NPI registry status
Active
2026 NPPES data Critical Care Medicine Nurse Practitioner NPI 1649731910
Verify on CMS → James Pedraza
Critical Care Medicine Nurse Practitioner in Chicago, 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 1,414 in Critical Care Medicine Nurse Practitioner, 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
1K
Medicare Part D claims · 239 beneficiaries · Critical Care Medicine Nurse Practitioner avg: 426
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$210.47
12 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
James Pedraza filed 1,206 Medicare Part D claims in 2023 as a Critical Care Medicine Nurse Practitioner in Chicago, Illinois, prescribing 96% generic.
- 1K
- Part D claims, 2023
- 96%
- generic prescribing
- $210.47
- industry payments (Sunshine Act)
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.
James Pedraza's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,206 Top 22% higher than 78% of 1,370,886 prescribers
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
What does the federal data show about James Pedraza?
Quality data not reportedPrimary specialty
Critical Care Medicine Nurse Practitioner
Medicare Part D claims
1,206 183% vs specialty avg
Specialty distribution in Illinois
How Critical Care Medicine Nurse Practitioner compares to other specialties among Illinois 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 Critical Care Medicine Nurse Practitioner. 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).
James Pedraza appears in the CMS NPPES registry as a Critical Care Medicine Nurse Practitioner provider at 4354 W 63RD ST, Chicago, IL, 60629, with a listed phone of (773) 482-5800. NPI 1649731910 was issued on 03/28/2019.
Medicare Part D records for calendar year 2023 show 1,206 prescription claims written by this provider, covering 239 Medicare beneficiaries and totaling roughly $78K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 61.2%.
Critical Care Medicine Nurse Practitioner is a narrow specialty nationwide, with 1,414 enrolled providers across 50 states and an average of 426 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 | 1649731910 |
|---|---|
| Specialty | Critical Care Medicine Nurse Practitioner |
| Gender | Male |
| NPI Issued | 03/28/2019 |
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 James Pedraza. Source: openpaymentsdata.cms.gov.
Total received
$210
Largest payer
Pacira Pharmaceuticals Incorporated
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 James Pedraza. To verify James Pedraza'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 · Generic-heavy
James Pedraza - brand share 4.0%
Critical Care Medicine Nurse Practitioner average
4% brand-name claims vs 96% generic, on 1,206 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.
1,206
Total Claims
$78K
Total Drug Cost
239
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,251
- Total Day Supply
- 35,617
- Brand vs Generic
- 4% brand / 96% generic
- Brand Drug Cost
- $36K
- Generic Drug Cost
- $42K
- Opioid Claims
- 738 (61.2% rate)
Patient Demographics
- Average Patient Age
- 63.5 years
- Avg HCC Risk Score
- 1.85
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 121, 65-74: 80, 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 James Pedraza prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
406 claims
- Gabapentin 105
Gabapentin
105 claims
- Morphine Sulfate Er 80
Morphine Sulfate Er
80 claims
- Cyclobenzaprine Hcl 72
Cyclobenzaprine Hcl
72 claims
- Oxycodone-Acetamin… 69
Oxycodone-Acetaminophen
69 claims
- Tramadol Hcl 69
Tramadol Hcl
69 claims
- Ibuprofen 50
Ibuprofen
50 claims
- Tizanidine Hcl 43
Tizanidine Hcl
43 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 406 |
| Gabapentin | 105 |
| Morphine Sulfate Er Morphine Sulfate | 80 |
| Cyclobenzaprine Hcl | 72 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 69 |
| Tramadol Hcl | 69 |
| Ibuprofen | 50 |
| Tizanidine Hcl | 43 |
| Oxycodone Hcl | 35 |
| Acetaminophen-Codeine Acetaminophen With Codeine | 31 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Critical Care Medicine Nurse Practitioner in IL →
All providers in Illinois →
Compare specialties →
Critical Care Medicine Nurse Practitioner Overview
How James Pedraza fits within the Critical Care Medicine Nurse Practitioner landscape nationally.
1,414
Critical Care Medicine Nurse Practitioner Providers in US
50
States with Critical Care Medicine Nurse Practitioner
426
Avg Claims per Provider
James Pedraza's 1,206 claims are above the specialty average of 426.
Nearby Critical Care Medicine Nurse Practitioner Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Pedraza.
Kylie Abney
Peoria, IL
Veronica Ammar
Hazel Crest, IL
Dr. Olga Amusina
CNP
Highland Park, IL
Dr. Lazaro Anguiano Munoz
FNP-C
Westmont, IL
Dr. Kelly Bhatia
APN-CNP
Evanston, IL
Compare Critical Care Medicine Nurse Practitioner 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 Critical Care Medicine Nurse Practitioner 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.
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Frequently Asked Questions
What is James Pedraza's specialty? ▼
James Pedraza specializes in Critical Care Medicine Nurse Practitioner and practices in Chicago, Illinois.
How much does James Pedraza prescribe under Medicare Part D? ▼
In 2023, James Pedraza wrote 1,206 Medicare Part D claims totaling $78K in drug costs for 239 beneficiaries.
Where is James Pedraza located? ▼
James Pedraza is located at 4354 W 63RD ST, Chicago, IL, 60629. Phone: (773) 482-5800.
What is James Pedraza's NPI number? ▼
James Pedraza's National Provider Identifier (NPI) is 1649731910, issued on 03/28/2019.
Does James Pedraza prescribe more brand-name or generic drugs? ▼
James Pedraza's prescribing is 4% brand-name and 96% generic drugs by claim count, with $36K in brand drug costs.
Does James Pedraza prescribe opioids? ▼
Yes, James Pedraza had 738 opioid claims in 2023 with an opioid prescribing rate of 61.2%.
How many Critical Care Medicine Nurse Practitioner providers are there in the US? ▼
There are 1,414 Critical Care Medicine Nurse Practitioner providers across 50 states in the US. The average Critical Care Medicine Nurse Practitioner provider writes 426 Medicare Part D claims per year.
What drugs does James Pedraza prescribe most often? ▼
Based on 2023 Medicare Part D data, James Pedraza's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Morphine Sulfate Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Pedraza accept Medicare? ▼
James Pedraza appears in CMS Medicare data with 1,206 Part D claims and 239 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Pedraza's credentials? ▼
James Pedraza's NPI is 1649731910. 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
Compiled from official public sources by the PlainDoctor editorial team.