NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1215996301 M.D.
Verify on CMS → Pankaj Jain, M.D.
Pulmonary Disease Physician in Olympia Fields, 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 9,323 in Pulmonary 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
2K
Medicare Part D claims · 388 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
0%
generic claims · 56% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
15.3/100
▼ 68 pts below national avg 83.1 · Penalty band
Industry payments
$226.34
9 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Pankaj Jain, M.D. reported a CMS MIPS final score of 15.3/100 - below the 83.1 national average - and filed 1,542 Medicare Part D claims in 2023.
- 15.3/100
- MIPS score · -68 vs avg
- 2K
- Part D claims, 2023
- 0%
- 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.
Pankaj Jain, 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
15 2nd percentile higher than 2% 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 Pankaj Jain, M.D. sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Pankaj Jain, M.D. writes more Part D claims than 61% of them and scores higher on MIPS quality than 2% - placing this provider in the high-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 pulmonary disease physician peer from a representative sample of 60; the gold marker is Pankaj Jain, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
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).
What does the federal data show about Pankaj Jain, M.D.?
Below national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
1,542 6% vs specialty avg
MIPS final score
15.3/100 67.8 pts vs avg
Specialty distribution in Illinois
How Pulmonary Disease Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Pankaj Jain, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 15.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 15.3/100 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).
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.
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 0% generic by claim count, with an opioid prescribing rate of 0.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 15.3/100 for the 2023 performance year (Quality 0, Cost 51.1), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,323 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
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%
Pulmonary Disease Physician average
56% brand-name claims vs 0% 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 / 0% 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.
What Pankaj Jain, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Breo Ellipta
Breo Ellipta
182 claims
- Trelegy Ellipta
Trelegy Ellipta
154 claims
- Prednisone
Prednisone
147 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
143 claims
- Anoro Ellipta
Anoro Ellipta
90 claims
- Montelukast Sodium 63
Montelukast Sodium
63 claims
- Spiriva Respimat 55
Spiriva Respimat
55 claims
- Doxycycline Hyclate 48
Doxycycline Hyclate
48 claims
| 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.
9,323
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.
Mohammed Abdalla
Park Ridge, IL
Dr. Mazen Abdel-Hadi
M.D.
Joliet, IL
Ayodeji Adegunsoye
Chicago, IL
Dr. Umama Adil
MD
Quincy, IL
Dr. Ahmed Agameya
M.D
Peoria, IL
Compare Pulmonary 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 Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary 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 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 15.3/100 (Quality: 0, Cost: 51.1). 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 0% 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 9,323 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
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.