2026 NPPES data Psychiatry Physician NPI 1164682597 M.D.
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LEKSHMI VENUGOPAL, M.D.

Psychiatry Physician in ST CHARLES, 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
552
Medicare Part D claims · 37 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.3557/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

LEKSHMI VENUGOPAL, M.D. reported a CMS MIPS final score of 91.3557/100 — above the 83.1 national average — and filed 552 Medicare Part D claims in 2023.

91.3557/100
MIPS score · +8 vs avg
552
Part D claims, 2023
97%
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.

LEKSHMI VENUGOPAL, M.D.'s MIPS score vs every scored U.S. clinician

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

91 Top 37% higher than 63% 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)

LEKSHMI VENUGOPAL, M.D. 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 LEKSHMI VENUGOPAL, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/10/2008

NPI 1164682597

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

552 47% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

MIPS final score

91.3557/100 8.255700000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Psychiatry Physician compares to other specialties among Illinois providers

Illinois providers

Psychiatry Physician share within Illinois

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

Medicare quality performance — MIPS

LEKSHMI VENUGOPAL, M.D.'s 2023 MIPS final score plotted against the Psychiatry Physician national average

High performer (top quartile)
MIPS Final Score
91.3557/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatry Physician) — 91.3557/100 vs national avg 83.1

0%100%National avg83%91.4%
MIPS final score (Psychiatry Physician) — 91.3557/100 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).

LEKSHMI VENUGOPAL, M.D. appears in the CMS NPPES registry as a Psychiatry Physician provider holding M.D. credentials at 3805 E MAIN ST STE M, ST CHARLES, IL, 60174, with a listed phone of (630) 646-5200. NPI 1164682597 was issued on 06/10/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VENUGOPAL 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 552 prescription claims written by this provider, covering 37 Medicare beneficiaries and totaling roughly $56K in drug spend, split 3% brand-name and 97% generic by claim count. 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 91.3557/100 for the 2023 performance year (Quality 82.7114), compared with the national average of 83.1.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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

3805 E MAIN ST STE M
ST CHARLES, IL 60174

Provider Details

NPI 1164682597
Specialty Psychiatry Physician
Credentials M.D.
Gender Female
NPI Issued 06/10/2008

CMS Quality Score (MIPS)

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

91.3557
Final Score
Avg: 83.1
82.7114
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where LEKSHMI VENUGOPAL, 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.

ENDEAVOR HEALTH MEDICAL GROUP
EVANSTON, 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).

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 LEKSHMI VENUGOPAL, M.D.. To verify LEKSHMI VENUGOPAL, 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 · Generic-heavy

LEKSHMI VENUGOPAL, M.D. — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 552 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.

552
Total Claims
$56K
Total Drug Cost
37
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
961
Total Day Supply
27,032
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$31K
Generic Drug Cost
$25K

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
1.30

Top Prescribed Drugs (Medicare Part D)

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

What LEKSHMI VENUGOPAL, M.D. 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
Trazodone Hcl
44
Quetiapine Fumarate
42
Clonazepam
36
Bupropion Xl
Bupropion Hcl
35
Clozapine
35
Duloxetine Hcl
31
Mirtazapine
30
Hydroxyzine Hcl
26
Sertraline Hcl
21
Gabapentin
19

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

Psychiatry Physician Overview

How LEKSHMI VENUGOPAL, M.D. fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

LEKSHMI VENUGOPAL, M.D.'s 552 claims are below the specialty average of 1,038.

Nearby Psychiatry Physician Providers in Illinois

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

Compare Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LEKSHMI VENUGOPAL, M.D.'s specialty?
LEKSHMI VENUGOPAL, M.D. specializes in Psychiatry Physician and practices in ST CHARLES, Illinois. Credentials: M.D..
How much does LEKSHMI VENUGOPAL, M.D. prescribe under Medicare Part D?
In 2023, LEKSHMI VENUGOPAL, M.D. wrote 552 Medicare Part D claims totaling $56K in drug costs for 37 beneficiaries.
What is LEKSHMI VENUGOPAL, M.D.'s Medicare quality score?
LEKSHMI VENUGOPAL, M.D. has a CMS MIPS Final Score of 91.3557/100 (Quality: 82.7114). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LEKSHMI VENUGOPAL, M.D. located?
LEKSHMI VENUGOPAL, M.D. is located at 3805 E MAIN ST STE M, ST CHARLES, IL, 60174. Phone: (630) 646-5200.
What is LEKSHMI VENUGOPAL, M.D.'s NPI number?
LEKSHMI VENUGOPAL, M.D.'s National Provider Identifier (NPI) is 1164682597, issued on 06/10/2008.
Does LEKSHMI VENUGOPAL, M.D. prescribe more brand-name or generic drugs?
LEKSHMI VENUGOPAL, M.D.'s prescribing is 3% brand-name and 97% generic drugs by claim count, with $31K in brand drug costs.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does LEKSHMI VENUGOPAL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, LEKSHMI VENUGOPAL, M.D.'s most frequently prescribed drugs include Trazodone Hcl, Quetiapine Fumarate, Clonazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LEKSHMI VENUGOPAL, M.D. accept Medicare?
LEKSHMI VENUGOPAL, M.D. appears in CMS Medicare data with 552 Part D claims and 37 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LEKSHMI VENUGOPAL, M.D.'s credentials?
LEKSHMI VENUGOPAL, M.D.'s NPI is 1164682597 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

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