2026 NPPES data Gynecology Physician NPI 1285096792 MD
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NATHAN KING, MD

Gynecology Physician in CHICAGO, 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
41
Medicare Part D claims · 21 beneficiaries · Gynecology Physician avg: 295
Generic prescribing
66%
generic claims · 34% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.0887/100
▲ 4 pts above national avg 83.1 · [object Object]

What the federal data shows

NATHAN KING, MD reported a CMS MIPS final score of 87.0887/100 — above the 83.1 national average — and filed 41 Medicare Part D claims in 2023.

87.0887/100
MIPS score · +4 vs avg
41
Part D claims, 2023
66%
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.

NATHAN KING, MD's MIPS score vs every scored U.S. clinician

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

87 Top 46% higher than 54% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

NATHAN KING, MD 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 NATHAN KING, MD?

High performer (top quartile)

NPI registry status

Active

Issued 03/23/2016

NPI 1285096792

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

41 86% vs specialty avg

2023 prescription claims

Specialty avg: 295

MIPS final score

87.0887/100 3.9887000000000086% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Gynecology Physician compares to other specialties among Illinois providers

Illinois providers

Gynecology Physician share within Illinois

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

Medicare quality performance — MIPS

NATHAN KING, MD's 2023 MIPS final score plotted against the Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
87.0887/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecology Physician) — 87.0887/100 vs national avg 83.1

0%100%National avg83%87.1%
MIPS final score (Gynecology Physician) — 87.0887/100 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).

NATHAN KING, MD is a Gynecology Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1285096792. 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.

NATHAN KING, MD appears in the CMS NPPES registry as a Gynecology Physician provider holding MD credentials at 1801 W TAYLOR ST # MC650, CHICAGO, IL, 60612, with a listed phone of (312) 413-7500. NPI 1285096792 was issued on 03/23/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KING 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 41 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $31K in drug spend, split 34% brand-name and 66% 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 87.0887/100 for the 2023 performance year (Quality 70.7998, Cost 52.8291), compared with the national average of 83.1.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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

1801 W TAYLOR ST # MC650
CHICAGO, IL 60612

Provider Details

NPI 1285096792
Specialty Gynecology Physician
Credentials MD
Gender Male
NPI Issued 03/23/2016

CMS Quality Score (MIPS)

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

87.0887
Final Score
Avg: 83.1
70.7998
Quality
52.8291
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NATHAN KING, 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.

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
CHICAGO, 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 NATHAN KING, MD. To verify NATHAN KING, 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 · Above average

NATHAN KING, MD — brand share 34.0%
Specialty average (est.)

34% brand-name claims vs 66% generic, on 41 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.

41
Total Claims
$31K
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
56
Total Day Supply
1,221
Brand vs Generic
34% brand / 66% generic
Brand Drug Cost
$31K
Generic Drug Cost
$660

Patient Demographics

Average Patient Age
54.1 years
Avg HCC Risk Score
2.03

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Lupron Depot
Leuprolide Acetate
11

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

Gynecology Physician Overview

How NATHAN KING, MD fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

NATHAN KING, MD's 41 claims are below the specialty average of 295.

Nearby Gynecology Physician Providers in Illinois

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

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

Frequently Asked Questions

What is NATHAN KING, MD's specialty?
NATHAN KING, MD specializes in Gynecology Physician and practices in CHICAGO, Illinois. Credentials: MD.
How much does NATHAN KING, MD prescribe under Medicare Part D?
In 2023, NATHAN KING, MD wrote 41 Medicare Part D claims totaling $31K in drug costs for 21 beneficiaries.
What is NATHAN KING, MD's Medicare quality score?
NATHAN KING, MD has a CMS MIPS Final Score of 87.0887/100 (Quality: 70.7998, Cost: 52.8291). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NATHAN KING, MD located?
NATHAN KING, MD is located at 1801 W TAYLOR ST # MC650, CHICAGO, IL, 60612. Phone: (312) 413-7500.
What is NATHAN KING, MD's NPI number?
NATHAN KING, MD's National Provider Identifier (NPI) is 1285096792, issued on 03/23/2016.
Does NATHAN KING, MD prescribe more brand-name or generic drugs?
NATHAN KING, MD's prescribing is 34% brand-name and 66% generic drugs by claim count, with $31K in brand drug costs.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does NATHAN KING, MD prescribe most often?
Based on 2023 Medicare Part D data, NATHAN KING, MD's most frequently prescribed drugs include Lupron Depot. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATHAN KING, MD accept Medicare?
NATHAN KING, MD appears in CMS Medicare data with 41 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATHAN KING, MD's credentials?
NATHAN KING, MD's NPI is 1285096792 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

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