2026 NPPES data Adult Health Nurse Practitioner NPI 1104081066 NURSE PRACTITIONER
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THERESE SWEENEY, NURSE PRACTITIONER

Adult Health Nurse Practitioner 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
209
Medicare Part D claims · 111 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
86%
generic claims · 14% 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]

What the federal data shows

THERESE SWEENEY, NURSE PRACTITIONER reported a CMS MIPS final score of 94.1036/100 — above the 83.1 national average — and filed 209 Medicare Part D claims in 2023.

94.1036/100
MIPS score · +11 vs avg
209
Part D claims, 2023
86%
generic prescribing

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.

THERESE SWEENEY, NURSE PRACTITIONER'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 THERESE SWEENEY, NURSE PRACTITIONER?

High performer (top quartile)

NPI registry status

Active

Issued 07/21/2008

NPI 1104081066

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

209 83% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

94.1036/100 11.003600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Adult Health Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Adult Health Nurse Practitioner share within Illinois

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

Medicare quality performance — MIPS

THERESE SWEENEY, NURSE PRACTITIONER's 2023 MIPS final score plotted against the Adult Health 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 (Adult Health Nurse Practitioner) — 94.1036/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Adult Health 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).

THERESE SWEENEY, NURSE PRACTITIONER appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding NURSE PRACTITIONER credentials at 251 E HURON ST, CHICAGO, IL, 60611, with a listed phone of (312) 926-0148. NPI 1104081066 was issued on 07/21/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SWEENEY 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 209 prescription claims written by this provider, covering 111 Medicare beneficiaries and totaling roughly $23K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 12.4%. 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.

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

251 E HURON ST
CHICAGO, IL 60611

Provider Details

NPI 1104081066
Specialty Adult Health Nurse Practitioner
Credentials NURSE PRACTITIONER
Gender Female
NPI Issued 07/21/2008

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

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 THERESE SWEENEY, NURSE PRACTITIONER. To verify THERESE SWEENEY, NURSE PRACTITIONER'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 · Typical

THERESE SWEENEY, NURSE PRACTITIONER — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 209 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.

209
Total Claims
$23K
Total Drug Cost
111
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
255
Total Day Supply
3,800
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$21K
Generic Drug Cost
$2K
Opioid Claims
26 (12.4% rate)
Antibiotic Claims
90

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
1.44
Gender Split
16% female / 84% male

Top Prescribed Drugs (Medicare Part D)

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

What THERESE SWEENEY, NURSE PRACTITIONER 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
Ciprofloxacin Hcl
47
Cephalexin
22
Eliquis
Apixaban
20
Famotidine
15
Oxycodone Hcl
13
Tramadol Hcl
12

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

Adult Health Nurse Practitioner Overview

How THERESE SWEENEY, NURSE PRACTITIONER fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

THERESE SWEENEY, NURSE PRACTITIONER's 209 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Illinois

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

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is THERESE SWEENEY, NURSE PRACTITIONER's specialty?
THERESE SWEENEY, NURSE PRACTITIONER specializes in Adult Health Nurse Practitioner and practices in CHICAGO, Illinois. Credentials: NURSE PRACTITIONER.
How much does THERESE SWEENEY, NURSE PRACTITIONER prescribe under Medicare Part D?
In 2023, THERESE SWEENEY, NURSE PRACTITIONER wrote 209 Medicare Part D claims totaling $23K in drug costs for 111 beneficiaries.
What is THERESE SWEENEY, NURSE PRACTITIONER's Medicare quality score?
THERESE SWEENEY, NURSE PRACTITIONER 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 THERESE SWEENEY, NURSE PRACTITIONER located?
THERESE SWEENEY, NURSE PRACTITIONER is located at 251 E HURON ST, CHICAGO, IL, 60611. Phone: (312) 926-0148.
What is THERESE SWEENEY, NURSE PRACTITIONER's NPI number?
THERESE SWEENEY, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1104081066, issued on 07/21/2008.
Does THERESE SWEENEY, NURSE PRACTITIONER prescribe more brand-name or generic drugs?
THERESE SWEENEY, NURSE PRACTITIONER's prescribing is 14% brand-name and 86% generic drugs by claim count, with $21K in brand drug costs.
Does THERESE SWEENEY, NURSE PRACTITIONER prescribe opioids?
Yes, THERESE SWEENEY, NURSE PRACTITIONER had 26 opioid claims in 2023 with an opioid prescribing rate of 12.4%.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does THERESE SWEENEY, NURSE PRACTITIONER prescribe most often?
Based on 2023 Medicare Part D data, THERESE SWEENEY, NURSE PRACTITIONER's most frequently prescribed drugs include Ciprofloxacin Hcl, Cephalexin, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THERESE SWEENEY, NURSE PRACTITIONER accept Medicare?
THERESE SWEENEY, NURSE PRACTITIONER appears in CMS Medicare data with 209 Part D claims and 111 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THERESE SWEENEY, NURSE PRACTITIONER's credentials?
THERESE SWEENEY, NURSE PRACTITIONER's NPI is 1104081066 with credentials NURSE PRACTITIONER. 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