NPI registry status
Active
2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1639146103 M.D.
Verify on CMS → Jean Benoit Houle, M.D.
Sports Medicine (Orthopaedic Surgery) Physician in Mount Vernon, 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 2,681 in Sports Medicine (Orthopaedic Surgery) Physician, 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
932
Medicare Part D claims · 326 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$65.76
4 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
Jean Benoit Houle, M.D. filed 932 Medicare Part D claims in 2023 as a Sports Medicine (Orthopaedic Surgery) Physician in Mount Vernon, Illinois, prescribing 86% generic.
- 932
- Part D claims, 2023
- 86%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Jean Benoit Houle, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
932 Top 25% higher than 75% 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
✓
Board certification likely (heuristic, not verified)
Jean Benoit Houle, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Jean Benoit Houle, M.D.?
Quality data not reportedPrimary specialty
Sports Medicine (Orthopaedic Surgery) Physician
Medicare Part D claims
932 235% vs specialty avg
Specialty distribution in Illinois
How Sports Medicine (Orthopaedic Surgery) Physician 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 Sports Medicine (Orthopaedic Surgery) Physician. 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).
Jean Benoit Houle, M.D. appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D. credentials at 4121 VETERANS MEMORIAL DR, Mount Vernon, IL, 62864, with a listed phone of (618) 242-3778. NPI 1639146103 was issued on 03/03/2006.
Medicare Part D records for calendar year 2023 show 932 prescription claims written by this provider, covering 326 Medicare beneficiaries and totaling roughly $60K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 46.0%.
Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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 | 1639146103 |
|---|---|
| Specialty | Sports Medicine (Orthopaedic Surgery) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 03/03/2006 |
Hospital and facility affiliations
Facilities where Jean Benoit Houle, 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.
Orthopaedic Center OF Southern Illinois, Ltd
Mount Vernon, IL
Select Physical Therapy Holdings Inc
Benton, 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 Jean Benoit Houle, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$66
Largest payer
Amgen Inc.
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 Jean Benoit Houle, M.D.. To verify Jean Benoit Houle, 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
Jean Benoit Houle, M.D. - brand share 14.0%
Sports Medicine (Orthopaedic Surgery) Physician average
14% brand-name claims vs 86% generic, on 932 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.
932
Total Claims
$60K
Total Drug Cost
326
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 967
- Total Day Supply
- 16,701
- Brand vs Generic
- 14% brand / 86% generic
- Brand Drug Cost
- $53K
- Generic Drug Cost
- $7K
- Opioid Claims
- 429 (46.0% rate)
- Antibiotic Claims
- 68
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 1.03
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 22, 65-74: 183, 75-84: 104, 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 Jean Benoit Houle, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tramadol Hcl
Tramadol Hcl
248 claims
- Meloxicam
Meloxicam
145 claims
- Eliquis
Eliquis
119 claims
- Hydrocodone-Acetam… 98
Hydrocodone-Acetaminophen
98 claims
- Oxycodone Hcl 75
Oxycodone Hcl
75 claims
- Methylprednisolone 47
Methylprednisolone
47 claims
- Amoxicillin 40
Amoxicillin
40 claims
- Cyclobenzaprine Hcl 36
Cyclobenzaprine Hcl
36 claims
| Drug | Claims |
|---|---|
| Tramadol Hcl | 248 |
| Meloxicam | 145 |
| Eliquis Apixaban | 119 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 98 |
| Oxycodone Hcl | 75 |
| Methylprednisolone | 47 |
| Amoxicillin | 40 |
| Cyclobenzaprine Hcl | 36 |
| Gabapentin | 15 |
| Naproxen | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Orthopaedic Surgery) Physician in IL →
All providers in Illinois →
Compare specialties →
Sports Medicine (Orthopaedic Surgery) Physician Overview
How Jean Benoit Houle, M.D. fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.
2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider
Jean Benoit Houle, M.D.'s 932 claims are above the specialty average of 278.
Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Houle.
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 Sports Medicine (Orthopaedic Surgery) Physician 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Illinois
Frequently Asked Questions
What is Jean Benoit Houle, M.D.'s specialty? ▼
Jean Benoit Houle, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Mount Vernon, Illinois. Credentials: M.D..
How much does Jean Benoit Houle, M.D. prescribe under Medicare Part D? ▼
In 2023, Jean Benoit Houle, M.D. wrote 932 Medicare Part D claims totaling $60K in drug costs for 326 beneficiaries.
Where is Jean Benoit Houle, M.D. located? ▼
Jean Benoit Houle, M.D. is located at 4121 VETERANS MEMORIAL DR, Mount Vernon, IL, 62864. Phone: (618) 242-3778.
What is Jean Benoit Houle, M.D.'s NPI number? ▼
Jean Benoit Houle, M.D.'s National Provider Identifier (NPI) is 1639146103, issued on 03/03/2006.
Does Jean Benoit Houle, M.D. prescribe more brand-name or generic drugs? ▼
Jean Benoit Houle, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $53K in brand drug costs.
Does Jean Benoit Houle, M.D. prescribe opioids? ▼
Yes, Jean Benoit Houle, M.D. had 429 opioid claims in 2023 with an opioid prescribing rate of 46.0%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does Jean Benoit Houle, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Jean Benoit Houle, M.D.'s most frequently prescribed drugs include Tramadol Hcl, Meloxicam, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jean Benoit Houle, M.D. accept Medicare? ▼
Jean Benoit Houle, M.D. appears in CMS Medicare data with 932 Part D claims and 326 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jean Benoit Houle, M.D.'s credentials? ▼
Jean Benoit Houle, M.D.'s NPI is 1639146103 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
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.