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Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

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Ellen GaughanMD

Psychiatry & Neurology · Plattsburgh, NY 12901

NPI: 1366448599

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33

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peersHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

233

Total Claims

$35K

Drug Cost

16

Beneficiaries

$2,211

Cost/Patient

Risk Score Breakdown 33/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Long-acting opioid rate+8

Score components are additive. Read full methodology

Peer Comparison vs. 10,307 Psychiatry & Neurology providers

+67%

Cost per patient vs peers

$2,211 vs $1,323 avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

18.5%

Opioid Rate

43

Opioid Claims

$2,606

Opioid Cost

39.5%

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 224 claims · $8,262

Patient Profile

66

Avg Age

Female

1.02

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About