2026 NPPES data Family Medicine Physician NPI 1235315995 M.D.
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BINO OOMMEN, M.D.

Family Medicine Physician in DES PLAINES, 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
7K
Medicare Part D claims · 315 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.9498/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$582.75
15 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BINO OOMMEN, M.D. reported a CMS MIPS final score of 78.9498/100 — below the 83.1 national average — and filed 6,911 Medicare Part D claims in 2023.

78.9498/100
MIPS score · -4 vs avg
7K
Part D claims, 2023
92%
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.

BINO OOMMEN, 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

79 27th percentile higher than 27% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

BINO OOMMEN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 BINO OOMMEN, M.D.?

Near national average

NPI registry status

Active

Issued 01/11/2008

NPI 1235315995

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

6,911 102% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

78.9498/100 4.150199999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Family Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Family Medicine Physician share within Illinois

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

Medicare quality performance — MIPS

BINO OOMMEN, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
78.9498/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 78.9498/100 vs national avg 83.1

0%100%National avg83%78.9%
MIPS final score (Family Medicine Physician) — 78.9498/100 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).

BINO OOMMEN, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 1328 WEBFORD AVE, DES PLAINES, IL, 60016, with a listed phone of (773) 301-3921. NPI 1235315995 was issued on 01/11/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what OOMMEN 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 6,911 prescription claims written by this provider, covering 315 Medicare beneficiaries and totaling roughly $374K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 6.8%. 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 78.9498/100 for the 2023 performance year (Quality 100, Cost 15.6135), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

1328 WEBFORD AVE
DES PLAINES, IL 60016

Provider Details

NPI 1235315995
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 01/11/2008

CMS Quality Score (MIPS)

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

78.9498
Final Score
Avg: 83.1
100
Quality
15.6135
Cost

Reporting: Individual

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 BINO OOMMEN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$583

Largest payer

Corcept Therapeutics

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 BINO OOMMEN, M.D.. To verify BINO OOMMEN, 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 · Generic-heavy

BINO OOMMEN, M.D. — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 6,911 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.

6,911
Total Claims
$374K
Total Drug Cost
315
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,283
Total Day Supply
240,850
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$243K
Generic Drug Cost
$123K
Opioid Claims
470 (6.8% rate)
Antibiotic Claims
235

Patient Demographics

Average Patient Age
80.8 years
Avg HCC Risk Score
1.97
Gender Split
63% female / 37% male
Age Distribution
<65: 18, 65-74: 64, 75-84: 103, 85+: 130

Top Prescribed Drugs (Medicare Part D)

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

What BINO OOMMEN, 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
Atorvastatin Calcium
375
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
250
Levothyroxine Sodium
248
Amlodipine Besylate
247
Pantoprazole Sodium
246
Gabapentin
226
Metoprolol Succinate
200
Lisinopril
187
Escitalopram Oxalate
160
Furosemide
156

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

Family Medicine Physician Overview

How BINO OOMMEN, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

BINO OOMMEN, M.D.'s 6,911 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Illinois

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BINO OOMMEN, M.D.'s specialty?
BINO OOMMEN, M.D. specializes in Family Medicine Physician and practices in DES PLAINES, Illinois. Credentials: M.D..
How much does BINO OOMMEN, M.D. prescribe under Medicare Part D?
In 2023, BINO OOMMEN, M.D. wrote 6,911 Medicare Part D claims totaling $374K in drug costs for 315 beneficiaries.
What is BINO OOMMEN, M.D.'s Medicare quality score?
BINO OOMMEN, M.D. has a CMS MIPS Final Score of 78.9498/100 (Quality: 100, Cost: 15.6135). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BINO OOMMEN, M.D. located?
BINO OOMMEN, M.D. is located at 1328 WEBFORD AVE, DES PLAINES, IL, 60016. Phone: (773) 301-3921.
What is BINO OOMMEN, M.D.'s NPI number?
BINO OOMMEN, M.D.'s National Provider Identifier (NPI) is 1235315995, issued on 01/11/2008.
Does BINO OOMMEN, M.D. prescribe more brand-name or generic drugs?
BINO OOMMEN, M.D.'s prescribing is 8% brand-name and 92% generic drugs by claim count, with $243K in brand drug costs.
Does BINO OOMMEN, M.D. prescribe opioids?
Yes, BINO OOMMEN, M.D. had 470 opioid claims in 2023 with an opioid prescribing rate of 6.8%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does BINO OOMMEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, BINO OOMMEN, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Hydrocodone-Acetaminophen, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BINO OOMMEN, M.D. accept Medicare?
BINO OOMMEN, M.D. appears in CMS Medicare data with 6,911 Part D claims and 315 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BINO OOMMEN, M.D.'s credentials?
BINO OOMMEN, M.D.'s NPI is 1235315995 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