2026 NPPES data Pediatric Cardiology Physician NPI 1306822549 M.D.
Verify on CMS →

Frank Cetta, M.D.

Pediatric Cardiology Physician in Chicago, 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 2,529 in Pediatric Cardiology 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
135
Medicare Part D claims · Pediatric Cardiology Physician avg: 77
Generic prescribing
71%
generic claims · 29% 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

Frank Cetta, M.D. filed 135 Medicare Part D claims in 2023 as a Pediatric Cardiology Physician in Chicago, Illinois, prescribing 71% generic.

135
Part D claims, 2023
71%
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.

Frank Cetta, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

135 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. 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 certification likely (heuristic, not verified)

Frank Cetta, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations - 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 Frank Cetta, M.D.?

Quality data not reported

NPI registry status

Active

Issued 12/20/2005

NPI 1306822549

Primary specialty

Pediatric Cardiology Physician

Niche

2,529 US NPIs in this specialty

Medicare Part D claims

135 75% vs specialty avg

2023 prescription claims

Specialty avg: 77

Specialty distribution in Illinois

How Pediatric Cardiology Physician compares to other specialties among Illinois providers

Illinois 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%Pediatric Cardiology Physician - 0%Pediatric Cardiology Physician0%
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 Pediatric Cardiology 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).

Frank Cetta, M.D. appears in the CMS NPPES registry as a Pediatric Cardiology Physician provider holding M.D. credentials at 5841 S MARYLAND AVE, Chicago, IL, 60637, with a listed phone of (888) 824-0200. NPI 1306822549 was issued on 12/20/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Cetta 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 135 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $22K in drug spend, split 29% brand-name and 71% 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.

Pediatric Cardiology Physician is a narrow specialty nationwide, with 2,529 enrolled providers across 51 states and an average of 77 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

5841 S MARYLAND AVE
Chicago, IL 60637

Provider Details

NPI 1306822549
Specialty Pediatric Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 12/20/2005

Hospital and facility affiliations

Facilities where Frank Cetta, 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.

According to CMS billing records, Frank Cetta, M.D. is affiliated with 3 Medicare-billing facilities across 2 states, 1 of which carry a CMS Hospital overall star rating.

The University OF Chicago Medical Center
★★★★☆ 4/5
Chicago, IL
Acute Care Hospitals
CMS CCN: 140088
Adventist Health Partners Inc
Hinsdale, IL
University OF Chicago
Crown Point, IN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 Frank Cetta, M.D.. To verify Frank Cetta, 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 · Above average

Frank Cetta, M.D. - brand share 29.0%
Pediatric Cardiology Physician average

29% brand-name claims vs 71% generic, on 135 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.

135
Total Claims
$22K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
233
Total Day Supply
5,995
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$14K
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
48.0 years
Avg HCC Risk Score
1.08

Top Prescribed Drugs (Medicare Part D)

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

What Frank Cetta, 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
Warfarin Sodium
36
Xarelto
Rivaroxaban
34
Dofetilide
15

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

Pediatric Cardiology Physician Overview

How Frank Cetta, M.D. fits within the Pediatric Cardiology Physician landscape nationally.

2,529
Pediatric Cardiology Physician Providers in US
51
States with Pediatric Cardiology Physician
77
Avg Claims per Provider

Frank Cetta, M.D.'s 135 claims are above the specialty average of 77.

Nearby Pediatric Cardiology Physician Providers in Illinois

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

Compare Pediatric Cardiology 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 Pediatric Cardiology 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 Frank Cetta, M.D.'s specialty?
Frank Cetta, M.D. specializes in Pediatric Cardiology Physician and practices in Chicago, Illinois. Credentials: M.D..
How much does Frank Cetta, M.D. prescribe under Medicare Part D?
In 2023, Frank Cetta, M.D. wrote 135 Medicare Part D claims totaling $22K in drug costs for N/A beneficiaries.
Where is Frank Cetta, M.D. located?
Frank Cetta, M.D. is located at 5841 S MARYLAND AVE, Chicago, IL, 60637. Phone: (888) 824-0200.
What is Frank Cetta, M.D.'s NPI number?
Frank Cetta, M.D.'s National Provider Identifier (NPI) is 1306822549, issued on 12/20/2005.
Does Frank Cetta, M.D. prescribe more brand-name or generic drugs?
Frank Cetta, M.D.'s prescribing is 29% brand-name and 71% generic drugs by claim count, with $14K in brand drug costs.
How many Pediatric Cardiology Physician providers are there in the US?
There are 2,529 Pediatric Cardiology Physician providers across 51 states in the US. The average Pediatric Cardiology Physician provider writes 77 Medicare Part D claims per year.
What drugs does Frank Cetta, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Frank Cetta, M.D.'s most frequently prescribed drugs include Warfarin Sodium, Xarelto, Dofetilide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Frank Cetta, M.D. accept Medicare?
Frank Cetta, M.D. appears in CMS Medicare data with 135 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Frank Cetta, M.D.'s credentials?
Frank Cetta, M.D.'s NPI is 1306822549 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.
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.