2026 NPPES data Pediatrics Physician NPI 1316101181 M.D.
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ALIN ABRAHAM, M.D.

Pediatrics Physician in LISLE, 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
3K
Medicare Part D claims · 267 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
88%
generic claims · 12% 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

ALIN ABRAHAM, M.D. reported a CMS MIPS final score of 94.1036/100 — above the 83.1 national average — and filed 3,294 Medicare Part D claims in 2023.

94.1036/100
MIPS score · +11 vs avg
3K
Part D claims, 2023
88%
generic prescribing
Likely
board-certified (heuristic)

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.

ALIN ABRAHAM, M.D.'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

Board certification likely (heuristic — not verified)

ALIN ABRAHAM, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ALIN ABRAHAM, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/10/2008

NPI 1316101181

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

3,294 332% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

94.1036/100 11.003600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Pediatrics Physician compares to other specialties among Illinois providers

Illinois providers

Pediatrics Physician share within Illinois

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Illinois

Medicare quality performance — MIPS

ALIN ABRAHAM, M.D.'s 2023 MIPS final score plotted against the Pediatrics Physician national average

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

MIPS final score (Pediatrics Physician) — 94.1036/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Pediatrics Physician) — 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).

ALIN ABRAHAM, M.D. is a Pediatrics Physician provider practicing in LISLE, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1316101181. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ALIN ABRAHAM, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 1019 SCHOOL ST, LISLE, IL, 60532, with a listed phone of (630) 315-8800. NPI 1316101181 was issued on 07/10/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABRAHAM 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 3,294 prescription claims written by this provider, covering 267 Medicare beneficiaries and totaling roughly $384K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.1%. 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

1019 SCHOOL ST
LISLE, IL 60532

Provider Details

NPI 1316101181
Specialty Pediatrics Physician
Credentials M.D.
Gender Female
NPI Issued 07/10/2008

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

Hospital and facility affiliations

Facilities where ALIN ABRAHAM, M.D. 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.

CENTRAL DUPAGE PHYSICIAN GROUP
NAPERVILLE, IL

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 — 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 ALIN ABRAHAM, M.D.. To verify ALIN ABRAHAM, M.D.'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

ALIN ABRAHAM, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 3,294 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.

3,294
Total Claims
$384K
Total Drug Cost
267
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,534
Total Day Supply
250,674
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$321K
Generic Drug Cost
$62K
Opioid Claims
37 (1.1% rate)
Antibiotic Claims
41

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
0.98
Gender Split
75% female / 25% male
Age Distribution
<65: 32, 65-74: 129, 75-84: 80, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
284
Amlodipine Besylate
192
Levothyroxine Sodium
176
Lisinopril
161
Losartan Potassium
134
Metformin Hcl
82
Omeprazole
82
Fluticasone Propionate
77
Ozempic
Semaglutide
77
Metoprolol Succinate
71

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

Pediatrics Physician Overview

How ALIN ABRAHAM, M.D. fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

ALIN ABRAHAM, M.D.'s 3,294 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in Illinois

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

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALIN ABRAHAM, M.D.'s specialty?
ALIN ABRAHAM, M.D. specializes in Pediatrics Physician and practices in LISLE, Illinois. Credentials: M.D..
How much does ALIN ABRAHAM, M.D. prescribe under Medicare Part D?
In 2023, ALIN ABRAHAM, M.D. wrote 3,294 Medicare Part D claims totaling $384K in drug costs for 267 beneficiaries.
What is ALIN ABRAHAM, M.D.'s Medicare quality score?
ALIN ABRAHAM, M.D. 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 ALIN ABRAHAM, M.D. located?
ALIN ABRAHAM, M.D. is located at 1019 SCHOOL ST, LISLE, IL, 60532. Phone: (630) 315-8800.
What is ALIN ABRAHAM, M.D.'s NPI number?
ALIN ABRAHAM, M.D.'s National Provider Identifier (NPI) is 1316101181, issued on 07/10/2008.
Does ALIN ABRAHAM, M.D. prescribe more brand-name or generic drugs?
ALIN ABRAHAM, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $321K in brand drug costs.
Does ALIN ABRAHAM, M.D. prescribe opioids?
Yes, ALIN ABRAHAM, M.D. had 37 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does ALIN ABRAHAM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ALIN ABRAHAM, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALIN ABRAHAM, M.D. accept Medicare?
ALIN ABRAHAM, M.D. appears in CMS Medicare data with 3,294 Part D claims and 267 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALIN ABRAHAM, M.D.'s credentials?
ALIN ABRAHAM, M.D.'s NPI is 1316101181 with credentials M.D.. 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