2026 NPPES data Pulmonary Disease Physician NPI 1386667939 M.D.
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JOHN KELSEY, M.D.

Pulmonary Disease Physician in CHICAGO, 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
10K
Medicare Part D claims · 800 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$20.04
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN KELSEY, M.D. is a Pulmonary Disease Physician ([object Object]) practicing in CHICAGO, Illinois with a Medicare Part D prescribing footprint of 10K claims across 800 beneficiaries — 10% brand-name prescribing . Industry payments of $20.04 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN KELSEY, M.D. filed 10,068 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.

Board-eligible specialty (heuristic — not verified)

JOHN KELSEY, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

JOHN KELSEY, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 07/25/2006

NPI 1386667939

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

10,068 591% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Illinois

How Pulmonary Disease Physician compares to other specialties among Illinois providers

Illinois providers

Pulmonary Disease Physician share within Illinois

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pulmonary Disease Physician ABMS/AOA estimate

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease Physician) — 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).

JOHN KELSEY, M.D. is a Pulmonary Disease Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1386667939. 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.

JOHN KELSEY, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 1357 W 103RD ST, CHICAGO, IL, 60643, with a listed phone of (773) 238-0800. NPI 1386667939 was issued on 07/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KELSEY 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 10,068 prescription claims written by this provider, covering 800 Medicare beneficiaries and totaling roughly $901K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 1.4%. 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.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

1357 W 103RD ST
CHICAGO, IL 60643

Provider Details

NPI 1386667939
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 07/25/2006

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 JOHN KELSEY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$20

Largest payer

AstraZeneca Pharmaceuticals LP

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 JOHN KELSEY, M.D.. To verify JOHN KELSEY, 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

JOHN KELSEY, M.D. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 10,068 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.

10,068
Total Claims
$901K
Total Drug Cost
800
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
24,512
Total Day Supply
718,675
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$729K
Generic Drug Cost
$165K
Opioid Claims
145 (1.4% rate)
Antibiotic Claims
83

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.56
Gender Split
54% female / 46% male
Age Distribution
<65: 65, 65-74: 313, 75-84: 263, 85+: 159

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amlodipine Besylate
866
Atorvastatin Calcium
797
Metoprolol Succinate
431
Losartan Potassium
414
Metformin Hcl
284
Hydrochlorothiazide
273
Lisinopril
223
Gabapentin
220
Allopurinol
185
Pravastatin Sodium
179

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

Pulmonary Disease Physician Overview

How JOHN KELSEY, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

JOHN KELSEY, M.D.'s 10,068 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Illinois

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN KELSEY, M.D.'s specialty?
JOHN KELSEY, M.D. specializes in Pulmonary Disease Physician and practices in CHICAGO, Illinois. Credentials: M.D..
How much does JOHN KELSEY, M.D. prescribe under Medicare Part D?
In 2023, JOHN KELSEY, M.D. wrote 10,068 Medicare Part D claims totaling $901K in drug costs for 800 beneficiaries.
Where is JOHN KELSEY, M.D. located?
JOHN KELSEY, M.D. is located at 1357 W 103RD ST, CHICAGO, IL, 60643. Phone: (773) 238-0800.
What is JOHN KELSEY, M.D.'s NPI number?
JOHN KELSEY, M.D.'s National Provider Identifier (NPI) is 1386667939, issued on 07/25/2006.
Does JOHN KELSEY, M.D. prescribe more brand-name or generic drugs?
JOHN KELSEY, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $729K in brand drug costs.
Does JOHN KELSEY, M.D. prescribe opioids?
Yes, JOHN KELSEY, M.D. had 145 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does JOHN KELSEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN KELSEY, M.D.'s most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN KELSEY, M.D. accept Medicare?
JOHN KELSEY, M.D. appears in CMS Medicare data with 10,068 Part D claims and 800 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN KELSEY, M.D.'s credentials?
JOHN KELSEY, M.D.'s NPI is 1386667939 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

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