2026 NPPES data Psychiatry Physician NPI 1619986551 MD
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GIL ABELITA, MD

Psychiatry Physician in BLOOMINGTON, 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
420
Medicare Part D claims · 57 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: GIL ABELITA, MD is a Psychiatry Physician ([object Object]) practicing in BLOOMINGTON, Illinois with a Medicare Part D prescribing footprint of 420 claims across 57 beneficiaries — 11% brand-name prescribing .

What stands out: GIL ABELITA, MD filed 420 Medicare Part D claims in 2023 across BLOOMINGTON, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

GIL ABELITA, 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).

GIL ABELITA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 08/07/2006

NPI 1619986551

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

420 60% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

Specialty distribution in Illinois

How Psychiatry Physician compares to other specialties among Illinois providers

Illinois providers

Psychiatry Physician share within Illinois

1. Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatry Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Psychiatry Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Psychiatry Physician ABMS/AOA estimate

Est. board-certified rate (Psychiatry Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Psychiatry Physician) — ABMS / AOA estimate

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).

GIL ABELITA, MD is a Psychiatry Physician provider practicing in BLOOMINGTON, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1619986551. 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.

GIL ABELITA, MD appears in the CMS NPPES registry as a Psychiatry Physician provider holding MD credentials at 108 W MARKET ST, BLOOMINGTON, IL, 61701, with a listed phone of (309) 827-5351. NPI 1619986551 was issued on 08/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABELITA 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 420 prescription claims written by this provider, covering 57 Medicare beneficiaries and totaling roughly $124K in drug spend, split 11% brand-name and 89% 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.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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

108 W MARKET ST
BLOOMINGTON, IL 61701

Provider Details

NPI 1619986551
Specialty Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 08/07/2006

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 GIL ABELITA, MD. To verify GIL ABELITA, 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

GIL ABELITA, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 420 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.

420
Total Claims
$124K
Total Drug Cost
57
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
428
Total Day Supply
7,397
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$115K
Generic Drug Cost
$9K

Patient Demographics

Average Patient Age
53.2 years
Avg HCC Risk Score
1.20
Gender Split
54% female / 46% male
Age Distribution
<65: 45, 65-74: N/A, 75-84: N/A, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Clozapine
29
Quetiapine Fumarate
29
Trazodone Hcl
29
Duloxetine Hcl
22
Benztropine Mesylate
19
Clonidine Hcl
19
Aripiprazole
16
Lamotrigine
14
Fluoxetine Hcl
13
Haloperidol
12

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

Psychiatry Physician Overview

How GIL ABELITA, MD fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

GIL ABELITA, MD's 420 claims are below the specialty average of 1,038.

Nearby Psychiatry Physician Providers in Illinois

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

Compare Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GIL ABELITA, MD's specialty?
GIL ABELITA, MD specializes in Psychiatry Physician and practices in BLOOMINGTON, Illinois. Credentials: MD.
How much does GIL ABELITA, MD prescribe under Medicare Part D?
In 2023, GIL ABELITA, MD wrote 420 Medicare Part D claims totaling $124K in drug costs for 57 beneficiaries.
Where is GIL ABELITA, MD located?
GIL ABELITA, MD is located at 108 W MARKET ST, BLOOMINGTON, IL, 61701. Phone: (309) 827-5351.
What is GIL ABELITA, MD's NPI number?
GIL ABELITA, MD's National Provider Identifier (NPI) is 1619986551, issued on 08/07/2006.
Does GIL ABELITA, MD prescribe more brand-name or generic drugs?
GIL ABELITA, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $115K in brand drug costs.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does GIL ABELITA, MD prescribe most often?
Based on 2023 Medicare Part D data, GIL ABELITA, MD's most frequently prescribed drugs include Clozapine, Quetiapine Fumarate, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GIL ABELITA, MD accept Medicare?
GIL ABELITA, MD appears in CMS Medicare data with 420 Part D claims and 57 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GIL ABELITA, MD's credentials?
GIL ABELITA, MD's NPI is 1619986551 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