2026 NPPES data Pulmonary Disease Physician NPI 1215996301 M.D.
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PANKAJ JAIN, M.D.

Pulmonary Disease Physician in OLYMPIA FIELDS, 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
2K
Medicare Part D claims · 388 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
44%
generic claims · 56% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
15.3437/100
▼ 68 pts below national avg 83.1 · [object Object]
Industry payments
$226.34
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PANKAJ JAIN, M.D. is a Pulmonary Disease Physician ([object Object]) practicing in OLYMPIA FIELDS, Illinois with a Medicare Part D prescribing footprint of 2K claims across 388 beneficiaries — 56% brand-name prescribing . Their CMS MIPS Final Score of 15.3437/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $226.34 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PANKAJ JAIN, M.D. reported a CMS MIPS final score of 15.3437 out of 100, below the 83.1 national average, and filed 1,542 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PANKAJ JAIN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PANKAJ JAIN, M.D. at a glance

Below national average

NPI registry status

Active

Issued 03/20/2006

NPI 1215996301

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,542 6% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

15.3437/100 67.7563% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Illinois

How Pulmonary Disease Physician compares to other specialties among Illinois providers

Illinois providers

Pulmonary Disease Physician share within Illinois

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

Medicare quality performance — MIPS

PANKAJ JAIN, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

Below national average
MIPS Final Score
15.3437/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 15.3437/100 vs national avg 83.1

0%100%National avg83%15.3%
MIPS final score (Pulmonary Disease Physician) — 15.3437/100 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).

PANKAJ JAIN, M.D. is a Pulmonary Disease Physician provider practicing in OLYMPIA FIELDS, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1215996301. 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.

PANKAJ JAIN, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 3800 W 203RD ST, OLYMPIA FIELDS, IL, 60461, with a listed phone of (708) 679-2660. NPI 1215996301 was issued on 03/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JAIN 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 1,542 prescription claims written by this provider, covering 388 Medicare beneficiaries and totaling roughly $996K in drug spend, split 56% brand-name and 44% generic by claim count, with an opioid prescribing rate of 0.8%. 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 15.3437/100 for the 2023 performance year (Quality 0, Cost 51.1458), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

3800 W 203RD ST
OLYMPIA FIELDS, IL 60461

Provider Details

NPI 1215996301
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 03/20/2006

CMS Quality Score (MIPS)

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

15.3437
Final Score
Avg: 83.1
0
Quality
51.1458
Cost

Reporting: Individual

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 PANKAJ JAIN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$226

Largest payer

Boehringer Ingelheim Pharmaceuticals, Inc.

Most common payment type

Food and Beverage

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.

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 PANKAJ JAIN, M.D.. To verify PANKAJ JAIN, 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 · Brand-heavy

PANKAJ JAIN, M.D. — brand share 56.0%
Specialty average (est.)

56% brand-name claims vs 44% generic, on 1,542 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.

1,542
Total Claims
$996K
Total Drug Cost
388
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,844
Total Day Supply
78,598
Brand vs Generic
56% brand / 44% generic
Brand Drug Cost
$970K
Opioid Claims
13 (0.8% rate)
Antibiotic Claims
155

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
2.38
Gender Split
62% female / 38% male
Age Distribution
<65: 50, 65-74: 166, 75-84: 118, 85+: 54

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Breo Ellipta
Fluticasone/Vilanterol
182
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
154
Prednisone
147
Albuterol Sulfate Hfa
Albuterol Sulfate
143
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
90
Montelukast Sodium
63
Spiriva Respimat
Tiotropium Bromide
55
Doxycycline Hyclate
48
Cefuroxime
Cefuroxime Axetil
47
Symbicort
Budesonide/Formoterol Fumarate
46

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

Pulmonary Disease Physician Overview

How PANKAJ JAIN, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

PANKAJ JAIN, M.D.'s 1,542 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Illinois

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PANKAJ JAIN, M.D.'s specialty?
PANKAJ JAIN, M.D. specializes in Pulmonary Disease Physician and practices in OLYMPIA FIELDS, Illinois. Credentials: M.D..
How much does PANKAJ JAIN, M.D. prescribe under Medicare Part D?
In 2023, PANKAJ JAIN, M.D. wrote 1,542 Medicare Part D claims totaling $996K in drug costs for 388 beneficiaries.
What is PANKAJ JAIN, M.D.'s Medicare quality score?
PANKAJ JAIN, M.D. has a CMS MIPS Final Score of 15.3437/100 (Quality: 0, Cost: 51.1458). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PANKAJ JAIN, M.D. located?
PANKAJ JAIN, M.D. is located at 3800 W 203RD ST, OLYMPIA FIELDS, IL, 60461. Phone: (708) 679-2660.
What is PANKAJ JAIN, M.D.'s NPI number?
PANKAJ JAIN, M.D.'s National Provider Identifier (NPI) is 1215996301, issued on 03/20/2006.
Does PANKAJ JAIN, M.D. prescribe more brand-name or generic drugs?
PANKAJ JAIN, M.D.'s prescribing is 56% brand-name and 44% generic drugs by claim count, with $970K in brand drug costs.
Does PANKAJ JAIN, M.D. prescribe opioids?
Yes, PANKAJ JAIN, M.D. had 13 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does PANKAJ JAIN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PANKAJ JAIN, M.D.'s most frequently prescribed drugs include Breo Ellipta, Trelegy Ellipta, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PANKAJ JAIN, M.D. accept Medicare?
PANKAJ JAIN, M.D. appears in CMS Medicare data with 1,542 Part D claims and 388 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PANKAJ JAIN, M.D.'s credentials?
PANKAJ JAIN, M.D.'s NPI is 1215996301 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