NPI registry status
Active
2026 NPPES data Colon & Rectal Surgery Physician NPI 1467482828 M.D.
Verify on CMS → Lawrence Prabhakar, M.D.
Colon & Rectal Surgery Physician in Rockford, 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 1,608 in Colon & Rectal Surgery 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
360
Medicare Part D claims · 115 beneficiaries · Colon & Rectal Surgery Physician avg: 196
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$545.51
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Lawrence Prabhakar, M.D. filed 360 Medicare Part D claims in 2023 as a Colon & Rectal Surgery Physician in Rockford, Illinois, prescribing 76% generic.
- 360
- Part D claims, 2023
- 76%
- 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.
Lawrence Prabhakar, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
360 Top 43% higher than 57% of 1,370,886 prescribers
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 certification likely (heuristic, not verified)
Lawrence Prabhakar, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Lawrence Prabhakar, M.D.?
Quality data not reportedPrimary specialty
Colon & Rectal Surgery Physician
Medicare Part D claims
360 84% vs specialty avg
Specialty distribution in Illinois
How Colon & Rectal Surgery Physician compares to other specialties among Illinois 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 Colon & Rectal Surgery Physician. Verify directly:
How MIPS and board certification work
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).
Lawrence Prabhakar, M.D. appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding M.D. credentials at 5668 E STATE ST, Rockford, IL, 61108, with a listed phone of (815) 229-7580. NPI 1467482828 was issued on 07/03/2006.
Medicare Part D records for calendar year 2023 show 360 prescription claims written by this provider, covering 115 Medicare beneficiaries and totaling roughly $11K in drug spend, split 24% brand-name and 76% generic by claim count, with an opioid prescribing rate of 25.0%.
Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 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
Provider Details
| NPI | 1467482828 |
|---|---|
| Specialty | Colon & Rectal Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/03/2006 |
Hospital and facility affiliations
Facilities where Lawrence Prabhakar, M.D. 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.
Osf Multi-Specialty Group
Rockford, 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 Lawrence Prabhakar, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$546
Largest payer
INTUITIVE SURGICAL, INC.
Most common payment type
Travel and Lodging
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 Lawrence Prabhakar, M.D.. To verify Lawrence Prabhakar, M.D.'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 · Typical
Lawrence Prabhakar, M.D. - brand share 24.0%
Colon & Rectal Surgery Physician average
24% brand-name claims vs 76% generic, on 360 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.
360
Total Claims
$11K
Total Drug Cost
115
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 362
- Total Day Supply
- 2,933
- Brand vs Generic
- 24% brand / 76% generic
- Brand Drug Cost
- $8K
- Generic Drug Cost
- $3K
- Opioid Claims
- 90 (25.0% rate)
- Antibiotic Claims
- 68
Patient Demographics
- Average Patient Age
- 70.7 years
- Avg HCC Risk Score
- 1.40
- Gender Split
- 57% female / 43% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Lawrence Prabhakar, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Sodium Chloride
Sodium Chloride
71 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
38 claims
- Tramadol Hcl
Tramadol Hcl
36 claims
- Naproxen
Naproxen
35 claims
- Hydrocortisone
Hydrocortisone
33 claims
- Metronidazole 27
Metronidazole
27 claims
- Neomycin Sulfate 25
Neomycin Sulfate
25 claims
- Ibuprofen 17
Ibuprofen
17 claims
| Drug | Claims |
|---|---|
| Sodium Chloride 0.9 % Sodium Chloride | 71 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 38 |
| Tramadol Hcl | 36 |
| Naproxen | 35 |
| Hydrocortisone | 33 |
| Metronidazole | 27 |
| Neomycin Sulfate | 25 |
| Ibuprofen | 17 |
| Oxycodone Hcl | 16 |
| Sutab Sod Sulf/Pot Chloride/Mag Sulf | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Colon & Rectal Surgery Physician Overview
How Lawrence Prabhakar, M.D. fits within the Colon & Rectal Surgery Physician landscape nationally.
1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider
Lawrence Prabhakar, M.D.'s 360 claims are above the specialty average of 196.
Nearby Colon & Rectal Surgery Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Prabhakar.
Herand Abcarian
Chicago, IL
Dr. Kishore Alapati
MD
Moline, IL
Dr. Saeed Albalawi
MD
Chicago, IL
Dr. John Andrews
M.D.
Lake Forest, IL
Dr. Elisa Bianchi
MD
Chicago, IL
Compare Colon & Rectal Surgery 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 Colon & Rectal Surgery 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.
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Frequently Asked Questions
What is Lawrence Prabhakar, M.D.'s specialty? ▼
Lawrence Prabhakar, M.D. specializes in Colon & Rectal Surgery Physician and practices in Rockford, Illinois. Credentials: M.D..
How much does Lawrence Prabhakar, M.D. prescribe under Medicare Part D? ▼
In 2023, Lawrence Prabhakar, M.D. wrote 360 Medicare Part D claims totaling $11K in drug costs for 115 beneficiaries.
Where is Lawrence Prabhakar, M.D. located? ▼
Lawrence Prabhakar, M.D. is located at 5668 E STATE ST, Rockford, IL, 61108. Phone: (815) 229-7580.
What is Lawrence Prabhakar, M.D.'s NPI number? ▼
Lawrence Prabhakar, M.D.'s National Provider Identifier (NPI) is 1467482828, issued on 07/03/2006.
Does Lawrence Prabhakar, M.D. prescribe more brand-name or generic drugs? ▼
Lawrence Prabhakar, M.D.'s prescribing is 24% brand-name and 76% generic drugs by claim count, with $8K in brand drug costs.
Does Lawrence Prabhakar, M.D. prescribe opioids? ▼
Yes, Lawrence Prabhakar, M.D. had 90 opioid claims in 2023 with an opioid prescribing rate of 25.0%.
How many Colon & Rectal Surgery Physician providers are there in the US? ▼
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does Lawrence Prabhakar, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Lawrence Prabhakar, M.D.'s most frequently prescribed drugs include Sodium Chloride, Hydrocodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lawrence Prabhakar, M.D. accept Medicare? ▼
Lawrence Prabhakar, M.D. appears in CMS Medicare data with 360 Part D claims and 115 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lawrence Prabhakar, M.D.'s credentials? ▼
Lawrence Prabhakar, M.D.'s NPI is 1467482828 with credentials M.D.. 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
View source datasets and methodology notes
- 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.