2026 NPPES data Rheumatology Physician NPI 1063403145 MD
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Kenneth Margules, MD

Rheumatology Physician in Libertyville, Illinois. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,181 in Rheumatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 204 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
91%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$449.73
12 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Kenneth Margules, MD filed 3,714 Medicare Part D claims in 2023 as a Rheumatology Physician in Libertyville, Illinois, prescribing 91% generic.

4K
Part D claims, 2023
91%
generic prescribing
$449.73
industry payments (Sunshine Act)

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.

Kenneth Margules, MD's Medicare Part D volume vs every U.S. prescriber

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

3,714 Top 9% higher than 91% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. 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-eligible specialty (heuristic, not verified)

Kenneth Margules, MD 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).

What does the federal data show about Kenneth Margules, MD?

Quality data not reported

NPI registry status

Active

Issued 10/28/2005

NPI 1063403145

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

3,714 81% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in Illinois

How Rheumatology Physician compares to other specialties among Illinois providers

Illinois providers

Largest specialties in Illinois (% of in-state providers)

Clinical Social Worker - 5.2%Clinical Social Worker5.2%Physical Therapist - 5%Physical Therapist5%Mental Health Counselor - 4.5%Mental Health Counselor4.5%Speech-Language Pathologist - 4.2%Speech-Language Pathologist4.2%Student in an Organized Health Care Education/Training Program - 4.2%Student in an Organized Health Care Education/Training Program4.2%Pharmacist - 4.1%Pharmacist4.1%Rheumatology Physician - 0.1%Rheumatology Physician0.1%
Largest specialties in Illinois (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Rheumatology Physician. Verify directly:

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).

Kenneth Margules, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 755 S MILWAUKEE AVE, Libertyville, IL, 60048, with a listed phone of (847) 367-0072. NPI 1063403145 was issued on 10/28/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Margules 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 3,714 prescription claims written by this provider, covering 204 Medicare beneficiaries and totaling roughly $637K in drug spend, split 8% brand-name and 91% generic by claim count, with an opioid prescribing rate of 20.4%. 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

755 S MILWAUKEE AVE
Libertyville, IL 60048

Provider Details

NPI 1063403145
Specialty Rheumatology Physician
Credentials MD
Gender Male
NPI Issued 10/28/2005

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 Kenneth Margules, MD. Source: openpaymentsdata.cms.gov.

Total received

$450

Largest payer

ABBVIE 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 Kenneth Margules, MD. To verify Kenneth Margules, 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 · Generic-heavy

Kenneth Margules, MD - brand share 8.0%
Rheumatology Physician average

8% brand-name claims vs 91% generic, on 3,714 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.

3,714
Total Claims
$637K
Total Drug Cost
204
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,011
Total Day Supply
171,635
Brand vs Generic
8% brand / 91% generic
Brand Drug Cost
$536K
Generic Drug Cost
$100K
Opioid Claims
759 (20.4% rate)
Antibiotic Claims
146

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.82
Gender Split
68% female / 32% male

Top Prescribed Drugs (Medicare Part D)

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

What Kenneth Margules, 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
Prednisone
299
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
289
Acetaminophen-Codeine
Acetaminophen With Codeine
274
Leflunomide
183
Tramadol Hcl
149
Hydroxychloroquine Sulfate
107
Gabapentin
101
Pilocarpine Hcl
94
Carvedilol
85
Enalapril Maleate
82

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

Rheumatology Physician Overview

How Kenneth Margules, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

Kenneth Margules, MD's 3,714 claims are above the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Illinois

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

Compare Rheumatology 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 Rheumatology 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 Kenneth Margules, MD's specialty?
Kenneth Margules, MD specializes in Rheumatology Physician and practices in Libertyville, Illinois. Credentials: MD.
How much does Kenneth Margules, MD prescribe under Medicare Part D?
In 2023, Kenneth Margules, MD wrote 3,714 Medicare Part D claims totaling $637K in drug costs for 204 beneficiaries.
Where is Kenneth Margules, MD located?
Kenneth Margules, MD is located at 755 S MILWAUKEE AVE, Libertyville, IL, 60048. Phone: (847) 367-0072.
What is Kenneth Margules, MD's NPI number?
Kenneth Margules, MD's National Provider Identifier (NPI) is 1063403145, issued on 10/28/2005.
Does Kenneth Margules, MD prescribe more brand-name or generic drugs?
Kenneth Margules, MD's prescribing is 8% brand-name and 91% generic drugs by claim count, with $536K in brand drug costs.
Does Kenneth Margules, MD prescribe opioids?
Yes, Kenneth Margules, MD had 759 opioid claims in 2023 with an opioid prescribing rate of 20.4%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Kenneth Margules, MD prescribe most often?
Based on 2023 Medicare Part D data, Kenneth Margules, MD's most frequently prescribed drugs include Prednisone, Hydrocodone-Acetaminophen, Acetaminophen-Codeine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kenneth Margules, MD accept Medicare?
Kenneth Margules, MD appears in CMS Medicare data with 3,714 Part D claims and 204 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kenneth Margules, MD's credentials?
Kenneth Margules, MD's NPI is 1063403145 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

Compiled from official public sources by the PlainDoctor editorial team.