2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1174600514 MD
Verify on CMS →

BENJAMIN MARGOLIS, MD

Sleep Medicine (Internal Medicine) Physician in BANNOCKBURN, 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
1K
Medicare Part D claims · 221 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
44%
generic claims · 56% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.0872/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$1.2K
18 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BENJAMIN MARGOLIS, MD reported a CMS MIPS final score of 93.0872/100 — above the 83.1 national average — and filed 1,042 Medicare Part D claims in 2023.

93.0872/100
MIPS score · +10 vs avg
1K
Part D claims, 2023
44%
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.

BENJAMIN MARGOLIS, MD's MIPS score vs every scored U.S. clinician

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

93 Top 29% higher than 71% 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)

BENJAMIN MARGOLIS, MD 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 BENJAMIN MARGOLIS, MD?

High performer (top quartile)

NPI registry status

Active

Issued 11/01/2006

NPI 1174600514

Primary specialty

Sleep Medicine (Internal Medicine) Physician

Niche

857 US NPIs in this specialty

Medicare Part D claims

1,042 20% vs specialty avg

2023 prescription claims

Specialty avg: 1,310

MIPS final score

93.0872/100 9.987200000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Sleep Medicine (Internal Medicine) Physician compares to other specialties among Illinois providers

Illinois providers

Sleep Medicine (Internal Medicine) Physician share within Illinois

1. Sleep Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Internal Medicine) Physician share within Illinois

Medicare quality performance — MIPS

BENJAMIN MARGOLIS, MD's 2023 MIPS final score plotted against the Sleep Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
93.0872/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 93.0872/100 vs national avg 83.1

0%100%National avg83%93.1%
MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 93.0872/100 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).

BENJAMIN MARGOLIS, MD is a Sleep Medicine (Internal Medicine) Physician provider practicing in BANNOCKBURN, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1174600514. 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.

BENJAMIN MARGOLIS, MD appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding MD credentials at 2151 WAUKEGAN RD STE 110, BANNOCKBURN, IL, 60015, with a listed phone of (847) 236-1300. NPI 1174600514 was issued on 11/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARGOLIS 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 1,042 prescription claims written by this provider, covering 221 Medicare beneficiaries and totaling roughly $669K in drug spend, split 56% brand-name and 44% 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 93.0872/100 for the 2023 performance year (Quality 80.7919), compared with the national average of 83.1.

Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 857 enrolled providers across 52 states and an average of 1,310 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

2151 WAUKEGAN RD STE 110
BANNOCKBURN, IL 60015

Provider Details

NPI 1174600514
Specialty Sleep Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 11/01/2006

CMS Quality Score (MIPS)

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

93.0872
Final Score
Avg: 83.1
80.7919
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where BENJAMIN MARGOLIS, MD 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.

ENDEAVOR HEALTH MEDICAL GROUP
BANNOCKBURN, 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 BENJAMIN MARGOLIS, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

AstraZeneca Pharmaceuticals LP

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 BENJAMIN MARGOLIS, MD. To verify BENJAMIN MARGOLIS, MD'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 · Brand-heavy

BENJAMIN MARGOLIS, MD — brand share 56.0%
Specialty average (est.)

56% brand-name claims vs 44% generic, on 1,042 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.

1,042
Total Claims
$669K
Total Drug Cost
221
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,901
Total Day Supply
53,638
Brand vs Generic
56% brand / 44% generic
Brand Drug Cost
$572K
Antibiotic Claims
28

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.98
Gender Split
52% female / 48% male
Age Distribution
<65: 20, 65-74: 85, 75-84: 86, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
159
Prednisone
74
Advair Diskus
Fluticasone Propion/Salmeterol
72
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
65
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
55
Fluticasone Propionate
52
Montelukast Sodium
44
Flovent Hfa
Fluticasone Propionate
41
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
38
Spiriva Respimat
Tiotropium Bromide
36

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

Sleep Medicine (Internal Medicine) Physician Overview

How BENJAMIN MARGOLIS, MD fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.

857
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider

BENJAMIN MARGOLIS, MD's 1,042 claims are below the specialty average of 1,310.

Nearby Sleep Medicine (Internal Medicine) Physician Providers in Illinois

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

Compare Sleep Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BENJAMIN MARGOLIS, MD's specialty?
BENJAMIN MARGOLIS, MD specializes in Sleep Medicine (Internal Medicine) Physician and practices in BANNOCKBURN, Illinois. Credentials: MD.
How much does BENJAMIN MARGOLIS, MD prescribe under Medicare Part D?
In 2023, BENJAMIN MARGOLIS, MD wrote 1,042 Medicare Part D claims totaling $669K in drug costs for 221 beneficiaries.
What is BENJAMIN MARGOLIS, MD's Medicare quality score?
BENJAMIN MARGOLIS, MD has a CMS MIPS Final Score of 93.0872/100 (Quality: 80.7919). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BENJAMIN MARGOLIS, MD located?
BENJAMIN MARGOLIS, MD is located at 2151 WAUKEGAN RD STE 110, BANNOCKBURN, IL, 60015. Phone: (847) 236-1300.
What is BENJAMIN MARGOLIS, MD's NPI number?
BENJAMIN MARGOLIS, MD's National Provider Identifier (NPI) is 1174600514, issued on 11/01/2006.
Does BENJAMIN MARGOLIS, MD prescribe more brand-name or generic drugs?
BENJAMIN MARGOLIS, MD's prescribing is 56% brand-name and 44% generic drugs by claim count, with $572K in brand drug costs.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US?
There are 857 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does BENJAMIN MARGOLIS, MD prescribe most often?
Based on 2023 Medicare Part D data, BENJAMIN MARGOLIS, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Prednisone, Advair Diskus. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BENJAMIN MARGOLIS, MD accept Medicare?
BENJAMIN MARGOLIS, MD appears in CMS Medicare data with 1,042 Part D claims and 221 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BENJAMIN MARGOLIS, MD's credentials?
BENJAMIN MARGOLIS, MD's NPI is 1174600514 with credentials MD. 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