2026 NPPES data Adult Psychiatric/Mental Health Clinical Nurse Specialist NPI 1033448188 PMH CNS-BC
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Ursula Makrum, PMH CNS-BC

Adult Psychiatric/Mental Health Clinical Nurse Specialist in Worcester, Massachusetts.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 955 in Adult Psychiatric/Mental Health Clinical Nurse Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 122 beneficiaries · Adult Psychiatric/Mental Health Clinical Nurse Specialist avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97/100
▲ 14 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Ursula Makrum, PMH CNS-BC reported a CMS MIPS final score of 97/100 - above the 83.1 national average - and filed 1,101 Medicare Part D claims in 2023.

97/100
MIPS score · +14 vs avg
1K
Part D claims, 2023
95%
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.

Ursula Makrum, PMH CNS-BC's MIPS score vs every scored U.S. clinician

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

97 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+: 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

Where Ursula Makrum, PMH CNS-BC sits

This provider among adult psychiatric/mental health clinical nurse specialist peers

Across the 40 adult psychiatric/mental health clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Ursula Makrum, PMH CNS-BC writes more Part D claims than 57% of them and scores higher on MIPS quality than 83% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 79Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 56Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 100Part D claim volume, percentile in specialty: 74 · MIPS quality, percentile: 44Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 54 · MIPS quality, percentile: 41Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 74Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 21Part D claim volume, percentile in specialty: 41 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 44 · MIPS quality, percentile: 26Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 56Part D claim volume, percentile in specialty: 49 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 36Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 46 · MIPS quality, percentile: 56Part D claim volume, percentile in specialty: 69 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 46Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 51Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 49Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 69Part D claim volume, percentile in specialty: 36 · MIPS quality, percentile: 54Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 21Part D claim volume, percentile in specialty: 64 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 21 · MIPS quality, percentile: 31Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 64Part D claim volume, percentile in specialty: 51 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 79 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 31 · MIPS quality, percentile: 77Ursula Makrum, PMH CNS-BC-Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 83
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult psychiatric/mental health clinical nurse specialist peer from a representative sample of 39; the gold marker is Ursula Makrum, PMH CNS-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Ursula Makrum, PMH CNS-BC?

High performer (top quartile)

NPI registry status

Active

Issued 12/21/2009

NPI 1033448188

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse Specialist

Niche

955 US NPIs in this specialty

Medicare Part D claims

1,101 16% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

MIPS final score

97/100 13.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Adult Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among Massachusetts providers

Massachusetts providers
Mental Health Counselor - 8.3%Mental Health Counselor8.3%Clinical Social Worker - 7.8%Clinical Social Worker7.8%Student in an Organized Health Care Education/Training Program - 6.2%Student in an Organized Health Care Education/Training Program6.2%Behavior Technician - 4.9%Behavior Technician4.9%Counselor - 4.3%Counselor4.3%Internal Medicine Physician - 3.7%Internal Medicine Physician3.7%Adult Psychiatric/Mental Health Clinical Nurse Specialist - 0.1%Adult Psychiatric/Mental Health Clinical Nurse Specialist0.1%
Largest specialties in Massachusetts (% of in-state providers)

Medicare quality performance, MIPS

Ursula Makrum, PMH CNS-BC's 2023 MIPS final score plotted against the Adult Psychiatric/Mental Health Clinical Nurse Specialist national average

High performer (top quartile)
MIPS Final Score
97/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Psychiatric/Mental Health Clinical Nurse Specialist) - 97/100 vs national avg 83.1

0%100%National avg83%97%
MIPS final score (Adult Psychiatric/Mental Health Clinical Nurse Specialist) - 97/100 vs national avg 83.1
How MIPS and board certification work

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).

Ursula Makrum, PMH CNS-BC appears in the CMS NPPES registry as an Adult Psychiatric/Mental Health Clinical Nurse Specialist provider holding PMH CNS-BC credentials at 100 CENTURY DR, Worcester, MA, 01606, with a listed phone of (508) 762-5400. NPI 1033448188 was issued on 12/21/2009.

Medicare Part D records for calendar year 2023 show 1,101 prescription claims written by this provider, covering 122 Medicare beneficiaries and totaling roughly $136K in drug spend, split 5% brand-name and 95% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97/100 for the 2023 performance year (Quality 78.1), compared with the national average of 83.1.

