2026 NPPES data Sleep Medicine (Psychiatry & Neurology) Physician NPI 1013009653 MD
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PRADIP SETHI, MD

Sleep Medicine (Psychiatry & Neurology) Physician in ELGIN, 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
876
Medicare Part D claims · 182 beneficiaries · Sleep Medicine (Psychiatry & Neurology) Physician avg: 1K

What the federal data shows

PRADIP SETHI, MD filed 876 Medicare Part D claims in 2023 as a Sleep Medicine (Psychiatry & Neurology) Physician in ELGIN, Illinois.

876
Part D claims, 2023
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.

PRADIP SETHI, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

876 Top 27% higher than 73% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

PRADIP SETHI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — 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 PRADIP SETHI, MD?

Quality data not reported

NPI registry status

Active

Issued 09/29/2006

NPI 1013009653

Primary specialty

Sleep Medicine (Psychiatry & Neurology) Physician

Rare

371 US NPIs in this specialty

Medicare Part D claims

876 13% vs specialty avg

2023 prescription claims

Specialty avg: 1,005

Specialty distribution in Illinois

How Sleep Medicine (Psychiatry & Neurology) Physician compares to other specialties among Illinois providers

Illinois providers

Sleep Medicine (Psychiatry & Neurology) Physician share within Illinois

1. Sleep Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Psychiatry & Neurology) Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Sleep Medicine (Psychiatry & Neurology) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sleep Medicine (Psychiatry & Neurology) Physician ABMS/AOA estimate

Est. board-certified rate (Sleep Medicine (Psychiatry & Neurology) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sleep Medicine (Psychiatry & Neurology) Physician) — ABMS / AOA estimate

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).

PRADIP SETHI, MD appears in the CMS NPPES registry as a Sleep Medicine (Psychiatry & Neurology) Physician provider holding MD credentials at 40 NORTH AIRLITE ST, ELGIN, IL, 60123, with a listed phone of (847) 695-0985. NPI 1013009653 was issued on 09/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SETHI 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 876 prescription claims written by this provider, covering 182 Medicare beneficiaries and totaling roughly $101K in drug spend. 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.

Sleep Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 371 enrolled providers across 45 states and an average of 1,005 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

40 NORTH AIRLITE ST
ELGIN, IL 60123

Provider Details

NPI 1013009653
Specialty Sleep Medicine (Psychiatry & Neurology) Physician
Credentials MD
Gender Male
NPI Issued 09/29/2006

Hospital and facility affiliations

Facilities where PRADIP SETHI, 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.

ADVANCED NEUROLOGY AND SLEEP CLINIC LLC
ELGIN, IL
FREEPORT MEMORIAL HOSPITAL
FREEPORT, 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 PRADIP SETHI, MD. To verify PRADIP SETHI, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

876
Total Claims
$101K
Total Drug Cost
182
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,935
Total Day Supply
57,684
Generic Drug Cost
$19K

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.43
Gender Split
45% female / 55% male

Top Prescribed Drugs (Medicare Part D)

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

What PRADIP SETHI, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Gabapentin
348
Doxepin Hcl
74
Primidone
39
Escitalopram Oxalate
36
Sertraline Hcl
32
Modafinil
29
Clonazepam
27
Pramipexole Dihydrochloride
Pramipexole Di-Hcl
22
Carbidopa-Levodopa
Carbidopa/Levodopa
20
Methylphenidate Hcl
18

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

Sleep Medicine (Psychiatry & Neurology) Physician Overview

How PRADIP SETHI, MD fits within the Sleep Medicine (Psychiatry & Neurology) Physician landscape nationally.

371
Sleep Medicine (Psychiatry & Neurology) Physician Providers in US
45
States with Sleep Medicine (Psychiatry & Neurology) Physician
1,005
Avg Claims per Provider

PRADIP SETHI, MD's 876 claims are below the specialty average of 1,005.

Nearby Sleep Medicine (Psychiatry & Neurology) Physician Providers in Illinois

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

Compare Sleep Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRADIP SETHI, MD's specialty?
PRADIP SETHI, MD specializes in Sleep Medicine (Psychiatry & Neurology) Physician and practices in ELGIN, Illinois. Credentials: MD.
How much does PRADIP SETHI, MD prescribe under Medicare Part D?
In 2023, PRADIP SETHI, MD wrote 876 Medicare Part D claims totaling $101K in drug costs for 182 beneficiaries.
Where is PRADIP SETHI, MD located?
PRADIP SETHI, MD is located at 40 NORTH AIRLITE ST, ELGIN, IL, 60123. Phone: (847) 695-0985.
What is PRADIP SETHI, MD's NPI number?
PRADIP SETHI, MD's National Provider Identifier (NPI) is 1013009653, issued on 09/29/2006.
How many Sleep Medicine (Psychiatry & Neurology) Physician providers are there in the US?
There are 371 Sleep Medicine (Psychiatry & Neurology) Physician providers across 45 states in the US. The average Sleep Medicine (Psychiatry & Neurology) Physician provider writes 1,005 Medicare Part D claims per year.
What drugs does PRADIP SETHI, MD prescribe most often?
Based on 2023 Medicare Part D data, PRADIP SETHI, MD's most frequently prescribed drugs include Gabapentin, Doxepin Hcl, Primidone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRADIP SETHI, MD accept Medicare?
PRADIP SETHI, MD appears in CMS Medicare data with 876 Part D claims and 182 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRADIP SETHI, MD's credentials?
PRADIP SETHI, MD's NPI is 1013009653 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.
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