Rachel Naomi Gause, APRN, FNP-C
NPI 1316286388ActiveIndividual· Nurse Practitioner, Family· West Amherst, NY
Nurse Practitioner, Family (APRN, FNP-C) with Highgate Medical Group PC, practicing in West Amherst, New York. Their prescriptions cost Medicare Part D more than their services did: $274,386 for 1,949 claims, against $9,465 paid for services in 2024. Pfizer Inc. was the largest of 19 companies reporting payments in 2025, $1,123 in all, mostly food and beverage. Lists Kaleida Health as a hospital affiliation.
Overview
| NPI | 1316286388 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, FNP-C |
| Sole proprietor | No |
| NPI issued | Feb 11, 2013 |
| Last updated in NPPES | Jun 16, 2026 |
| Certified by provider | Jun 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 343921 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 82 |
|---|---|
| Services billed | 187 across 28 procedure codes |
| Paid by Medicare | $9,465 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,949 · 4,019 30-day fills |
|---|---|
| Patients | 486 |
| Total drug cost | $274,386 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Highgate Medical Group PCWilliamsville, NY · 57 clinicians
Hospital affiliation
- Kaleida HealthBuffalo, NY
Industry payments (Open Payments)
- 2025$1,123 · 67 payments from 19 companies
- 2024$1,609 · 83 payments from 27 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $175.74 | 13 |
| Lilly USA, LLC | $169.23 | 13 |
| Novo Nordisk Inc | $165.46 | 10 |
| Glaxosmithkline, LLC. | $92.10 | 6 |
| Exact Sciences Corporation | $73.57 | 3 |
What the 2025 payments were for
- Food and Beverage$1,123 · 67 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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