2026 NPPES data Acute Care Nurse Practitioner NPI 1952353070 MS
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SUSAN GALANES, MS

Acute Care Nurse Practitioner in WINFIELD, 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
552
Medicare Part D claims · 212 beneficiaries · Acute Care Nurse Practitioner avg: 576
Generic prescribing
42%
generic claims · 58% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1036/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$247.51
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SUSAN GALANES, MS reported a CMS MIPS final score of 94.1036/100 — above the 83.1 national average — and filed 552 Medicare Part D claims in 2023.

94.1036/100
MIPS score · +11 vs avg
552
Part D claims, 2023
42%
generic prescribing
$247.51
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.

SUSAN GALANES, MS's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

94 Top 25% higher than 75% 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 SUSAN GALANES, MS?

High performer (top quartile)

NPI registry status

Active

Issued 05/17/2006

NPI 1952353070

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,583 US NPIs in this specialty

Medicare Part D claims

552 4% vs specialty avg

2023 prescription claims

Specialty avg: 576

MIPS final score

94.1036/100 11.003600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

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

Illinois providers

Acute Care Nurse Practitioner share within Illinois

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

Medicare quality performance — MIPS

SUSAN GALANES, MS's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
94.1036/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Acute Care Nurse Practitioner) — 94.1036/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Acute Care Nurse Practitioner) — 94.1036/100 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).

SUSAN GALANES, MS appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider holding MS credentials at 25 N WINFIELD RD, WINFIELD, IL, 60190, with a listed phone of (630) 690-4993. NPI 1952353070 was issued on 05/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GALANES 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 552 prescription claims written by this provider, covering 212 Medicare beneficiaries and totaling roughly $203K in drug spend, split 58% brand-name and 42% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1036/100 for the 2023 performance year (Quality 82.5938), compared with the national average of 83.1.

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

25 N WINFIELD RD
WINFIELD, IL 60190

Provider Details

NPI 1952353070
Specialty Acute Care Nurse Practitioner
Credentials MS
Gender Female
NPI Issued 05/17/2006

CMS Quality Score (MIPS)

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

94.1036
Final Score
Avg: 83.1
82.5938
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 SUSAN GALANES, MS. Source: openpaymentsdata.cms.gov.

Total received

$248

Largest payer

Inspire Medical Systems, Inc.

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 SUSAN GALANES, MS. To verify SUSAN GALANES, MS'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.

Brand vs generic prescribing mix · Brand-heavy

SUSAN GALANES, MS — brand share 58.0%
Specialty average (est.)

58% brand-name claims vs 42% generic, on 552 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.

552
Total Claims
$203K
Total Drug Cost
212
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
879
Total Day Supply
24,357
Brand vs Generic
58% brand / 42% generic
Brand Drug Cost
$195K
Antibiotic Claims
39

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.57
Gender Split
57% female / 43% male
Age Distribution
<65: 22, 65-74: 83, 75-84: 82, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

What SUSAN GALANES, MS 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
Montelukast Sodium
59
Breo Ellipta
Fluticasone/Vilanterol
50
Symbicort
Budesonide/Formoterol Fumarate
41
Albuterol Sulfate Hfa
Albuterol Sulfate
36
Incruse Ellipta
Umeclidinium Bromide
35
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
35
Prednisone
32
Fluticasone Propionate
24
Ventolin Hfa
Albuterol Sulfate
21
Azelastine Hcl
19

* 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 SUSAN GALANES, MS 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

SUSAN GALANES, MS's 552 claims are below the specialty average of 576.

Nearby Acute Care Nurse Practitioner Providers in Illinois

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

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

Frequently Asked Questions

What is SUSAN GALANES, MS's specialty?
SUSAN GALANES, MS specializes in Acute Care Nurse Practitioner and practices in WINFIELD, Illinois. Credentials: MS.
How much does SUSAN GALANES, MS prescribe under Medicare Part D?
In 2023, SUSAN GALANES, MS wrote 552 Medicare Part D claims totaling $203K in drug costs for 212 beneficiaries.
What is SUSAN GALANES, MS's Medicare quality score?
SUSAN GALANES, MS has a CMS MIPS Final Score of 94.1036/100 (Quality: 82.5938). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SUSAN GALANES, MS located?
SUSAN GALANES, MS is located at 25 N WINFIELD RD, WINFIELD, IL, 60190. Phone: (630) 690-4993.
What is SUSAN GALANES, MS's NPI number?
SUSAN GALANES, MS's National Provider Identifier (NPI) is 1952353070, issued on 05/17/2006.
Does SUSAN GALANES, MS prescribe more brand-name or generic drugs?
SUSAN GALANES, MS's prescribing is 58% brand-name and 42% generic drugs by claim count, with $195K 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 SUSAN GALANES, MS prescribe most often?
Based on 2023 Medicare Part D data, SUSAN GALANES, MS's most frequently prescribed drugs include Montelukast Sodium, Breo Ellipta, Symbicort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUSAN GALANES, MS accept Medicare?
SUSAN GALANES, MS appears in CMS Medicare data with 552 Part D claims and 212 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUSAN GALANES, MS's credentials?
SUSAN GALANES, MS's NPI is 1952353070 with credentials MS. 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