2026 NPPES data Family Medicine Physician NPI 1003804519 MD
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Dorothea Poulos, MD

Family Medicine Physician in Elgin, Illinois. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,640 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
6K
Medicare Part D claims · 500 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Dorothea Poulos, MD filed 6,463 Medicare Part D claims in 2023 as a Family Medicine Physician in Elgin, Illinois, prescribing 88% generic.

6K
Part D claims, 2023
88%
generic prescribing

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.

Dorothea Poulos, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

6,463 Top 4% higher than 96% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic, not verified)

Dorothea Poulos, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Dorothea Poulos, MD?

Quality data not reported

NPI registry status

Active

Issued 10/10/2005

NPI 1003804519

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

6,463 89% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Illinois

How Family Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Largest specialties in Illinois (% of in-state providers)

Clinical Social Worker - 5.2%Clinical Social Worker5.2%Physical Therapist - 5%Physical Therapist5%Mental Health Counselor - 4.5%Mental Health Counselor4.5%Speech-Language Pathologist - 4.2%Speech-Language Pathologist4.2%Student in an Organized Health Care Education/Training Program - 4.2%Student in an Organized Health Care Education/Training Program4.2%Pharmacist - 4.1%Pharmacist4.1%Family Medicine Physician - 2.5%Family Medicine Physician2.5%
Largest specialties in Illinois (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Medicine Physician. Verify directly:

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).

Dorothea Poulos, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 87 N AIRLITE ST STE 130, Elgin, IL, 60123, with a listed phone of (847) 888-3661. NPI 1003804519 was issued on 10/10/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Poulos 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 6,463 prescription claims written by this provider, covering 500 Medicare beneficiaries and totaling roughly $458K in drug spend, split 11% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.3%. 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.

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

87 N AIRLITE ST STE 130
Elgin, IL 60123

Provider Details

NPI 1003804519
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 10/10/2005

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 Dorothea Poulos, MD. To verify Dorothea Poulos, 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 · Typical

Dorothea Poulos, MD - brand share 11.0%
Family Medicine Physician average

11% brand-name claims vs 88% generic, on 6,463 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.

6,463
Total Claims
$458K
Total Drug Cost
500
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,168
Total Day Supply
399,483
Brand vs Generic
11% brand / 88% generic
Brand Drug Cost
$332K
Generic Drug Cost
$121K
Opioid Claims
82 (1.3% rate)
Antibiotic Claims
177

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.19
Gender Split
78% female / 22% male
Age Distribution
<65: 23, 65-74: 217, 75-84: 186, 85+: 74

Top Prescribed Drugs (Medicare Part D)

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

What Dorothea Poulos, MD 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
425
Levothyroxine Sodium
365
Amlodipine Besylate
315
Metoprolol Succinate
279
Gabapentin
212
Losartan Potassium
199
Omeprazole
192
Simvastatin
192
Hydrochlorothiazide
185
Alprazolam
167

* 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 Dorothea Poulos, MD 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

Dorothea Poulos, MD's 6,463 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 Poulos.

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Dorothea Poulos, MD's specialty?
Dorothea Poulos, MD specializes in Family Medicine Physician and practices in Elgin, Illinois. Credentials: MD.
How much does Dorothea Poulos, MD prescribe under Medicare Part D?
In 2023, Dorothea Poulos, MD wrote 6,463 Medicare Part D claims totaling $458K in drug costs for 500 beneficiaries.
Where is Dorothea Poulos, MD located?
Dorothea Poulos, MD is located at 87 N AIRLITE ST STE 130, Elgin, IL, 60123. Phone: (847) 888-3661.
What is Dorothea Poulos, MD's NPI number?
Dorothea Poulos, MD's National Provider Identifier (NPI) is 1003804519, issued on 10/10/2005.
Does Dorothea Poulos, MD prescribe more brand-name or generic drugs?
Dorothea Poulos, MD's prescribing is 11% brand-name and 88% generic drugs by claim count, with $332K in brand drug costs.
Does Dorothea Poulos, MD prescribe opioids?
Yes, Dorothea Poulos, MD had 82 opioid claims in 2023 with an opioid prescribing rate of 1.3%.
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 Dorothea Poulos, MD prescribe most often?
Based on 2023 Medicare Part D data, Dorothea Poulos, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Dorothea Poulos, MD accept Medicare?
Dorothea Poulos, MD appears in CMS Medicare data with 6,463 Part D claims and 500 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Dorothea Poulos, MD's credentials?
Dorothea Poulos, MD's NPI is 1003804519 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.
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

Compiled from official public sources by the PlainDoctor editorial team.