NPI registry status
Active
2026 NPPES data Cardiovascular Disease Physician NPI 1285673525 M.D.
Verify on CMS → Marc Pritzker, M.D.
Cardiovascular Disease Physician in Minneapolis, Minnesota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,810 in Cardiovascular Disease 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
3K
Medicare Part D claims · 252 beneficiaries · Cardiovascular Disease Physician avg: 3K
MIPS score
81.7/100
▼ 1 pts below national avg 83.1 · Above neutral
Industry payments
$4.4K
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Marc Pritzker, M.D. reported a CMS MIPS final score of 81.7/100 - below the 83.1 national average - and filed 2,565 Medicare Part D claims in 2023.
- 81.7/100
- MIPS score · -1 vs avg
- 3K
- 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.
Marc Pritzker, 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
82 36th percentile higher than 36% of 477,587 scored providers
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
Where Marc Pritzker, M.D. sits
This provider among cardiovascular disease physician peers
Across the 8,753 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Marc Pritzker, M.D. writes more Part D claims than 45% of them and scores higher on MIPS quality than 40% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is Marc Pritzker, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Marc Pritzker, 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 Marc Pritzker, M.D.?
Near national averagePrimary specialty
Cardiovascular Disease Physician
Medicare Part D claims
2,565 15% vs specialty avg
MIPS final score
81.7/100 1.4 pts vs avg
Specialty distribution in Minnesota
How Cardiovascular Disease Physician compares to other specialties among Minnesota providers
Medicare quality performance, MIPS
Marc Pritzker, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average
- MIPS Final Score
- 81.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Cardiovascular Disease Physician) - 81.7/100 vs national avg 83.1
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).
Marc Pritzker, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 909 FULTON ST SE, Minneapolis, MN, 55455, with a listed phone of (612) 672-7422. NPI 1285673525 was issued on 06/05/2006.
Medicare Part D records for calendar year 2023 show 2,565 prescription claims written by this provider, covering 252 Medicare beneficiaries and totaling roughly $12.3 million in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.7/100 for the 2023 performance year (Quality 69.9, Cost 59.7), compared with the national average of 83.1.
Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,810 enrolled providers across 54 states and an average of 3,033 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 | 1285673525 |
|---|---|
| Specialty | Cardiovascular Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/05/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.7216
Final Score
Avg: 83.1
69.8683
Quality
59.7305
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Marc Pritzker, 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.
Fairview Express Care
Minneapolis, MN
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 Marc Pritzker, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$4.4K
Largest payer
Actelion Pharmaceuticals US, Inc.
Most common payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
2,565
Total Claims
$12.3M
Total Drug Cost
252
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,583
- Total Day Supply
- 135,380
- Generic Drug Cost
- $727K
- Antibiotic Claims
- 13
Patient Demographics
- Average Patient Age
- 70.6 years
- Avg HCC Risk Score
- 2.86
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 54, 65-74: 98, 75-84: 85, 85+: 15
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Marc Pritzker, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Opsumit
Opsumit
444 claims
- Tadalafil 132
Tadalafil
132 claims
- Uptravi 128
Uptravi
128 claims
- Sildenafil Citrate 119
Sildenafil Citrate
119 claims
- Atorvastatin Calcium 113
Atorvastatin Calcium
113 claims
- Furosemide 113
Furosemide
113 claims
- Metoprolol Succinate 92
Metoprolol Succinate
92 claims
- Tyvaso Dpi 86
Tyvaso Dpi
86 claims
| Drug | Claims |
|---|---|
| Opsumit Macitentan | 444 |
| Tadalafil | 132 |
| Uptravi Selexipag | 128 |
| Sildenafil Citrate | 119 |
| Atorvastatin Calcium | 113 |
| Furosemide | 113 |
| Metoprolol Succinate | 92 |
| Tyvaso Dpi Treprostinil | 86 |
| Losartan Potassium | 79 |
| Eliquis Apixaban | 77 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Cardiovascular Disease Physician Overview
How Marc Pritzker, M.D. fits within the Cardiovascular Disease Physician landscape nationally.
24,810
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider
Marc Pritzker, M.D.'s 2,565 claims are below the specialty average of 3,033.
Nearby Cardiovascular Disease Physician Providers in Minnesota
Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Pritzker.
Dr. Michael Ackerman
M.D.
Rochester, MN
Dr. Ahmet Adabag
M.D
Minneapolis, MN
Dr. Amina Adil
MD
Duluth, MN
Dr. Stuart Adler
M.D.
Saint Paul, MN
Dr. Siddharth Agarwal
MD
Rochester, MN
Compare Cardiovascular Disease 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 Minnesota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Cardiovascular Disease 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 Marc Pritzker, M.D.'s specialty? ▼
Marc Pritzker, M.D. specializes in Cardiovascular Disease Physician and practices in Minneapolis, Minnesota. Credentials: M.D..
How much does Marc Pritzker, M.D. prescribe under Medicare Part D? ▼
In 2023, Marc Pritzker, M.D. wrote 2,565 Medicare Part D claims totaling $12.3M in drug costs for 252 beneficiaries.
What is Marc Pritzker, M.D.'s Medicare quality score? ▼
Marc Pritzker, M.D. has a CMS MIPS Final Score of 81.7/100 (Quality: 69.9, Cost: 59.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Marc Pritzker, M.D. located? ▼
Marc Pritzker, M.D. is located at 909 FULTON ST SE, Minneapolis, MN, 55455. Phone: (612) 672-7422.
What is Marc Pritzker, M.D.'s NPI number? ▼
Marc Pritzker, M.D.'s National Provider Identifier (NPI) is 1285673525, issued on 06/05/2006.
How many Cardiovascular Disease Physician providers are there in the US? ▼
There are 24,810 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does Marc Pritzker, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Marc Pritzker, M.D.'s most frequently prescribed drugs include Opsumit, Tadalafil, Uptravi. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Marc Pritzker, M.D. accept Medicare? ▼
Marc Pritzker, M.D. appears in CMS Medicare data with 2,565 Part D claims and 252 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Marc Pritzker, M.D.'s credentials? ▼
Marc Pritzker, M.D.'s NPI is 1285673525 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.