NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1689872905 M.D.
Verify on CMS → Paul Pacheco, M.D.
Surgery Physician in Springfield, 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 36,778 in Surgery 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
251
Medicare Part D claims · 108 beneficiaries · Surgery Physician avg: 174
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Paul Pacheco, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 251 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 251
- Part D claims, 2024
- 93%
- 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.
Federal trust snapshot
What official records show about Paul Pacheco, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1689872905), first enumerated 07/08/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 251 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
Compare Pacheco with other Surgery Physician providers
Same primary specialty, same federal CMS NPPES roster.
All 70 Surgery Physician providers in Springfield, IL →
Also enrolled in Illinois
- Dr. Douglas Aach, MD Shiloh, IL
- Dr. John Abad, M.D. Warrenville, IL
- Dr. Andrew Abadier, DO Chicago, IL
- Dr. Shabirhusain Abadin, M.D. Chicago, IL
- Dr. Mohammad Ali Abbass, MD Chicago, IL
- Dr. Iftikharul Abbasy, MD Oak Brook, IL
Other specialties in Springfield: Behavior Technician (397) · Family Nurse Practitioner (260) · Internal Medicine Physician (260) · Certified Registered Nurse Anesthetist (184)
CMS NPPES provider registry desk
NPI 1689872905 · Surgery Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-NEUTRAL · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1689872905
- ENUM-MID 2007
- TAX-MID 37K Surgery Physician
- MIPS-NEUTRAL 75/100
- RX-LIGHT 251
- BOOK-LIGHT 1,572 in Illinois
- PHOTO-ENUM Jay Woodland, MD · 2007
Paul Pacheco, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
251 ≥ 48th percentile 48% of 1,416,883 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 · 2024
✓
Board certification likely (heuristic, not verified)
Paul Pacheco, M.D. 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 Paul Pacheco, M.D.?
CMS neutral score, not measuredPrimary specialty
Surgery Physician
Medicare Part D claims
251 44% vs specialty avg
MIPS final score
75/100
Specialty distribution in Illinois
How Surgery Physician compares to other specialties among Illinois providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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 | 1689872905 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/08/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Paul Pacheco, M.D. 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.
Springfield Clinic, LLP
Springfield, 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).
Brand vs generic prescribing mix · Generic-heavy
Paul Pacheco, M.D. - brand share 7.0%
Surgery Physician average
7% brand-name claims vs 93% generic, on 251 2024 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 2024.
251
Total Claims
$7K
Total Drug Cost
108
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 284.967
- Total Day Supply
- 5,024
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $5K
- Opioid Claims
- 26 (10.4% rate)
- Antibiotic Claims
- 71
Patient Demographics
- Average Patient Age
- 72.7 years
- Avg HCC Risk Score
- 1.41
- Gender Split
- 52% female / 48% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Paul Pacheco, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Omeprazole
Omeprazole
34 claims
- Colestipol Hcl
Colestipol Hcl
28 claims
- Metronidazole
Metronidazole
28 claims
- Neomycin Sulfate
Neomycin Sulfate
20 claims
- Tramadol Hcl
Tramadol Hcl
20 claims
- Loperamide 13
Loperamide
13 claims
- Cholestyramine 12
Cholestyramine
12 claims
| Drug | Claims |
|---|---|
| Omeprazole | 34 |
| Colestipol Hcl | 28 |
| Metronidazole | 28 |
| Neomycin Sulfate | 20 |
| Tramadol Hcl | 20 |
| Loperamide Loperamide Hcl | 13 |
| Cholestyramine Cholestyramine (With Sugar) | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How Paul Pacheco, M.D. fits within the Surgery Physician landscape nationally.
36,778
Surgery Physician Providers in US
56
States with Surgery Physician
174
Avg Claims per Provider
Paul Pacheco, M.D.'s 251 claims are above the specialty average of 174.
Nationwide Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Pacheco, both outside Illinois so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Surgery Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Pacheco.
One of 1,572 Surgery Physician providers enrolled in Illinois, 11 are shown on this page.
Dr. Ariane Abcarian
M.D.
Chicago, IL
Dr. Mahmoud Abd-El-Hafez
MD
Springfield, IL
Dr. Khaled Abdelhady
M.D.
Chicago, IL
Dr. Zaid Abdelsattar
MD, MSC
Maywood, IL
Dr. Samir Abdo
M.D.
Eldorado, IL
Compare Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Paul Pacheco, M.D.'s specialty? ▼
Paul Pacheco, M.D. specializes in Surgery Physician and practices in Springfield, Illinois. Credentials: M.D..
How much does Paul Pacheco, M.D. prescribe under Medicare Part D? ▼
In 2024, Paul Pacheco, M.D. wrote 251 Medicare Part D claims totaling $7K in drug costs for 108 beneficiaries.
What is Paul Pacheco, M.D.'s Medicare quality score? ▼
Paul Pacheco, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Paul Pacheco, M.D. located? ▼
Paul Pacheco, M.D. is located at 900 N 1ST ST, Springfield, IL, 62702. Phone: (217) 528-7541.
What is Paul Pacheco, M.D.'s NPI number? ▼
Paul Pacheco, M.D.'s National Provider Identifier (NPI) is 1689872905, issued on 07/08/2007.
Does Paul Pacheco, M.D. prescribe more brand-name or generic drugs? ▼
Paul Pacheco, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $2K in brand drug costs.
Does Paul Pacheco, M.D. prescribe opioids? ▼
Yes, Paul Pacheco, M.D. had 26 opioid claims in 2024 with an opioid prescribing rate of 10.4%.
How many Surgery Physician providers are there in the US? ▼
There are 36,778 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 174 Medicare Part D claims per year.
What drugs does Paul Pacheco, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Paul Pacheco, M.D.'s most frequently prescribed drugs include Omeprazole, Colestipol Hcl, Metronidazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Pacheco, M.D. accept Medicare? ▼
Paul Pacheco, M.D. appears in CMS Medicare data with 251 Part D claims and 108 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Pacheco, M.D.'s credentials? ▼
Paul Pacheco, M.D.'s NPI is 1689872905 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 (2024). 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 August 2026 (NPPES) / 2024 (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 September 2026.