2026 NPPES data Colon & Rectal Surgery Physician NPI 1689017303 MD
Verify on CMS →

ELISA BIANCHI, MD

Colon & Rectal Surgery 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
73
Medicare Part D claims · 35 beneficiaries · Colon & Rectal Surgery Physician avg: 196
MIPS score
87.0887/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$1.0K
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ELISA BIANCHI, MD is a Colon & Rectal Surgery Physician ([object Object]) practicing in CHICAGO, Illinois with a Medicare Part D prescribing footprint of 73 claims across 35 beneficiaries . Their CMS MIPS Final Score of 87.0887/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.0K across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ELISA BIANCHI, MD reported a CMS MIPS final score of 87.0887 out of 100, above the 83.1 national average, and filed 73 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ELISA BIANCHI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ELISA BIANCHI, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/11/2013

NPI 1689017303

Primary specialty

Colon & Rectal Surgery Physician

Niche

1,608 US NPIs in this specialty

Medicare Part D claims

73 63% vs specialty avg

2023 prescription claims

Specialty avg: 196

MIPS final score

87.0887/100 3.9887000000000086% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Colon & Rectal Surgery Physician compares to other specialties among Illinois providers

Illinois providers

Colon & Rectal Surgery Physician share within Illinois

1. Colon & Rectal Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Colon & Rectal Surgery Physician share within Illinois

Medicare quality performance — MIPS

ELISA BIANCHI, MD's 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average

High performer (top quartile)
MIPS Final Score
87.0887/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Colon & Rectal Surgery Physician) — 87.0887/100 vs national avg 83.1

0%100%National avg83%87.1%
MIPS final score (Colon & Rectal Surgery Physician) — 87.0887/100 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).

ELISA BIANCHI, MD is a Colon & Rectal Surgery Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1689017303. 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.

ELISA BIANCHI, MD appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding MD credentials at 1740 W TAYLOR ST, CHICAGO, IL, 60612, with a listed phone of (312) 996-2061. NPI 1689017303 was issued on 04/11/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BIANCHI 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 73 prescription claims written by this provider, covering 35 Medicare beneficiaries and totaling roughly $6K in drug spend. 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 87.0887/100 for the 2023 performance year (Quality 70.7998, Cost 52.8291), compared with the national average of 83.1.

Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 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

1740 W TAYLOR ST
CHICAGO, IL 60612

Provider Details

NPI 1689017303
Specialty Colon & Rectal Surgery Physician
Credentials MD
Gender Female
NPI Issued 04/11/2013

CMS Quality Score (MIPS)

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

87.0887
Final Score
Avg: 83.1
70.7998
Quality
52.8291
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ELISA BIANCHI, 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.

COOK COUNTY
CHICAGO, IL
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
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 ELISA BIANCHI, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

Largest payer

INTUITIVE SURGICAL, 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 ELISA BIANCHI, MD. To verify ELISA BIANCHI, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

73
Total Claims
$6K
Total Drug Cost
35
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
83
Total Day Supply
1,326
Generic Drug Cost
$3K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.78

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocortisone
14

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

Colon & Rectal Surgery Physician Overview

How ELISA BIANCHI, MD fits within the Colon & Rectal Surgery Physician landscape nationally.

1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider

ELISA BIANCHI, MD's 73 claims are below the specialty average of 196.

Nearby Colon & Rectal Surgery Physician Providers in Illinois

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

Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ELISA BIANCHI, MD's specialty?
ELISA BIANCHI, MD specializes in Colon & Rectal Surgery Physician and practices in CHICAGO, Illinois. Credentials: MD.
How much does ELISA BIANCHI, MD prescribe under Medicare Part D?
In 2023, ELISA BIANCHI, MD wrote 73 Medicare Part D claims totaling $6K in drug costs for 35 beneficiaries.
What is ELISA BIANCHI, MD's Medicare quality score?
ELISA BIANCHI, MD has a CMS MIPS Final Score of 87.0887/100 (Quality: 70.7998, Cost: 52.8291). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ELISA BIANCHI, MD located?
ELISA BIANCHI, MD is located at 1740 W TAYLOR ST, CHICAGO, IL, 60612. Phone: (312) 996-2061.
What is ELISA BIANCHI, MD's NPI number?
ELISA BIANCHI, MD's National Provider Identifier (NPI) is 1689017303, issued on 04/11/2013.
How many Colon & Rectal Surgery Physician providers are there in the US?
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does ELISA BIANCHI, MD prescribe most often?
Based on 2023 Medicare Part D data, ELISA BIANCHI, MD's most frequently prescribed drugs include Hydrocortisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELISA BIANCHI, MD accept Medicare?
ELISA BIANCHI, MD appears in CMS Medicare data with 73 Part D claims and 35 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELISA BIANCHI, MD's credentials?
ELISA BIANCHI, MD's NPI is 1689017303 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