2026 NPPES data Internal Medicine Physician NPI 1376572891 MD
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John O'Brien, MD

Internal Medicine 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
1K
Medicare Part D claims · 75 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
76%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.6/100
▲ 1 pts above national avg 83.1 · Above neutral

What the federal data shows

John O'Brien, MD reported a CMS MIPS final score of 84.6/100 — above the 83.1 national average — and filed 1,016 Medicare Part D claims in 2023.

84.6/100
MIPS score · +1 vs avg
1K
Part D claims, 2023
76%
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.

John O'Brien, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

85 45th percentile higher than 45% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Where John O'Brien, MD sits

This provider among internal medicine physician peers

Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, John O'Brien, MD writes more Part D claims than 56% of them and scores higher on MIPS quality than 46% — placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentile
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is John O'Brien, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

John O'Brien, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 John O'Brien, MD?

Near national average

NPI registry status

Active

Issued 06/30/2006

NPI 1376572891

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,016 63% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

84.6/100 1.5 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Internal Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Internal Medicine Physician share within Illinois

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

Medicare quality performance — MIPS

John O'Brien, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Near national average
MIPS Final Score
84.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 84.6/100 vs national avg 83.1

0%100%National avg83%84.6%
MIPS final score (Internal Medicine Physician) — 84.6/100 vs national avg 83.1

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 O'Brien, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 1901 W HARRISON ST, Chicago, IL, 60612, with a listed phone of (312) 864-6000. NPI 1376572891 was issued on 06/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what O'Brien 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 1,016 prescription claims written by this provider, covering 75 Medicare beneficiaries and totaling roughly $81K in drug spend, split 19% brand-name and 76% generic by claim count, with an opioid prescribing rate of 2.0%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.6/100 for the 2023 performance year (Quality 60.3, Cost 67), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

1901 W HARRISON ST
Chicago, IL 60612

Provider Details

NPI 1376572891
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/30/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

84.5729
Final Score
Avg: 83.1
60.2504
Quality
67.0015
Cost
100
Promoting Interoperability

Reporting: Group practice

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 O'Brien, MD. To verify John O'Brien, 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

John O'Brien, MD — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 76% generic, on 1,016 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.

1,016
Total Claims
$81K
Total Drug Cost
75
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,501
Total Day Supply
73,393
Brand vs Generic
19% brand / 76% generic
Brand Drug Cost
$61K
Generic Drug Cost
$19K
Opioid Claims
20 (2.0% rate)

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.49
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

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

What John O'Brien, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
95
Enalapril Maleate
51
Amlodipine Besylate
49
Nifedipine Er
Nifedipine
45
Metformin Hcl
44
Metoprolol Succinate
37
Furosemide
29
Novolin 70-30
Insulin Nph Hum/Reg Insulin Hm
29
Tamsulosin Hcl
29
Hydrochlorothiazide
26

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

Internal Medicine Physician Overview

How John O'Brien, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

John O'Brien, MD's 1,016 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Illinois

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

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 Internal Medicine 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.

Frequently Asked Questions

What is John O'Brien, MD's specialty?
John O'Brien, MD specializes in Internal Medicine Physician and practices in Chicago, Illinois. Credentials: MD.
How much does John O'Brien, MD prescribe under Medicare Part D?
In 2023, John O'Brien, MD wrote 1,016 Medicare Part D claims totaling $81K in drug costs for 75 beneficiaries.
What is John O'Brien, MD's Medicare quality score?
John O'Brien, MD has a CMS MIPS Final Score of 84.6/100 (Quality: 60.3, Cost: 67). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John O'Brien, MD located?
John O'Brien, MD is located at 1901 W HARRISON ST, Chicago, IL, 60612. Phone: (312) 864-6000.
What is John O'Brien, MD's NPI number?
John O'Brien, MD's National Provider Identifier (NPI) is 1376572891, issued on 06/30/2006.
Does John O'Brien, MD prescribe more brand-name or generic drugs?
John O'Brien, MD's prescribing is 19% brand-name and 76% generic drugs by claim count, with $61K in brand drug costs.
Does John O'Brien, MD prescribe opioids?
Yes, John O'Brien, MD had 20 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does John O'Brien, MD prescribe most often?
Based on 2023 Medicare Part D data, John O'Brien, MD's most frequently prescribed drugs include Atorvastatin Calcium, Enalapril Maleate, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John O'Brien, MD accept Medicare?
John O'Brien, MD appears in CMS Medicare data with 1,016 Part D claims and 75 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John O'Brien, MD's credentials?
John O'Brien, MD's NPI is 1376572891 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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