Kenneth Richard Nissim, M.D.
Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Rockford, IL
Kenneth Richard Nissim, M.D. is a plastic surgery within the head & neck (otolaryngology) physician with a practice address in Rockford, Illinois, and NPI 1447246392, issued on Sep 26, 2005. Check the license (Illinois 036170811, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Kenneth Richard Nissim
- Credential
- M.D.
- Primary taxonomy
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X
- License numbers
- 036170811 IL
ME85561 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1253 N Alpine RD, Rockford, IL 61107
- Phone
- (779) 696-9201
- Enumerated
- Sep 26, 2005
- Record last updated
- Dec 11, 2024
- Fax
- (815) 397-9667
- Medicaid ID
- 2675617-00 FL
- Medicare enrollment
- Enrolled (PECOS I20240909001436); accepts Medicare assignment
- Medical or professional school
- Harvard Medical School, 1990
- Entity
- Type 1 · individual
8 nearest plastic surgery within the head & neck (otolaryngology) physician records → All 20 in Illinois → Look up another NPI →
Also registered at 1253 N Alpine RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Carolyn AwenderAudiologist1942227905
- Ann Broughton, M.A.Audiologist1194903849
- Michaela FritzFamily Nurse Practitioner1154166882
- Amrutha Mary George, M.D.Endocrinology, Diabetes & Metabolism Physician1013267194
- James Harding, PA-CPhysician Assistant1487166310
- Heath Hoffman, D.P.M.Foot & Ankle Surgery Podiatrist1528231354
Verify Kenneth Richard Nissim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036170811Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
93% fewer Medicare Part D claims than the average plastic surgery within the head & neck (otolaryngology) physician in 2024
26 Medicare Part D claims for 18 beneficiaries, against an average of 393 among the 492 providers of this specialty who prescribed in Part D.
Most prescribed
- Ipratropium Bromide11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 80.1 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Swedishamerican HospitalRockford, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kenneth Richard Nissim among 20 plastic surgery within the head & neck (otolaryngology) physician records in Illinois
Kenneth Richard Nissim, M.D. is one of 20 plastic surgery within the head & neck (otolaryngology) physician records with a practice address in Illinois. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 75% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 55% of these records are
- Graduated1990 · median 1994 among the 11 with a school on file
- Record last updated2024 · 45% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207YX0007X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers in Illinois
There are 20 plastic surgery within the head & neck (otolaryngology) physician records in Illinois.
All 20 in Illinois → Every provider in Rockford → Plastic Surgery within the Head & Neck (Otolaryngology) Physician nationwide →
The 8 plastic surgery within the head & neck (otolaryngology) physician records with the nearest ZIP codes
- Jonathan Ferguson, MDRockford, IL 611071669452934
- Jack Kotlarz, MDRockford, IL 611071922090646
- Fazlur Zahurullah, MDRockford, IL 611141720068695
- Michael Gootee, MDPeoria, IL 616031720050982
- Jill Jeffe, MDChicago, IL 606111588820104
- Gordon Siegel, M.D.Chicago, IL 606111982609103
- Peter Brusca, M.D.Chicago, IL 606101558646745
- Jordan Pritikin, M.D.Chicago, IL 606021770585259
Common questions
What is Kenneth Richard Nissim, M.D.'s NPI number?
Kenneth Richard Nissim, M.D.'s National Provider Identifier (NPI) is 1447246392, issued on Sep 26, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth Richard Nissim, M.D. located?
The NPPES record lists a practice address at 1253 N Alpine RD, Rockford, IL, 61107. Phone: (779) 696-9201. Providers update this record themselves, so call before visiting.
How can I verify Kenneth Richard Nissim, M.D.'s license?
NPPES lists Illinois license number 036170811, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kenneth Richard Nissim, M.D. prescribe under Medicare Part D?
In 2024, Kenneth Richard Nissim, M.D. had 26 Medicare Part D claims for 18 beneficiaries; the average among plastic surgery within the head & neck (otolaryngology) physician prescribers was 393. Part D covers Medicare prescriptions only.
What is Kenneth Richard Nissim, M.D.'s MIPS final score?
The 2023 MIPS final score is 80.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.