2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1063490183 MD
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KEVIN HENRY, MD

Pain Medicine (Anesthesiology) Physician in PEORIA, 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 · 315 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
38.6284/100
▼ 44 pts below national avg 83.1 · [object Object]
Industry payments
$2.3K
97 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KEVIN HENRY, MD reported a CMS MIPS final score of 38.6284/100 — below the 83.1 national average — and filed 1,306 Medicare Part D claims in 2023.

38.6284/100
MIPS score · -44 vs avg
1K
Part D claims, 2023
94%
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.

KEVIN HENRY, MD's MIPS score vs every scored U.S. clinician

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

39 4th percentile higher than 4% 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%). This entry sits in this band. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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

Board certification likely (heuristic — not verified)

KEVIN HENRY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 KEVIN HENRY, MD?

Below national average

NPI registry status

Active

Issued 01/09/2006

NPI 1063490183

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

Medicare Part D claims

1,306 21% vs specialty avg

2023 prescription claims

Specialty avg: 1,657

MIPS final score

38.6284/100 44.471599999999995% pts

Below average band

vs 83.1 national avg

Specialty distribution in Illinois

How Pain Medicine (Anesthesiology) Physician compares to other specialties among Illinois providers

Illinois providers

Pain Medicine (Anesthesiology) Physician share within Illinois

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

Medicare quality performance — MIPS

KEVIN HENRY, MD's 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average

Below national average
MIPS Final Score
38.6284/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Anesthesiology) Physician) — 38.6284/100 vs national avg 83.1

0%100%National avg83%38.6%
MIPS final score (Pain Medicine (Anesthesiology) Physician) — 38.6284/100 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).

KEVIN HENRY, MD appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding MD credentials at 5401 N KNOXVILLE AVE, PEORIA, IL, 61614, with a listed phone of (309) 692-7246. NPI 1063490183 was issued on 01/09/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HENRY 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 1,306 prescription claims written by this provider, covering 315 Medicare beneficiaries and totaling roughly $85K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 41.5%. 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 38.6284/100 for the 2023 performance year (Quality 40.3517, Cost 38.4097), compared with the national average of 83.1.

Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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

5401 N KNOXVILLE AVE
PEORIA, IL 61614

Provider Details

NPI 1063490183
Specialty Pain Medicine (Anesthesiology) Physician
Credentials MD
Gender Male
NPI Issued 01/09/2006

CMS Quality Score (MIPS)

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

38.6284
Final Score
Avg: 83.1
40.3517
Quality
38.4097
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KEVIN HENRY, 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.

PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC
SAN TAN VALLEY, AZ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 KEVIN HENRY, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.3K

Largest payer

BIOTRONIK NRO, 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 KEVIN HENRY, MD. To verify KEVIN HENRY, 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

KEVIN HENRY, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 1,306 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.

1,306
Total Claims
$85K
Total Drug Cost
315
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,432
Total Day Supply
36,543
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$53K
Generic Drug Cost
$32K
Opioid Claims
542 (41.5% rate)

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
1.63
Gender Split
63% female / 37% male
Age Distribution
<65: 68, 65-74: 151, 75-84: 82, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

What KEVIN HENRY, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
183
Gabapentin
143
Pregabalin
142
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
140
Tizanidine Hcl
102
Tramadol Hcl
75
Oxycodone Hcl
57
Cyclobenzaprine Hcl
44
Naloxone Hcl
42
Duloxetine Hcl
40

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

Pain Medicine (Anesthesiology) Physician Overview

How KEVIN HENRY, MD fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

KEVIN HENRY, MD's 1,306 claims are below the specialty average of 1,657.

Nearby Pain Medicine (Anesthesiology) Physician Providers in Illinois

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

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KEVIN HENRY, MD's specialty?
KEVIN HENRY, MD specializes in Pain Medicine (Anesthesiology) Physician and practices in PEORIA, Illinois. Credentials: MD.
How much does KEVIN HENRY, MD prescribe under Medicare Part D?
In 2023, KEVIN HENRY, MD wrote 1,306 Medicare Part D claims totaling $85K in drug costs for 315 beneficiaries.
What is KEVIN HENRY, MD's Medicare quality score?
KEVIN HENRY, MD has a CMS MIPS Final Score of 38.6284/100 (Quality: 40.3517, Cost: 38.4097). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KEVIN HENRY, MD located?
KEVIN HENRY, MD is located at 5401 N KNOXVILLE AVE, PEORIA, IL, 61614. Phone: (309) 692-7246.
What is KEVIN HENRY, MD's NPI number?
KEVIN HENRY, MD's National Provider Identifier (NPI) is 1063490183, issued on 01/09/2006.
Does KEVIN HENRY, MD prescribe more brand-name or generic drugs?
KEVIN HENRY, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $53K in brand drug costs.
Does KEVIN HENRY, MD prescribe opioids?
Yes, KEVIN HENRY, MD had 542 opioid claims in 2023 with an opioid prescribing rate of 41.5%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does KEVIN HENRY, MD prescribe most often?
Based on 2023 Medicare Part D data, KEVIN HENRY, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Pregabalin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KEVIN HENRY, MD accept Medicare?
KEVIN HENRY, MD appears in CMS Medicare data with 1,306 Part D claims and 315 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KEVIN HENRY, MD's credentials?
KEVIN HENRY, MD's NPI is 1063490183 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