2026 NPPES data Pediatric Pulmonology Physician NPI 1699188623 M.D.
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JOHN PALLA, M.D.

Pediatric Pulmonology 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
30
Medicare Part D claims · Pediatric Pulmonology Physician avg: 130
Generic prescribing
40%
generic claims · 60% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

JOHN PALLA, M.D. filed 30 Medicare Part D claims in 2023 as a Pediatric Pulmonology Physician in CHICAGO, Illinois, prescribing 40% generic.

30
Part D claims, 2023
40%
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 PALLA, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

30 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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)

JOHN PALLA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — 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 PALLA, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/06/2014

NPI 1699188623

Primary specialty

Pediatric Pulmonology Physician

Niche

1,055 US NPIs in this specialty

Medicare Part D claims

30 77% vs specialty avg

2023 prescription claims

Specialty avg: 130

Specialty distribution in Illinois

How Pediatric Pulmonology Physician compares to other specialties among Illinois providers

Illinois providers

Pediatric Pulmonology Physician share within Illinois

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

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Pulmonology Physician (ABMS / AOA reference)

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

Est. board-certified rate (Pediatric Pulmonology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Pulmonology 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 PALLA, M.D. appears in the CMS NPPES registry as a Pediatric Pulmonology Physician provider holding M.D. credentials at 225 E CHICAGO AVE, CHICAGO, IL, 60611, with a listed phone of (800) 543-7263. NPI 1699188623 was issued on 06/06/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PALLA 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 30 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $4K in drug spend, split 60% brand-name and 40% 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.

Pediatric Pulmonology Physician is a narrow specialty nationwide, with 1,055 enrolled providers across 51 states and an average of 130 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

225 E CHICAGO AVE
CHICAGO, IL 60611

Provider Details

NPI 1699188623
Specialty Pediatric Pulmonology Physician
Credentials M.D.
Gender Male
NPI Issued 06/06/2014

Hospital and facility affiliations

Facilities where JOHN PALLA, 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.

LURIE CHILDREN'S MEDICAL GROUP INC.
CHICAGO, 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).

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 PALLA, M.D.. To verify JOHN PALLA, 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 · Brand-heavy

JOHN PALLA, M.D. — brand share 60.0%
Specialty average (est.)

60% brand-name claims vs 40% generic, on 30 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.

30
Total Claims
$4K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
30
Total Day Supply
786
Brand vs Generic
60% brand / 40% generic
Brand Drug Cost
$4K
Generic Drug Cost
$85

Patient Demographics

Average Patient Age
17.0 years
Avg HCC Risk Score
6.40

Pediatric Pulmonology Physician Overview

How JOHN PALLA, M.D. fits within the Pediatric Pulmonology Physician landscape nationally.

1,055
Pediatric Pulmonology Physician Providers in US
51
States with Pediatric Pulmonology Physician
130
Avg Claims per Provider

JOHN PALLA, M.D.'s 30 claims are below the specialty average of 130.

Nearby Pediatric Pulmonology Physician Providers in Illinois

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

Compare Pediatric Pulmonology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN PALLA, M.D.'s specialty?
JOHN PALLA, M.D. specializes in Pediatric Pulmonology Physician and practices in CHICAGO, Illinois. Credentials: M.D..
How much does JOHN PALLA, M.D. prescribe under Medicare Part D?
In 2023, JOHN PALLA, M.D. wrote 30 Medicare Part D claims totaling $4K in drug costs for N/A beneficiaries.
Where is JOHN PALLA, M.D. located?
JOHN PALLA, M.D. is located at 225 E CHICAGO AVE, CHICAGO, IL, 60611. Phone: (800) 543-7263.
What is JOHN PALLA, M.D.'s NPI number?
JOHN PALLA, M.D.'s National Provider Identifier (NPI) is 1699188623, issued on 06/06/2014.
Does JOHN PALLA, M.D. prescribe more brand-name or generic drugs?
JOHN PALLA, M.D.'s prescribing is 60% brand-name and 40% generic drugs by claim count, with $4K in brand drug costs.
How many Pediatric Pulmonology Physician providers are there in the US?
There are 1,055 Pediatric Pulmonology Physician providers across 51 states in the US. The average Pediatric Pulmonology Physician provider writes 130 Medicare Part D claims per year.
Does JOHN PALLA, M.D. accept Medicare?
JOHN PALLA, M.D. appears in CMS Medicare data with 30 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN PALLA, M.D.'s credentials?
JOHN PALLA, M.D.'s NPI is 1699188623 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