NPI registry status
Active
2026 NPPES data Neurocritical Care Physician NPI 1669784559 M.D.
Verify on CMS → Hesham Allam, M.D.
Neurocritical Care Physician in Springfield, 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 372 in Neurocritical Care 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
153
Medicare Part D claims · 33 beneficiaries · Neurocritical Care Physician avg: 232
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
67.2/100
▼ 16 pts below national avg 83.1 · Mid-tier
Industry payments
$36.23
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Hesham Allam, M.D. reported a CMS MIPS final score of 67.2/100 - below the 83.1 national average - and filed 153 Medicare Part D claims in 2023.
- 67.2/100
- MIPS score · -16 vs avg
- 153
- Part D claims, 2023
- 88%
- 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.
Hesham Allam, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
67 7th percentile higher than 7% of 477,587 scored providers
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
Where Hesham Allam, M.D. sits
This provider among neurocritical care physician peers
Across the 27 neurocritical care physician providers who report both Medicare Part D prescribing and a MIPS quality score, Hesham Allam, M.D. writes more Part D claims than 67% of them and scores higher on MIPS quality than 0% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one neurocritical care physician peer from a representative sample of 26; the gold marker is Hesham Allam, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Hesham Allam, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Hesham Allam, M.D.?
Below national averagePrimary specialty
Neurocritical Care Physician
Medicare Part D claims
153 34% vs specialty avg
MIPS final score
67.2/100 15.9 pts vs avg
Specialty distribution in Illinois
How Neurocritical Care Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Hesham Allam, M.D.'s 2023 MIPS final score plotted against the Neurocritical Care Physician national average
- MIPS Final Score
- 67.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Neurocritical Care Physician) - 67.2/100 vs national avg 83.1
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).
Hesham Allam, M.D. appears in the CMS NPPES registry as a Neurocritical Care Physician provider holding M.D. credentials at 751 N RUTLEDGE ST STE 3100, Springfield, IL, 62702, with a listed phone of (217) 545-8000. NPI 1669784559 was issued on 07/08/2010.
Medicare Part D records for calendar year 2023 show 153 prescription claims written by this provider, covering 33 Medicare beneficiaries and totaling roughly $22K in drug spend, split 12% brand-name and 88% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 67.2/100 for the 2023 performance year (Quality 63.9, Cost 56.9), compared with the national average of 83.1.
Neurocritical Care Physician is a narrow specialty nationwide, with 372 enrolled providers across 46 states and an average of 232 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
Provider Details
| NPI | 1669784559 |
|---|---|
| Specialty | Neurocritical Care Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/08/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
67.1858
Final Score
Avg: 83.1
63.8613
Quality
56.8734
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Hesham Allam, 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.
Siu Physicians And Surgeons Inc
Springfield, 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 Hesham Allam, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$36
Largest payer
Abbott Laboratories
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 Hesham Allam, M.D.. To verify Hesham Allam, 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 · Typical
Hesham Allam, M.D. - brand share 12.0%
Neurocritical Care Physician average
12% brand-name claims vs 88% generic, on 153 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.
153
Total Claims
$22K
Total Drug Cost
33
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 280
- Total Day Supply
- 8,187
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $14K
- Generic Drug Cost
- $7K
Patient Demographics
- Average Patient Age
- 64.2 years
- Avg HCC Risk Score
- 2.02
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 11, 65-74: 13, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Hesham Allam, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levetiracetam
Levetiracetam
39 claims
- Eliquis
Eliquis
18 claims
- Amitriptyline Hcl
Amitriptyline Hcl
17 claims
- Oxcarbazepine 12
Oxcarbazepine
12 claims
- Sumatriptan Succin… 11
Sumatriptan Succinate
11 claims
| Drug | Claims |
|---|---|
| Levetiracetam | 39 |
| Eliquis Apixaban | 18 |
| Amitriptyline Hcl | 17 |
| Oxcarbazepine | 12 |
| Sumatriptan Succinate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Neurocritical Care Physician Overview
How Hesham Allam, M.D. fits within the Neurocritical Care Physician landscape nationally.
372
Neurocritical Care Physician Providers in US
46
States with Neurocritical Care Physician
232
Avg Claims per Provider
Hesham Allam, M.D.'s 153 claims are below the specialty average of 232.
Nearby Neurocritical Care Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Allam.
Dr. Isaac Bourgeois
M.D.
Chicago, IL
Dr. Bilal Butt
MD
Springfield, IL
Dr. Hunan Chaudhry
M.D.
Naperville, IL
Dr. Jared Davis
M.D.
Chicago, IL
Dr. Kelly Donohue
MD
McHenry, IL
Compare Neurocritical Care 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 Neurocritical Care 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Illinois
Frequently Asked Questions
What is Hesham Allam, M.D.'s specialty? ▼
Hesham Allam, M.D. specializes in Neurocritical Care Physician and practices in Springfield, Illinois. Credentials: M.D..
How much does Hesham Allam, M.D. prescribe under Medicare Part D? ▼
In 2023, Hesham Allam, M.D. wrote 153 Medicare Part D claims totaling $22K in drug costs for 33 beneficiaries.
What is Hesham Allam, M.D.'s Medicare quality score? ▼
Hesham Allam, M.D. has a CMS MIPS Final Score of 67.2/100 (Quality: 63.9, Cost: 56.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Hesham Allam, M.D. located? ▼
Hesham Allam, M.D. is located at 751 N RUTLEDGE ST STE 3100, Springfield, IL, 62702. Phone: (217) 545-8000.
What is Hesham Allam, M.D.'s NPI number? ▼
Hesham Allam, M.D.'s National Provider Identifier (NPI) is 1669784559, issued on 07/08/2010.
Does Hesham Allam, M.D. prescribe more brand-name or generic drugs? ▼
Hesham Allam, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $14K in brand drug costs.
How many Neurocritical Care Physician providers are there in the US? ▼
There are 372 Neurocritical Care Physician providers across 46 states in the US. The average Neurocritical Care Physician provider writes 232 Medicare Part D claims per year.
What drugs does Hesham Allam, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Hesham Allam, M.D.'s most frequently prescribed drugs include Levetiracetam, Eliquis, Amitriptyline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Hesham Allam, M.D. accept Medicare? ▼
Hesham Allam, M.D. appears in CMS Medicare data with 153 Part D claims and 33 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Hesham Allam, M.D.'s credentials? ▼
Hesham Allam, M.D.'s NPI is 1669784559 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
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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
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.