Kirbylee Kristina Nelson, M.D.
Gastroenterology Physician · Chicago, IL
Kirbylee Kristina Nelson, M.D. is a gastroenterology physician with a practice address in Chicago, Illinois, and NPI 1780927418, issued on Apr 1, 2013. Check the license (Illinois 036143534, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Kirbylee Kristina Nelson
- Credential
- M.D.
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License numbers
- 036143534 IL
285255 NY
Self-reported in NPPES; status is on the state search - Practice location
- 259 E Erie St Ste 1600, Chicago, IL 60611
- Phone
- (312) 695-5620
- Enumerated
- Apr 1, 2013
- Record last updated
- Oct 6, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (312) 695-2729
- Medicare enrollment
- Enrolled (PECOS I20200820000502); accepts Medicare assignment
- Medical or professional school
- Rush Medical College Of Rush University, 2013
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 887 in Illinois → Look up another NPI →
Also registered at 259 E Erie St Ste 1600
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Ikechukwu Achebe, MDGastroenterology Physician1184182198
- Hasan Alam, MDTrauma Surgery Physician1902880321
- Patricia Araujo, RDRegistered Dietitian1073961686
- Christine Boumitri, M.DGastroenterology Physician1992050702
- Harold Boutte, M.D.Gastroenterology Physician1487911038
Verify Kirbylee Kristina Nelson 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 036143534Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
69% fewer Medicare Part D claims than the average gastroenterology physician in 2024
253 Medicare Part D claims for 127 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 42% of claims.
Most prescribed
- Peg 3350-Electrolyte72 claims
- Omeprazole56 claims
- Linzess25 claims
- Famotidine15 claims
- Sod Sulf-Potass Sulf-Mag Sulf11 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 MIPS final score for 2023 (Medicare payment program): 94.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Northwestern Medical Faculty FoundationChicago, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kirbylee Kristina Nelson among 887 gastroenterology physician records in Illinois
Kirbylee Kristina Nelson, M.D. is one of 887 gastroenterology physician records with a practice address in Illinois. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 71% of them.
- NPI issued2013 · 71% of these records are older, 26% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2013 · median 2003 among the 643 with a school on file
- Record last updated2020 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gastroenterology Physician providers in Illinois
There are 887 gastroenterology physician records in Illinois.
All 887 in Illinois → Every provider in Chicago → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Greg Cohen, M.D.Chicago, IL 606111669447348
- Maria Ferreira, MDChicago, IL 606111194755421
- Robin Fintel, M.D.Chicago, IL 606111023083250
- Steven Flamm, MDChicago, IL 606111912937244
- Melvin Goldstein, M.D.Chicago, IL 606111376531400
- Nirmala Gonsalves, MDChicago, IL 606111326038712
- Richard Green, MDChicago, IL 606111770511404
- Joseph Karacic, MDChicago, IL 606111992798417
Common questions
What is Kirbylee Kristina Nelson, M.D.'s NPI number?
Kirbylee Kristina Nelson, M.D.'s National Provider Identifier (NPI) is 1780927418, issued on Apr 1, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Kirbylee Kristina Nelson, M.D. located?
The NPPES record lists a practice address at 259 E Erie St Ste 1600, Chicago, IL, 60611. Phone: (312) 695-5620. Providers update this record themselves, so call before visiting.
How can I verify Kirbylee Kristina Nelson, M.D.'s license?
NPPES lists Illinois license number 036143534, 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 Kirbylee Kristina Nelson, M.D. prescribe under Medicare Part D?
In 2024, Kirbylee Kristina Nelson, M.D. had 253 Medicare Part D claims for 127 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Kirbylee Kristina Nelson, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.1 of 100. 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.