2026 NPPES data Specialist NPI 1922086560 M.D.
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MARK BLITSTEIN, M.D.

Specialist in LAKE FOREST, 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
12
Medicare Part D claims · Specialist avg: 1K
What the federal data reveals: MARK BLITSTEIN, M.D. is a Specialist ([object Object]) practicing in LAKE FOREST, Illinois with a Medicare Part D prescribing footprint of 12 claims .

What stands out: MARK BLITSTEIN, M.D. filed 12 Medicare Part D claims in 2023 across LAKE FOREST, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MARK BLITSTEIN, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 01/04/2006

NPI 1922086560

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

12 99% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in Illinois

How Specialist compares to other specialties among Illinois providers

Illinois providers

Specialist share within Illinois

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Specialist ABMS/AOA estimate

Est. board-certified rate (Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Specialist) — ABMS / AOA estimate

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).

MARK BLITSTEIN, M.D. is a Specialist provider practicing in LAKE FOREST, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1922086560. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARK BLITSTEIN, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 800 N WESTMORELAND RD, LAKE FOREST, IL, 60045, with a listed phone of (847) 295-1300. NPI 1922086560 was issued on 01/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLITSTEIN 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 12 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1K in drug spend. 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

800 N WESTMORELAND RD
LAKE FOREST, IL 60045

Provider Details

NPI 1922086560
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 01/04/2006

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 MARK BLITSTEIN, M.D.. To verify MARK BLITSTEIN, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

12
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
29
Total Day Supply
838
Brand Drug Cost
$0
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
0.33

Specialist Overview

How MARK BLITSTEIN, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

MARK BLITSTEIN, M.D.'s 12 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Illinois

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK BLITSTEIN, M.D.'s specialty?
MARK BLITSTEIN, M.D. specializes in Specialist and practices in LAKE FOREST, Illinois. Credentials: M.D..
How much does MARK BLITSTEIN, M.D. prescribe under Medicare Part D?
In 2023, MARK BLITSTEIN, M.D. wrote 12 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
Where is MARK BLITSTEIN, M.D. located?
MARK BLITSTEIN, M.D. is located at 800 N WESTMORELAND RD, LAKE FOREST, IL, 60045. Phone: (847) 295-1300.
What is MARK BLITSTEIN, M.D.'s NPI number?
MARK BLITSTEIN, M.D.'s National Provider Identifier (NPI) is 1922086560, issued on 01/04/2006.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
Does MARK BLITSTEIN, M.D. accept Medicare?
MARK BLITSTEIN, M.D. appears in CMS Medicare data with 12 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK BLITSTEIN, M.D.'s credentials?
MARK BLITSTEIN, M.D.'s NPI is 1922086560 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.
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