NPPES file of Aug 9, 2026

Erik P. Pioro, MD, PHD

Neuromuscular Medicine (Psychiatry & Neurology) Physician · Chicago, IL

Erik P. Pioro, MD, PHD is a neuromuscular medicine (psychiatry & neurology) physician with a practice address in Chicago, Illinois, and NPI 1154357499, issued on Jun 25, 2006. Check the license (Illinois 036158356, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1154357499
Name
Erik P. Pioro
Credential
MD, PHD
Primary taxonomy
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X
License numbers
036158356 IL
35066519P OH
Self-reported in NPPES; status is on the state search
Practice location
259 E Erie St Ste 1900, Chicago, IL 60611
Phone
(312) 695-7950
Enumerated
Jun 25, 2006
Record last updated
Dec 14, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(312) 695-5747
Medicaid ID
0128614 OH
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 259 E Erie St Ste 1900

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Scott Adney, M.D.Epilepsy Physician1467847251
  2. Senda Ajroud-Driss, MDNeuromuscular Medicine (Psychiatry & Neurology) Physician1164412557
  3. Rizwan Akhtar, MDNeurology Physician1770786865
  4. Roumen Balabanov, M.D.Neurology Physician1508817941
  5. Bianca Barcelo, MDNeurology Physician1154779718
  6. Aasheeta Bawa, PA-CPhysician Assistant1861865347

Verify Erik P. Pioro in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036158356
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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90% fewer Medicare Part D claims than the average neuromuscular medicine (psychiatry & neurology) physician in 2024

79 Medicare Part D claims for 14 beneficiaries, against an average of 827 among the 258 providers of this specialty who prescribed in Part D. Brand-name drugs were 65% of claims.

  1. Erik Pioro79
  2. Specialty average827

Most prescribed

  1. Radicava Ors42 claims
  2. Riluzole15 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 94.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score82.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $6,143.25

5 payments; by number, the most common kind was travel and lodging; the largest payer was Mitsubishi Tanabe Pharma America, Inc. The 169 providers of this specialty with any payment received $11,922.98 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Erik Pioro$6,143
  2. Specialty average$11,923

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Erik P. Pioro among 17 neuromuscular medicine (psychiatry & neurology) physician records in Illinois

Erik P. Pioro, MD, PHD is one of 17 neuromuscular medicine (psychiatry & neurology) physician records with a practice address in Illinois. 100% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.

  • NPI issued2006 · 6% of these records are older, 76% newer
  • In a Medicare fileYes · 100% of these records are
  • In the CMS Doctors and Clinicians fileNo · 82% of these records are
  • Record last updated2021 · 29% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084N0008X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Neuromuscular Medicine (Psychiatry & Neurology) Physician providers in Illinois

There are 17 neuromuscular medicine (psychiatry & neurology) physician records in Illinois.

The 8 neuromuscular medicine (psychiatry & neurology) physician records with the nearest ZIP codes

  1. Senda Ajroud-Driss, MDChicago, IL 606111164412557
  2. Jonathan Brent, MD,PHDChicago, IL 606111356683734
  3. Ryan Donaghy, MDChicago, IL 606111811524549
  4. Robert Kalb, MDChicago, IL 606111790719466
  5. Kyle Marden, MDChicago, IL 606111942795802
  6. Daniela Menichella, MD, PHDChicago, IL 606111285883991
  7. Abigail Schwaede, MDChicago, IL 606111861810822
  8. Arjun Seth, MDChicago, IL 606111467815506

Common questions

What is Erik P. Pioro, MD, PHD's NPI number?

Erik P. Pioro, MD, PHD's National Provider Identifier (NPI) is 1154357499, issued on Jun 25, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Erik P. Pioro, MD, PHD located?

The NPPES record lists a practice address at 259 E Erie St Ste 1900, Chicago, IL, 60611. Phone: (312) 695-7950. Providers update this record themselves, so call before visiting.

How can I verify Erik P. Pioro, MD, PHD's license?

NPPES lists Illinois license number 036158356, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Erik P. Pioro, MD, PHD prescribe under Medicare Part D?

In 2024, Erik P. Pioro, MD, PHD had 79 Medicare Part D claims for 14 beneficiaries; the average among neuromuscular medicine (psychiatry & neurology) physician prescribers was 827. Part D covers Medicare prescriptions only.

What is Erik P. Pioro, MD, PHD's MIPS final score?

The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.