NPI registry status
Active
2026 NPPES data Sleep Medicine (Otolaryngology) Physician NPI 1003438003 MD
Verify on CMS → Matthew Girgis, MD
Sleep Medicine (Otolaryngology) Physician in Hinsdale, 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 98 in Sleep Medicine (Otolaryngology) 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
105
Medicare Part D claims · 56 beneficiaries · Sleep Medicine (Otolaryngology) Physician avg: 543
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Matthew Girgis, MD filed 105 Medicare Part D claims in 2023 as a Sleep Medicine (Otolaryngology) Physician in Hinsdale, Illinois, prescribing 89% generic.
- 105
- Part D claims, 2023
- 89%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥35th
- pct by Part D claim volume (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1003438003 · Sleep Medicine (Otolaryngology) Physician
NPI-10 · ENUM-RECENT · TAX-TRACE · RX-LIGHT · BOOK-THIN · PHOTO-SOLO
- NPI-10 1003438003
- ENUM-RECENT 2020
- TAX-TRACE 98
- RX-LIGHT 105
- BOOK-THIN 3 in Illinois
- PHOTO-SOLO Peer n/a
Matthew Girgis, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
105 ≥ 35th percentile 35% of 1,370,886 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Matthew Girgis, MD 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 Matthew Girgis, MD?
Quality data not reportedPrimary specialty
Sleep Medicine (Otolaryngology) Physician
Medicare Part D claims
105 81% vs specialty avg
Specialty distribution in Illinois
How Sleep Medicine (Otolaryngology) 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 Sleep Medicine (Otolaryngology) 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).
Practice Address
Provider Details
| NPI | 1003438003 |
|---|---|
| Specialty | Sleep Medicine (Otolaryngology) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/12/2020 |
Hospital and facility affiliations
Facilities where Matthew Girgis, MD 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.
Drs. Girgis And Associates, S.C.
Hinsdale, 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 Matthew Girgis, MD. To verify Matthew Girgis, MD'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
Matthew Girgis, MD - brand share 11.0%
Sleep Medicine (Otolaryngology) Physician average
11% brand-name claims vs 89% generic, on 105 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.
105
Total Claims
$1K
Total Drug Cost
56
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 120
- Total Day Supply
- 1,504
- Brand vs Generic
- 11% brand / 89% generic
- Brand Drug Cost
- $212
- Generic Drug Cost
- $895
- Opioid Claims
- 33 (31.4% rate)
- Antibiotic Claims
- 42
Patient Demographics
- Average Patient Age
- 70.6 years
- Avg HCC Risk Score
- 1.43
- Gender Split
- 39% female / 61% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 30 |
| Cephalexin | 24 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sleep Medicine (Otolaryngology) Physician in IL →
All providers in Illinois →
Compare specialties →
Sleep Medicine (Otolaryngology) Physician Overview
How Matthew Girgis, MD fits within the Sleep Medicine (Otolaryngology) Physician landscape nationally.
98
Sleep Medicine (Otolaryngology) Physician Providers in US
29
States with Sleep Medicine (Otolaryngology) Physician
543
Avg Claims per Provider
Matthew Girgis, MD's 105 claims are below the specialty average of 543.
Nearby Sleep Medicine (Otolaryngology) Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Girgis.
One of 3 Sleep Medicine (Otolaryngology) Physician providers enrolled in Illinois, 2 are shown here.
Compare Sleep Medicine (Otolaryngology) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Matthew Girgis, MD's specialty? ▼
Matthew Girgis, MD specializes in Sleep Medicine (Otolaryngology) Physician and practices in Hinsdale, Illinois. Credentials: MD.
How much does Matthew Girgis, MD prescribe under Medicare Part D? ▼
In 2023, Matthew Girgis, MD wrote 105 Medicare Part D claims totaling $1K in drug costs for 56 beneficiaries.
Where is Matthew Girgis, MD located? ▼
Matthew Girgis, MD is located at 908 N ELM ST STE 306, Hinsdale, IL, 60521. Phone: (630) 323-5214.
What is Matthew Girgis, MD's NPI number? ▼
Matthew Girgis, MD's National Provider Identifier (NPI) is 1003438003, issued on 05/12/2020.
Does Matthew Girgis, MD prescribe more brand-name or generic drugs? ▼
Matthew Girgis, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $212 in brand drug costs.
Does Matthew Girgis, MD prescribe opioids? ▼
Yes, Matthew Girgis, MD had 33 opioid claims in 2023 with an opioid prescribing rate of 31.4%.
How many Sleep Medicine (Otolaryngology) Physician providers are there in the US? ▼
There are 98 Sleep Medicine (Otolaryngology) Physician providers across 29 states in the US. The average Sleep Medicine (Otolaryngology) Physician provider writes 543 Medicare Part D claims per year.
What drugs does Matthew Girgis, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Matthew Girgis, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Matthew Girgis, MD accept Medicare? ▼
Matthew Girgis, MD appears in CMS Medicare data with 105 Part D claims and 56 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Matthew Girgis, MD's credentials? ▼
Matthew Girgis, MD's NPI is 1003438003 with credentials MD. 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
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.