2026 NPPES data Family Medicine Physician NPI 1235797929 DO
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Haley Koth, DO

Family Medicine Physician in Orland Park, 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 147,760 in Family Medicine 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
644
Medicare Part D claims · 150 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
84%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$35.32
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Haley Koth, DO filed 644 Medicare Part D claims in 2023 as a Family Medicine Physician in Orland Park, Illinois, prescribing 84% generic.

644
Part D claims, 2023
84%
generic prescribing
Likely
board-certified (heuristic)
≥69th
pct by Part D claim volume (lower-bound band)

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.

CMS NPPES provider registry desk

NPI 1235797929 · Family Medicine Physician

NPI-10 · ENUM-RECENT · TAX-MEGA · RX-LIGHT · BOOK-MID · PHOTO-ENUM

  • NPI-10 1235797929
  • ENUM-RECENT 2019
  • TAX-MEGA 148K Family Medicine
  • RX-LIGHT 644
  • BOOK-MID 5,817 in Illinois
  • PHOTO-ENUM Mark Walsworth · 2019

Haley Koth, DO's Medicare Part D volume vs every U.S. prescriber

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

644 ≥ 69th percentile 69% of 1,370,886 prescribers are in lower value bands

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

Haley Koth, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - 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 Haley Koth, DO?

Quality data not reported

NPI registry status

Active

Issued 05/29/2019

NPI 1235797929

Primary specialty

Family Medicine Physician

High-volume

147,760 US NPIs in this specialty

Medicare Part D claims

644 81% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Illinois

How Family Medicine Physician compares to other specialties among Illinois providers

Illinois providers
Clinical Social Worker5.2%Physical Therapist5%Mental Health Counselor4.5%Speech-Language Pathologist4.2%Student in an Organized Heal…4.2%Pharmacist4.1%Family Medicine Physician2.5%
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 Family Medicine Physician. Verify directly:

How MIPS and board certification work

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).

Practice Address

16660 107TH ST
Orland Park, IL 60467

Provider Details

NPI 1235797929
Specialty Family Medicine Physician
Credentials DO
Gender Female
NPI Issued 05/29/2019

Hospital and facility affiliations

Facilities where Haley Koth, DO 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.

Health Service Systems, Inc
New Lenox, 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 Haley Koth, DO. Source: openpaymentsdata.cms.gov.

Total received

$35

Largest payer

Inspire Medical Systems, 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 Haley Koth, DO. To verify Haley Koth, DO'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

Haley Koth, DO - brand share 14.0%
Family Medicine Physician average

14% brand-name claims vs 84% generic, on 644 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.

644
Total Claims
$83K
Total Drug Cost
150
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,325
Total Day Supply
37,487
Brand vs Generic
14% brand / 84% generic
Brand Drug Cost
$73K
Generic Drug Cost
$10K
Antibiotic Claims
45

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
0.96
Gender Split
63% female / 37% male
Age Distribution
<65: 12, 65-74: 74, 75-84: 53, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

What Haley Koth, DO 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
Losartan Potassium
32
Atorvastatin Calcium
29
Lisinopril
29
Amlodipine Besylate
25
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
23
Rosuvastatin Calcium
21
Mounjaro
Tirzepatide
19
Hydrochlorothiazide
16
Topiramate
16
Metformin Hcl Er
Metformin Hcl
15

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

Family Medicine Physician Overview

How Haley Koth, DO fits within the Family Medicine Physician landscape nationally.

147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Haley Koth, DO's 644 claims are below the specialty average of 3,418.

Nationwide Family Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Koth, both outside Illinois so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2019)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Family Medicine Physician Providers in Illinois

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

One of 5,817 Family Medicine Physician providers enrolled in Illinois, 5 are shown here.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Haley Koth, DO's specialty?
Haley Koth, DO specializes in Family Medicine Physician and practices in Orland Park, Illinois. Credentials: DO.
How much does Haley Koth, DO prescribe under Medicare Part D?
In 2023, Haley Koth, DO wrote 644 Medicare Part D claims totaling $83K in drug costs for 150 beneficiaries.
Where is Haley Koth, DO located?
Haley Koth, DO is located at 16660 107TH ST, Orland Park, IL, 60467. Phone: (708) 403-8500.
What is Haley Koth, DO's NPI number?
Haley Koth, DO's National Provider Identifier (NPI) is 1235797929, issued on 05/29/2019.
Does Haley Koth, DO prescribe more brand-name or generic drugs?
Haley Koth, DO's prescribing is 14% brand-name and 84% generic drugs by claim count, with $73K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Haley Koth, DO prescribe most often?
Based on 2023 Medicare Part D data, Haley Koth, DO's most frequently prescribed drugs include Losartan Potassium, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Haley Koth, DO accept Medicare?
Haley Koth, DO appears in CMS Medicare data with 644 Part D claims and 150 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Haley Koth, DO's credentials?
Haley Koth, DO's NPI is 1235797929 with credentials DO. 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

View source datasets and methodology notes
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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.