2026 NPPES data Pulmonary Disease Physician NPI 1447505664 MD
Verify on CMS →

KEVIN TSUI, MD

Pulmonary Disease 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
2K
Medicare Part D claims · 127 beneficiaries · Pulmonary Disease Physician avg: 1K
MIPS score
97.7188/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$52.8
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KEVIN TSUI, MD reported a CMS MIPS final score of 97.7188/100 — above the 83.1 national average — and filed 2,288 Medicare Part D claims in 2023.

97.7188/100
MIPS score · +15 vs avg
2K
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.

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

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

98 Top 15% higher than 85% 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%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 TSUI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — 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 TSUI, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/14/2012

NPI 1447505664

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

2,288 57% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

97.7188/100 14.618800000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Pulmonary Disease Physician compares to other specialties among Illinois providers

Illinois providers

Pulmonary Disease Physician share within Illinois

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

Medicare quality performance — MIPS

KEVIN TSUI, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

High performer (top quartile)
MIPS Final Score
97.7188/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 97.7188/100 vs national avg 83.1

0%100%National avg83%97.7%
MIPS final score (Pulmonary Disease Physician) — 97.7188/100 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 TSUI, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 5841 S MARYLAND AVE, CHICAGO, IL, 60637, with a listed phone of (888) 824-0200. NPI 1447505664 was issued on 07/14/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TSUI 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 2,288 prescription claims written by this provider, covering 127 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, with an opioid prescribing rate of 3.2%. 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 97.7188/100 for the 2023 performance year (Quality 75.4375), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

5841 S MARYLAND AVE
CHICAGO, IL 60637

Provider Details

NPI 1447505664
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 07/14/2012

CMS Quality Score (MIPS)

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

97.7188
Final Score
Avg: 83.1
75.4375
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KEVIN TSUI, 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.

THE UNIVERSITY OF CHICAGO MEDICAL CENTER
★★★★☆ 4/5
CHICAGO, IL
Acute Care Hospitals
CMS CCN: 140088
NORTHWESTERN MEDICAL FACULTY FOUNDATION
LAKE FOREST, IL
UNIVERSITY OF CHICAGO
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).

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 TSUI, MD. Source: openpaymentsdata.cms.gov.

Total received

$53

Largest payer

GlaxoSmithKline, LLC.

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 TSUI, MD. To verify KEVIN TSUI, 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.

2,288
Total Claims
$1.4M
Total Drug Cost
127
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,997
Total Day Supply
113,800
Generic Drug Cost
$262K
Opioid Claims
74 (3.2% rate)
Antibiotic Claims
407

Patient Demographics

Average Patient Age
68.2 years
Avg HCC Risk Score
3.15
Gender Split
61% female / 39% male
Age Distribution
<65: 30, 65-74: 71, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What KEVIN TSUI, 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
Azithromycin
188
Prednisone
156
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
132
Pantoprazole Sodium
118
Tacrolimus
109
Montelukast Sodium
93
Atorvastatin Calcium
71
Atovaquone
55
Albuterol Sulfate Hfa
Albuterol Sulfate
53
Omeprazole
48

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

Pulmonary Disease Physician Overview

How KEVIN TSUI, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

KEVIN TSUI, MD's 2,288 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Illinois

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KEVIN TSUI, MD's specialty?
KEVIN TSUI, MD specializes in Pulmonary Disease Physician and practices in CHICAGO, Illinois. Credentials: MD.
How much does KEVIN TSUI, MD prescribe under Medicare Part D?
In 2023, KEVIN TSUI, MD wrote 2,288 Medicare Part D claims totaling $1.4M in drug costs for 127 beneficiaries.
What is KEVIN TSUI, MD's Medicare quality score?
KEVIN TSUI, MD has a CMS MIPS Final Score of 97.7188/100 (Quality: 75.4375). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KEVIN TSUI, MD located?
KEVIN TSUI, MD is located at 5841 S MARYLAND AVE, CHICAGO, IL, 60637. Phone: (888) 824-0200.
What is KEVIN TSUI, MD's NPI number?
KEVIN TSUI, MD's National Provider Identifier (NPI) is 1447505664, issued on 07/14/2012.
Does KEVIN TSUI, MD prescribe opioids?
Yes, KEVIN TSUI, MD had 74 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does KEVIN TSUI, MD prescribe most often?
Based on 2023 Medicare Part D data, KEVIN TSUI, MD's most frequently prescribed drugs include Azithromycin, Prednisone, Sulfamethoxazole-Trimethoprim. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KEVIN TSUI, MD accept Medicare?
KEVIN TSUI, MD appears in CMS Medicare data with 2,288 Part D claims and 127 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KEVIN TSUI, MD's credentials?
KEVIN TSUI, MD's NPI is 1447505664 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