2026 NPPES data Neurocritical Care Physician NPI 1669784559 M.D.
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HESHAM ALLAM, M.D.

Neurocritical Care Physician in SPRINGFIELD, 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
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
67.1858/100
▼ 16 pts below national avg 83.1 · [object Object]
Industry payments
$36.23
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HESHAM ALLAM, M.D. is a Neurocritical Care Physician ([object Object]) practicing in SPRINGFIELD, Illinois with a Medicare Part D prescribing footprint of 153 claims across 33 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 67.1858/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $36.23 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HESHAM ALLAM, M.D. reported a CMS MIPS final score of 67.1858 out of 100, below the 83.1 national average, and filed 153 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

HESHAM ALLAM, M.D. at a glance

Below national average

NPI registry status

Active

Issued 07/08/2010

NPI 1669784559

Primary specialty

Neurocritical Care Physician

Rare

373 US NPIs in this specialty

Medicare Part D claims

153 34% vs specialty avg

2023 prescription claims

Specialty avg: 232

MIPS final score

67.1858/100 15.914199999999994% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Illinois

How Neurocritical Care Physician compares to other specialties among Illinois providers

Illinois providers

Neurocritical Care Physician share within Illinois

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

Medicare quality performance — MIPS

HESHAM ALLAM, M.D.'s 2023 MIPS final score plotted against the Neurocritical Care Physician national average

Below national average
MIPS Final Score
67.1858/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurocritical Care Physician) — 67.1858/100 vs national avg 83.1

0%100%National avg83%67.2%
MIPS final score (Neurocritical Care Physician) — 67.1858/100 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).

HESHAM ALLAM, M.D. is a Neurocritical Care Physician provider practicing in SPRINGFIELD, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1669784559. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALLAM 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 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. 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 67.1858/100 for the 2023 performance year (Quality 63.8613, Cost 56.8734), compared with the national average of 83.1.

Neurocritical Care Physician is a narrow specialty nationwide, with 373 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

751 N RUTLEDGE ST STE 3100
SPRINGFIELD, IL 62702

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%
Specialty average (est.)

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.

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.

373
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.

Compare Neurocritical Care Physician nationally: see state-by-state distribution →

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 67.1858/100 (Quality: 63.8613, Cost: 56.8734). 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 373 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

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