2026 NPPES data Emergency Medicine Physician NPI 1821527201 MD
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JACOB HOLTON, MD

Emergency Medicine 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
180
Medicare Part D claims · 118 beneficiaries · Emergency Medicine Physician avg: 352

What the federal data shows

JACOB HOLTON, MD filed 180 Medicare Part D claims in 2023 as a Emergency Medicine Physician in BLOOMINGTON, Illinois.

180
Part D claims, 2023

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.

JACOB HOLTON, MD's Medicare Part D volume vs every U.S. prescriber

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

180 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 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. 2,000–2,200: 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

JACOB HOLTON, 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).

What does the federal data show about JACOB HOLTON, MD?

Quality data not reported

NPI registry status

Active

Issued 06/08/2017

NPI 1821527201

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

180 49% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in Illinois

How Emergency Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Emergency Medicine Physician share within Illinois

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Emergency Medicine 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).

JACOB HOLTON, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 2200 E WASHINGTON ST, BLOOMINGTON, IL, 61701, with a listed phone of (309) 662-3311. NPI 1821527201 was issued on 06/08/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HOLTON 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 180 prescription claims written by this provider, covering 118 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 19.4%. 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.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

2200 E WASHINGTON ST
BLOOMINGTON, IL 61701

Provider Details

NPI 1821527201
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/08/2017

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 JACOB HOLTON, MD. To verify JACOB HOLTON, 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.

180
Total Claims
$3K
Total Drug Cost
118
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
191
Total Day Supply
2,111
Generic Drug Cost
$2K
Opioid Claims
35 (19.4% rate)
Antibiotic Claims
45

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.57
Gender Split
62% female / 38% male
Age Distribution
<65: 22, 65-74: 46, 75-84: 33, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What JACOB HOLTON, MD 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
Tizanidine Hcl
19
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
15
Oxycodone Hcl
14
Cephalexin
13
Diclofenac Sodium
13
Doxycycline Hyclate
12
Ondansetron Odt
Ondansetron
11

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

Emergency Medicine Physician Overview

How JACOB HOLTON, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

JACOB HOLTON, MD's 180 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Illinois

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

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

Frequently Asked Questions

What is JACOB HOLTON, MD's specialty?
JACOB HOLTON, MD specializes in Emergency Medicine Physician and practices in BLOOMINGTON, Illinois. Credentials: MD.
How much does JACOB HOLTON, MD prescribe under Medicare Part D?
In 2023, JACOB HOLTON, MD wrote 180 Medicare Part D claims totaling $3K in drug costs for 118 beneficiaries.
Where is JACOB HOLTON, MD located?
JACOB HOLTON, MD is located at 2200 E WASHINGTON ST, BLOOMINGTON, IL, 61701. Phone: (309) 662-3311.
What is JACOB HOLTON, MD's NPI number?
JACOB HOLTON, MD's National Provider Identifier (NPI) is 1821527201, issued on 06/08/2017.
Does JACOB HOLTON, MD prescribe opioids?
Yes, JACOB HOLTON, MD had 35 opioid claims in 2023 with an opioid prescribing rate of 19.4%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does JACOB HOLTON, MD prescribe most often?
Based on 2023 Medicare Part D data, JACOB HOLTON, MD's most frequently prescribed drugs include Tizanidine Hcl, Hydrocodone-Acetaminophen, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JACOB HOLTON, MD accept Medicare?
JACOB HOLTON, MD appears in CMS Medicare data with 180 Part D claims and 118 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JACOB HOLTON, MD's credentials?
JACOB HOLTON, MD's NPI is 1821527201 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