2026 NPPES data Hematology & Oncology Physician NPI 1760414437 M.D.
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PRAVEEN GARG, M.D.

Hematology & Oncology Physician in SPRINGFIELD, 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
1K
Medicare Part D claims · 228 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$104.2
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PRAVEEN GARG, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 1,130 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
1K
Part D claims, 2023
84%
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.

PRAVEEN GARG, 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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

PRAVEEN GARG, 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 PRAVEEN GARG, M.D.?

Below national average

NPI registry status

Active

Issued 07/06/2006

NPI 1760414437

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

1,130 33% vs specialty avg

2023 prescription claims

Specialty avg: 847

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Hematology & Oncology Physician compares to other specialties among Illinois providers

Illinois providers

Hematology & Oncology Physician share within Illinois

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

Medicare quality performance — MIPS

PRAVEEN GARG, M.D.'s 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology & Oncology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Hematology & Oncology Physician) — 75/100 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).

PRAVEEN GARG, M.D. appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding M.D. credentials at 900 N 1ST ST, SPRINGFIELD, IL, 62702, with a listed phone of (217) 528-7541. NPI 1760414437 was issued on 07/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARG 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 1,130 prescription claims written by this provider, covering 228 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 9.5%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

900 N 1ST ST
SPRINGFIELD, IL 62702

Provider Details

NPI 1760414437
Specialty Hematology & Oncology Physician
Credentials M.D.
Gender Male
NPI Issued 07/06/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where PRAVEEN GARG, 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).

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 PRAVEEN GARG, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$104

Largest payer

ABBVIE 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 PRAVEEN GARG, M.D.. To verify PRAVEEN GARG, 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 · Typical

PRAVEEN GARG, M.D. — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 1,130 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.

1,130
Total Claims
$1.5M
Total Drug Cost
228
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,883
Total Day Supply
52,711
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$241K
Opioid Claims
107 (9.5% rate)
Antibiotic Claims
44

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.99
Gender Split
77% female / 23% male
Age Distribution
<65: 18, 65-74: 113, 75-84: 79, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What PRAVEEN GARG, M.D. 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
Anastrozole
257
Eliquis
Apixaban
113
Prochlorperazine Maleate
45
Ondansetron Odt
Ondansetron
42
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
36
Tramadol Hcl
35
Potassium Chloride
33
Lidocaine-Prilocaine
Lidocaine/Prilocaine
32
Ondansetron Hcl
32
Gabapentin
30

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

Hematology & Oncology Physician Overview

How PRAVEEN GARG, M.D. fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

PRAVEEN GARG, M.D.'s 1,130 claims are above the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in Illinois

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

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRAVEEN GARG, M.D.'s specialty?
PRAVEEN GARG, M.D. specializes in Hematology & Oncology Physician and practices in SPRINGFIELD, Illinois. Credentials: M.D..
How much does PRAVEEN GARG, M.D. prescribe under Medicare Part D?
In 2023, PRAVEEN GARG, M.D. wrote 1,130 Medicare Part D claims totaling $1.5M in drug costs for 228 beneficiaries.
What is PRAVEEN GARG, M.D.'s Medicare quality score?
PRAVEEN GARG, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRAVEEN GARG, M.D. located?
PRAVEEN GARG, M.D. is located at 900 N 1ST ST, SPRINGFIELD, IL, 62702. Phone: (217) 528-7541.
What is PRAVEEN GARG, M.D.'s NPI number?
PRAVEEN GARG, M.D.'s National Provider Identifier (NPI) is 1760414437, issued on 07/06/2006.
Does PRAVEEN GARG, M.D. prescribe more brand-name or generic drugs?
PRAVEEN GARG, M.D.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $1.2M in brand drug costs.
Does PRAVEEN GARG, M.D. prescribe opioids?
Yes, PRAVEEN GARG, M.D. had 107 opioid claims in 2023 with an opioid prescribing rate of 9.5%.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does PRAVEEN GARG, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PRAVEEN GARG, M.D.'s most frequently prescribed drugs include Anastrozole, Eliquis, Prochlorperazine Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRAVEEN GARG, M.D. accept Medicare?
PRAVEEN GARG, M.D. appears in CMS Medicare data with 1,130 Part D claims and 228 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRAVEEN GARG, M.D.'s credentials?
PRAVEEN GARG, M.D.'s NPI is 1760414437 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