2026 NPPES data Adult Medicine Physician NPI 1972181345 MD
Verify on CMS →

KAREN DUENAS RUIZ, MD

Adult 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
197
Medicare Part D claims · 38 beneficiaries · Adult Medicine Physician avg: 3K

What the federal data shows

KAREN DUENAS RUIZ, MD filed 197 Medicare Part D claims in 2023 as a Adult Medicine Physician in CHICAGO, Illinois.

197
Part D claims, 2023
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.

KAREN DUENAS RUIZ, MD's Medicare Part D volume vs every U.S. prescriber

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

197 35th percentile higher than 35% 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)

KAREN DUENAS RUIZ, MD 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 KAREN DUENAS RUIZ, MD?

Quality data not reported

NPI registry status

Active

Issued 03/29/2021

NPI 1972181345

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

197 93% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

Specialty distribution in Illinois

How Adult Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Adult Medicine Physician share within Illinois

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

Specialty board-certification context

Estimated specialty board-certified rate — Adult Medicine Physician (ABMS / AOA reference)

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

Est. board-certified rate (Adult Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Medicine 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).

KAREN DUENAS RUIZ, MD is a Adult Medicine Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1972181345. 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.

KAREN DUENAS RUIZ, MD appears in the CMS NPPES registry as a Adult Medicine Physician provider holding MD credentials at 2434 W DIVISION ST, CHICAGO, IL, 60622, with a listed phone of (773) 584-4178. NPI 1972181345 was issued on 03/29/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DUENAS RUIZ 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 197 prescription claims written by this provider, covering 38 Medicare beneficiaries and totaling roughly $44K in drug spend. 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.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

2434 W DIVISION ST
CHICAGO, IL 60622

Provider Details

NPI 1972181345
Specialty Adult Medicine Physician
Credentials MD
Gender Female
NPI Issued 03/29/2021

Hospital and facility affiliations

Facilities where KAREN DUENAS RUIZ, MD 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.

PCC COMMUNITY WELLNESS CENTER
OAK PARK, 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 KAREN DUENAS RUIZ, MD. To verify KAREN DUENAS RUIZ, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

197
Total Claims
$44K
Total Drug Cost
38
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
447
Total Day Supply
13,167
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
1.12
Gender Split
61% female / 39% male

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
21
Lisinopril
19
Metformin Hcl
18
Amlodipine Besylate
15
Gabapentin
11

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

Adult Medicine Physician Overview

How KAREN DUENAS RUIZ, MD fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

KAREN DUENAS RUIZ, MD's 197 claims are below the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Illinois

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

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

Frequently Asked Questions

What is KAREN DUENAS RUIZ, MD's specialty?
KAREN DUENAS RUIZ, MD specializes in Adult Medicine Physician and practices in CHICAGO, Illinois. Credentials: MD.
How much does KAREN DUENAS RUIZ, MD prescribe under Medicare Part D?
In 2023, KAREN DUENAS RUIZ, MD wrote 197 Medicare Part D claims totaling $44K in drug costs for 38 beneficiaries.
Where is KAREN DUENAS RUIZ, MD located?
KAREN DUENAS RUIZ, MD is located at 2434 W DIVISION ST, CHICAGO, IL, 60622. Phone: (773) 584-4178.
What is KAREN DUENAS RUIZ, MD's NPI number?
KAREN DUENAS RUIZ, MD's National Provider Identifier (NPI) is 1972181345, issued on 03/29/2021.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does KAREN DUENAS RUIZ, MD prescribe most often?
Based on 2023 Medicare Part D data, KAREN DUENAS RUIZ, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN DUENAS RUIZ, MD accept Medicare?
KAREN DUENAS RUIZ, MD appears in CMS Medicare data with 197 Part D claims and 38 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN DUENAS RUIZ, MD's credentials?
KAREN DUENAS RUIZ, MD's NPI is 1972181345 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