2026 NPPES data Nephrology Physician NPI 1336354562 M.D.
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ANDRES SERRANO, M.D.

Nephrology Physician 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
662
Medicare Part D claims · 122 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.83/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$417.99
23 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANDRES SERRANO, M.D. reported a CMS MIPS final score of 80.83/100 — below the 83.1 national average — and filed 662 Medicare Part D claims in 2023.

80.83/100
MIPS score · -2 vs avg
662
Part D claims, 2023
81%
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.

ANDRES SERRANO, 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

81 33rd percentile higher than 33% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

ANDRES SERRANO, 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 ANDRES SERRANO, M.D.?

Near national average

NPI registry status

Active

Issued 05/11/2007

NPI 1336354562

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

662 54% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

80.83/100 2.269999999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Nephrology Physician compares to other specialties among Illinois providers

Illinois providers

Nephrology Physician share within Illinois

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

Medicare quality performance — MIPS

ANDRES SERRANO, M.D.'s 2023 MIPS final score plotted against the Nephrology Physician national average

Near national average
MIPS Final Score
80.83/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 80.83/100 vs national avg 83.1

0%100%National avg83%80.8%
MIPS final score (Nephrology Physician) — 80.83/100 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).

ANDRES SERRANO, M.D. appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D. credentials at 1501 S CALIFORNIA AVE, CHICAGO, IL, 60608, with a listed phone of (773) 257-2000. NPI 1336354562 was issued on 05/11/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SERRANO 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 662 prescription claims written by this provider, covering 122 Medicare beneficiaries and totaling roughly $147K in drug spend, split 19% brand-name and 81% generic by claim count. 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 80.83/100 for the 2023 performance year (Quality 64.9666, Cost 63.1534), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

1501 S CALIFORNIA AVE
CHICAGO, IL 60608

Provider Details

NPI 1336354562
Specialty Nephrology Physician
Credentials M.D.
Gender Male
NPI Issued 05/11/2007

CMS Quality Score (MIPS)

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

80.83
Final Score
Avg: 83.1
64.9666
Quality
63.1534
Cost
72
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANDRES SERRANO, 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.

MOUNT SINAI COMMUNITY FOUNDATION
CHICAGO, 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).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ANDRES SERRANO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$418

Largest payer

Travere Therapeutics, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

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 ANDRES SERRANO, M.D.. To verify ANDRES SERRANO, 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

ANDRES SERRANO, M.D. — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 662 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.

662
Total Claims
$147K
Total Drug Cost
122
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,335
Total Day Supply
39,405
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$113K
Generic Drug Cost
$34K

Patient Demographics

Average Patient Age
66.7 years
Avg HCC Risk Score
5.52
Gender Split
54% female / 46% male
Age Distribution
<65: 42, 65-74: 51, 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 ANDRES SERRANO, M.D. 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
Losartan Potassium
65
Farxiga
Dapagliflozin Propanediol
59
Sevelamer Carbonate
59
Furosemide
39
Amlodipine Besylate
33
Calcitriol
32
Carvedilol
20
Nifedipine Er
Nifedipine
19
Lisinopril
18
Enalapril Maleate
16

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

Nephrology Physician Overview

How ANDRES SERRANO, M.D. fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

ANDRES SERRANO, M.D.'s 662 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Illinois

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

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

Frequently Asked Questions

What is ANDRES SERRANO, M.D.'s specialty?
ANDRES SERRANO, M.D. specializes in Nephrology Physician and practices in CHICAGO, Illinois. Credentials: M.D..
How much does ANDRES SERRANO, M.D. prescribe under Medicare Part D?
In 2023, ANDRES SERRANO, M.D. wrote 662 Medicare Part D claims totaling $147K in drug costs for 122 beneficiaries.
What is ANDRES SERRANO, M.D.'s Medicare quality score?
ANDRES SERRANO, M.D. has a CMS MIPS Final Score of 80.83/100 (Quality: 64.9666, Cost: 63.1534). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDRES SERRANO, M.D. located?
ANDRES SERRANO, M.D. is located at 1501 S CALIFORNIA AVE, CHICAGO, IL, 60608. Phone: (773) 257-2000.
What is ANDRES SERRANO, M.D.'s NPI number?
ANDRES SERRANO, M.D.'s National Provider Identifier (NPI) is 1336354562, issued on 05/11/2007.
Does ANDRES SERRANO, M.D. prescribe more brand-name or generic drugs?
ANDRES SERRANO, M.D.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $113K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does ANDRES SERRANO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ANDRES SERRANO, M.D.'s most frequently prescribed drugs include Losartan Potassium, Farxiga, Sevelamer Carbonate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDRES SERRANO, M.D. accept Medicare?
ANDRES SERRANO, M.D. appears in CMS Medicare data with 662 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 ANDRES SERRANO, M.D.'s credentials?
ANDRES SERRANO, M.D.'s NPI is 1336354562 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