JAMES PEDRAZA
Critical Care Medicine Nurse Practitioner in CHICAGO, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What stands out: JAMES PEDRAZA filed 1,206 Medicare Part D claims in 2023 across CHICAGO, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.
JAMES PEDRAZA at a glance
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Illinois
How Critical Care Medicine Nurse Practitioner compares to other specialties among Illinois providers
Critical Care Medicine Nurse Practitioner share within Illinois
Critical Care Medicine Nurse Practitioner is one of the more visible NUCC categories in Illinois
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Critical Care Medicine Nurse Practitioner (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Critical Care Medicine Nurse Practitioner ABMS/AOA estimate
Est. board-certified rate (Critical Care Medicine Nurse Practitioner) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Critical Care Medicine Nurse Practitioner US NPIs
Specialty board-certified rate — Critical Care Medicine Nurse Practitioner estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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 is a Critical Care Medicine Nurse Practitioner provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1649731910. 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.
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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PEDRAZA 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 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%. 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.
Critical Care Medicine Nurse Practitioner is a narrow specialty nationwide, with 1,410 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 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm JAMES PEDRAZA's current license status, disciplinary history, and board certifications with the Illinois Department of Financial and Professional Regulation in Illinois before relying on this page for a clinical or care decision.
How we sourced this profile
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.
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
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.
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.
| 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.
Critical Care Medicine Nurse Practitioner Overview
How JAMES PEDRAZA fits within the Critical Care Medicine Nurse Practitioner landscape nationally.
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.
Compare Critical Care Medicine Nurse Practitioner nationally: see state-by-state distribution →
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Frequently Asked Questions
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Does JAMES PEDRAZA prescribe opioids? ▼
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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