James Tonsgard
Pediatrics Physician · Chicago, IL
James Tonsgard is a pediatrics physician with a practice address in Chicago, Illinois, and NPI 1396806717, issued on Dec 12, 2006. Check the license (Illinois 036055773, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- James Tonsgard
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 036055773 IL
Self-reported in NPPES; status is on the state search - Practice location
- 5841 S Maryland Ave, Chicago, IL 60637
- Phone
- (888) 824-0200
- Enumerated
- Dec 12, 2006
- Record last updated
- Oct 24, 2022
- Medicare enrollment
- Enrolled (PECOS I20060420000681); accepts Medicare assignment
- Medical or professional school
- Yale University School Of Medicine, 1975
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 3,176 in Illinois → Look up another NPI →
Also registered at 5841 S Maryland Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify James Tonsgard in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036055773Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.2 times the Medicare Part D claims of the average pediatrics physician in 2024
838 Medicare Part D claims for 56 beneficiaries, against an average of 375 among the 5,609 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 34 claims were for opioids.
Most prescribed
- Lamotrigine59 claims
- Topiramate55 claims
- Divalproex Sodium43 claims
- Lacosamide42 claims
- Clonazepam41 claims
- Amitriptyline Hcl39 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 97.7 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $14.21
1 payment: food and beverage; the largest payer was Upsher-Smith Laboratories LLC. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
2 hospitals and group practices
- The University OF Chicago Medical CenterChicago, IL · Acute Care Hospitals4 of 5 stars
- University OF ChicagoOrland Park, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
James Tonsgard among 3,176 pediatrics physician records in Illinois
James Tonsgard is one of 3,176 pediatrics physician records with a practice address in Illinois. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 59% newer
- In a Medicare fileYes · 32% of these records are
- In the CMS Doctors and Clinicians fileYes · 7% of these records are
- Graduated1975 · median 2010 among the 235 with a school on file
- Record last updated2022 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,142 pediatrics physician records list a practice address in Chicago
They are 1,142 of the 63,379 NPPES records with a practice address in Chicago, and 3,176 pediatrics physician records in Illinois.
All 3,176 in Illinois → Every provider in Chicago → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Maria AlkureishiChicago, IL 606371326176645
- Deborah BurnetChicago, IL 606371801913512
- Icy Cade-BellChicago, IL 606371437213014
- Helen FrommeChicago, IL 606371750431797
- Nirupama MahidharaChicago, IL 606371205862422
- Alisa McQueenChicago, IL 606371104865039
- James MitchellChicago, IL 606371487771150
- Patrick Myers, M.D.Chicago, IL 606371043364474
Common questions
What is James Tonsgard's NPI number?
James Tonsgard's National Provider Identifier (NPI) is 1396806717, issued on Dec 12, 2006. An NPI identifies a provider in billing; it is not a license.
Where is James Tonsgard located?
The NPPES record lists a practice address at 5841 S Maryland Ave, Chicago, IL, 60637. Phone: (888) 824-0200. Providers update this record themselves, so call before visiting.
How can I verify James Tonsgard's license?
NPPES lists Illinois license number 036055773, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does James Tonsgard prescribe under Medicare Part D?
In 2024, James Tonsgard had 838 Medicare Part D claims for 56 beneficiaries; the average among pediatrics physician prescribers was 375. Part D covers Medicare prescriptions only.
What is James Tonsgard's MIPS final score?
The 2023 MIPS final score is 97.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.