2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1992792253 MD
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GERALD LUGER, MD

Critical Care Medicine (Internal Medicine) Physician in MELROSE PARK, 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
13
Medicare Part D claims · Critical Care Medicine (Internal Medicine) Physician avg: 1K
MIPS score
92.3551/100
▲ 9 pts above national avg 83.1 · [object Object]

What the federal data shows

GERALD LUGER, MD reported a CMS MIPS final score of 92.3551/100 — above the 83.1 national average — and filed 13 Medicare Part D claims in 2023.

92.3551/100
MIPS score · +9 vs avg
13
Part D claims, 2023
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.

GERALD LUGER, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

92 Top 32% higher than 68% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

GERALD LUGER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 GERALD LUGER, MD?

High performer (top quartile)

NPI registry status

Active

Issued 10/03/2005

NPI 1992792253

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

13 99% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

92.3551/100 9.255099999999999% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Illinois providers

Illinois providers

Critical Care Medicine (Internal Medicine) Physician share within Illinois

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Illinois

Medicare quality performance — MIPS

GERALD LUGER, MD's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
92.3551/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 92.3551/100 vs national avg 83.1

0%100%National avg83%92.4%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 92.3551/100 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).

GERALD LUGER, MD appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding MD credentials at 675 W NORTH AVE, MELROSE PARK, IL, 60160, with a listed phone of (708) 450-4557. NPI 1992792253 was issued on 10/03/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LUGER 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 13 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $541 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 92.3551/100 for the 2023 performance year (Quality 89.6558, Cost 58.9493), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

675 W NORTH AVE
MELROSE PARK, IL 60160

Provider Details

NPI 1992792253
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 10/03/2005

CMS Quality Score (MIPS)

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

92.3551
Final Score
Avg: 83.1
89.6558
Quality
58.9493
Cost
93
Promoting Interoperability

Reporting: Group practice

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 GERALD LUGER, MD. To verify GERALD LUGER, 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.

13
Total Claims
$541
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
29
Total Day Supply
829

Patient Demographics

Average Patient Age
77.0 years
Avg HCC Risk Score
0.89

Critical Care Medicine (Internal Medicine) Physician Overview

How GERALD LUGER, MD fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

GERALD LUGER, MD's 13 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Illinois

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

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GERALD LUGER, MD's specialty?
GERALD LUGER, MD specializes in Critical Care Medicine (Internal Medicine) Physician and practices in MELROSE PARK, Illinois. Credentials: MD.
How much does GERALD LUGER, MD prescribe under Medicare Part D?
In 2023, GERALD LUGER, MD wrote 13 Medicare Part D claims totaling $541 in drug costs for N/A beneficiaries.
What is GERALD LUGER, MD's Medicare quality score?
GERALD LUGER, MD has a CMS MIPS Final Score of 92.3551/100 (Quality: 89.6558, Cost: 58.9493). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GERALD LUGER, MD located?
GERALD LUGER, MD is located at 675 W NORTH AVE, MELROSE PARK, IL, 60160. Phone: (708) 450-4557.
What is GERALD LUGER, MD's NPI number?
GERALD LUGER, MD's National Provider Identifier (NPI) is 1992792253, issued on 10/03/2005.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
Does GERALD LUGER, MD accept Medicare?
GERALD LUGER, MD appears in CMS Medicare data with 13 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 GERALD LUGER, MD's credentials?
GERALD LUGER, MD's NPI is 1992792253 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