2026 NPPES data Nephrology Physician NPI 1194969170 M.D.
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BRADFORD WEST, M.D.

Nephrology Physician in SPRINGFIELD, 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
6K
Medicare Part D claims · 569 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$270.58
13 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BRADFORD WEST, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 6,212 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
6K
Part D claims, 2023
95%
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.

BRADFORD WEST, 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

75 15th percentile higher than 15% 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)

BRADFORD WEST, 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 BRADFORD WEST, M.D.?

Below national average

NPI registry status

Active

Issued 04/22/2009

NPI 1194969170

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

6,212 327% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

75/100 8.099999999999994% 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

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

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Nephrology Physician) — 75/100 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).

BRADFORD WEST, M.D. appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D. credentials at 350 W CARPENTER ST, SPRINGFIELD, IL, 62702, with a listed phone of (217) 528-7541. NPI 1194969170 was issued on 04/22/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WEST 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 6,212 prescription claims written by this provider, covering 569 Medicare beneficiaries and totaling roughly $717K in drug spend, split 5% brand-name and 95% 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 75/100 for the 2023 performance year, 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

350 W CARPENTER ST
SPRINGFIELD, IL 62702

Provider Details

NPI 1194969170
Specialty Nephrology Physician
Credentials M.D.
Gender Male
NPI Issued 04/22/2009

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where BRADFORD WEST, 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.

SPRINGFIELD CLINIC, LLP
LINCOLN, 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 BRADFORD WEST, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$271

Largest payer

Amgen 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 BRADFORD WEST, M.D.. To verify BRADFORD WEST, 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

BRADFORD WEST, M.D. — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 6,212 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.

6,212
Total Claims
$717K
Total Drug Cost
569
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,926
Total Day Supply
351,120
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$269K
Generic Drug Cost
$447K
Antibiotic Claims
577

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
3.00
Gender Split
45% female / 55% male
Age Distribution
<65: 123, 65-74: 235, 75-84: 160, 85+: 51

Top Prescribed Drugs (Medicare Part D)

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

What BRADFORD WEST, 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
Prednisone
457
Calcitriol
432
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
389
Nifedipine Er
Nifedipine
267
Pravastatin Sodium
231
Potassium Chloride
226
Metoprolol Succinate
218
Hydrochlorothiazide
217
Amlodipine Besylate
214
Furosemide
212

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

Nephrology Physician Overview

How BRADFORD WEST, 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

BRADFORD WEST, M.D.'s 6,212 claims are above 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 WEST.

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

Frequently Asked Questions

What is BRADFORD WEST, M.D.'s specialty?
BRADFORD WEST, M.D. specializes in Nephrology Physician and practices in SPRINGFIELD, Illinois. Credentials: M.D..
How much does BRADFORD WEST, M.D. prescribe under Medicare Part D?
In 2023, BRADFORD WEST, M.D. wrote 6,212 Medicare Part D claims totaling $717K in drug costs for 569 beneficiaries.
What is BRADFORD WEST, M.D.'s Medicare quality score?
BRADFORD WEST, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRADFORD WEST, M.D. located?
BRADFORD WEST, M.D. is located at 350 W CARPENTER ST, SPRINGFIELD, IL, 62702. Phone: (217) 528-7541.
What is BRADFORD WEST, M.D.'s NPI number?
BRADFORD WEST, M.D.'s National Provider Identifier (NPI) is 1194969170, issued on 04/22/2009.
Does BRADFORD WEST, M.D. prescribe more brand-name or generic drugs?
BRADFORD WEST, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $269K 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 BRADFORD WEST, M.D. prescribe most often?
Based on 2023 Medicare Part D data, BRADFORD WEST, M.D.'s most frequently prescribed drugs include Prednisone, Calcitriol, Sulfamethoxazole-Trimethoprim. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRADFORD WEST, M.D. accept Medicare?
BRADFORD WEST, M.D. appears in CMS Medicare data with 6,212 Part D claims and 569 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRADFORD WEST, M.D.'s credentials?
BRADFORD WEST, M.D.'s NPI is 1194969170 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