims and 162 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SONYA RAWLS's credentials?
SONYA RAWLS's NPI is 1861679128. 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.
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