Adult Psychiatric/Mental Health Clinical Nurse Specialist is a narrow specialty nationwide, with 955 enrolled providers across 51 states and an average of 1,309 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

100 CENTURY DR
Worcester, MA 01606

Provider Details

NPI 1033448188
Specialty Adult Psychiatric/Mental Health Clinical Nurse Specialist
Credentials PMH CNS-BC
Gender Female
NPI Issued 12/21/2009

CMS Quality Score (MIPS)

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

97.0218
Final Score
Avg: 83.1
78.0983
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Ursula Makrum, PMH CNS-BC 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.

Umass Memorial Medical Group Inc
Worcester, MA

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 - Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 - they are NOT specific to Ursula Makrum, PMH CNS-BC. To verify Ursula Makrum, PMH CNS-BC's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Ursula Makrum, PMH CNS-BC - brand share 5.0%
Adult Psychiatric/Mental Health Clinical Nurse Specialist average

5% brand-name claims vs 95% generic, on 1,101 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.

1,101
Total Claims
$136K
Total Drug Cost
122
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,562
Total Day Supply
46,040
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$102K
Generic Drug Cost
$34K

Patient Demographics

Average Patient Age
61.6 years
Avg HCC Risk Score
1.81
Gender Split
66% female / 34% male
Age Distribution
<65: 63, 65-74: 50, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Ursula Makrum, PMH CNS-BC 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
Clonazepam
109
Buspirone Hcl
76
Bupropion Xl
Bupropion Hcl
72
Trazodone Hcl
60
Venlafaxine Hcl Er
Venlafaxine Hcl
59
Quetiapine Fumarate
55
Aripiprazole
49
Mirtazapine
48
Olanzapine
41
Duloxetine Hcl
40

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

Adult Psychiatric/Mental Health Clinical Nurse Specialist Overview

How Ursula Makrum, PMH CNS-BC fits within the Adult Psychiatric/Mental Health Clinical Nurse Specialist landscape nationally.

955
Adult Psychiatric/Mental Health Clinical Nurse Specialist Providers in US
51
States with Adult Psychiatric/Mental Health Clinical Nurse Specialist
1,309
Avg Claims per Provider

Ursula Makrum, PMH CNS-BC's 1,101 claims are below the specialty average of 1,309.

Nearby Adult Psychiatric/Mental Health Clinical Nurse Specialist Providers in Massachusetts

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

Compare Adult Psychiatric/Mental Health Clinical Nurse Specialist nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Massachusetts medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Adult Psychiatric/Mental Health Clinical Nurse Specialist peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Ursula Makrum, PMH CNS-BC's specialty?
Ursula Makrum, PMH CNS-BC specializes in Adult Psychiatric/Mental Health Clinical Nurse Specialist and practices in Worcester, Massachusetts. Credentials: PMH CNS-BC.
How much does Ursula Makrum, PMH CNS-BC prescribe under Medicare Part D?
In 2023, Ursula Makrum, PMH CNS-BC wrote 1,101 Medicare Part D claims totaling $136K in drug costs for 122 beneficiaries.
What is Ursula Makrum, PMH CNS-BC's Medicare quality score?
Ursula Makrum, PMH CNS-BC has a CMS MIPS Final Score of 97/100 (Quality: 78.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ursula Makrum, PMH CNS-BC located?
Ursula Makrum, PMH CNS-BC is located at 100 CENTURY DR, Worcester, MA, 01606. Phone: (508) 762-5400.
What is Ursula Makrum, PMH CNS-BC's NPI number?
Ursula Makrum, PMH CNS-BC's National Provider Identifier (NPI) is 1033448188, issued on 12/21/2009.
Does Ursula Makrum, PMH CNS-BC prescribe more brand-name or generic drugs?
Ursula Makrum, PMH CNS-BC's prescribing is 5% brand-name and 95% generic drugs by claim count, with $102K in brand drug costs.
How many Adult Psychiatric/Mental Health Clinical Nurse Specialist providers are there in the US?
There are 955 Adult Psychiatric/Mental Health Clinical Nurse Specialist providers across 51 states in the US. The average Adult Psychiatric/Mental Health Clinical Nurse Specialist provider writes 1,309 Medicare Part D claims per year.
What drugs does Ursula Makrum, PMH CNS-BC prescribe most often?
Based on 2023 Medicare Part D data, Ursula Makrum, PMH CNS-BC's most frequently prescribed drugs include Clonazepam, Buspirone Hcl, Bupropion Xl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ursula Makrum, PMH CNS-BC accept Medicare?
Ursula Makrum, PMH CNS-BC appears in CMS Medicare data with 1,101 Part D claims and 122 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ursula Makrum, PMH CNS-BC's credentials?
Ursula Makrum, PMH CNS-BC's NPI is 1033448188 with credentials PMH CNS-BC. 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.