2026 NPPES data Occupational Therapist NPI 1164099966 MD
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JOEL ALFECHE, MD

Occupational Therapist in DANVILLE, 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
163
Medicare Part D claims · 28 beneficiaries · Occupational Therapist avg: 527
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$14.47
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOEL ALFECHE, MD is a Occupational Therapist ([object Object]) practicing in DANVILLE, Illinois with a Medicare Part D prescribing footprint of 163 claims across 28 beneficiaries — 17% brand-name prescribing . Industry payments of $14.47 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOEL ALFECHE, MD filed 163 Medicare Part D claims in 2023 across DANVILLE, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JOEL ALFECHE, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/09/2021

NPI 1164099966

Primary specialty

Occupational Therapist

High-volume

128,802 US NPIs in this specialty

Medicare Part D claims

163 69% vs specialty avg

2023 prescription claims

Specialty avg: 527

Specialty distribution in Illinois

How Occupational Therapist compares to other specialties among Illinois providers

Illinois providers

Occupational Therapist share within Illinois

1. Occupational Therapist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Occupational Therapist share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Occupational Therapist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Occupational Therapist ABMS/AOA estimate

Est. board-certified rate (Occupational Therapist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Occupational Therapist) — 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).

JOEL ALFECHE, MD is a Occupational Therapist provider practicing in DANVILLE, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1164099966. 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.

JOEL ALFECHE, MD appears in the CMS NPPES registry as a Occupational Therapist provider holding MD credentials at 516 W MADISON ST, DANVILLE, IL, 61832, with a listed phone of (217) 431-7650. NPI 1164099966 was issued on 06/09/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALFECHE 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 163 prescription claims written by this provider, covering 28 Medicare beneficiaries and totaling roughly $26K in drug spend, split 17% brand-name and 83% generic by claim count. 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.

Occupational Therapist is a high-volume specialty nationwide, with 128,802 enrolled providers across 55 states and an average of 527 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

516 W MADISON ST
DANVILLE, IL 61832

Provider Details

NPI 1164099966
Specialty Occupational Therapist
Credentials MD
Gender Male
NPI Issued 06/09/2021

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 JOEL ALFECHE, MD. Source: openpaymentsdata.cms.gov.

Total received

$14

Largest payer

Novo Nordisk 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 JOEL ALFECHE, MD. To verify JOEL ALFECHE, 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.

Brand vs generic prescribing mix · Typical

JOEL ALFECHE, MD — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 163 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.

163
Total Claims
$26K
Total Drug Cost
28
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
360
Total Day Supply
10,635
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$24K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
1.46

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
20
Lisinopril
15

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

Occupational Therapist Overview

How JOEL ALFECHE, MD fits within the Occupational Therapist landscape nationally.

128,802
Occupational Therapist Providers in US
55
States with Occupational Therapist
527
Avg Claims per Provider

JOEL ALFECHE, MD's 163 claims are below the specialty average of 527.

Nearby Occupational Therapist Providers in Illinois

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

Compare Occupational Therapist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOEL ALFECHE, MD's specialty?
JOEL ALFECHE, MD specializes in Occupational Therapist and practices in DANVILLE, Illinois. Credentials: MD.
How much does JOEL ALFECHE, MD prescribe under Medicare Part D?
In 2023, JOEL ALFECHE, MD wrote 163 Medicare Part D claims totaling $26K in drug costs for 28 beneficiaries.
Where is JOEL ALFECHE, MD located?
JOEL ALFECHE, MD is located at 516 W MADISON ST, DANVILLE, IL, 61832. Phone: (217) 431-7650.
What is JOEL ALFECHE, MD's NPI number?
JOEL ALFECHE, MD's National Provider Identifier (NPI) is 1164099966, issued on 06/09/2021.
Does JOEL ALFECHE, MD prescribe more brand-name or generic drugs?
JOEL ALFECHE, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $24K in brand drug costs.
How many Occupational Therapist providers are there in the US?
There are 128,802 Occupational Therapist providers across 55 states in the US. The average Occupational Therapist provider writes 527 Medicare Part D claims per year.
What drugs does JOEL ALFECHE, MD prescribe most often?
Based on 2023 Medicare Part D data, JOEL ALFECHE, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOEL ALFECHE, MD accept Medicare?
JOEL ALFECHE, MD appears in CMS Medicare data with 163 Part D claims and 28 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOEL ALFECHE, MD's credentials?
JOEL ALFECHE, MD's NPI is 1164099966 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