2026 NPPES data Family Medicine Physician NPI 1114916558 M.D.
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RAYMOND BIANCHI, M.D.

Family Medicine Physician in LAKE ZURICH, 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
6K
Medicare Part D claims · 369 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
16.2732/100
▼ 67 pts below national avg 83.1 · [object Object]
Industry payments
$3.1K
123 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAYMOND BIANCHI, M.D. is a Family Medicine Physician ([object Object]) practicing in LAKE ZURICH, Illinois with a Medicare Part D prescribing footprint of 6K claims across 369 beneficiaries — 25% brand-name prescribing . Their CMS MIPS Final Score of 16.2732/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $3.1K across 123 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAYMOND BIANCHI, M.D. reported a CMS MIPS final score of 16.2732 out of 100, below the 83.1 national average, and filed 6,437 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)

RAYMOND BIANCHI, 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).

RAYMOND BIANCHI, M.D. at a glance

Below national average

NPI registry status

Active

Issued 10/18/2005

NPI 1114916558

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

6,437 88% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

16.2732/100 66.82679999999999% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Illinois

How Family Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Family Medicine Physician share within Illinois

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

Medicare quality performance — MIPS

RAYMOND BIANCHI, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
16.2732/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 16.2732/100 vs national avg 83.1

0%100%National avg83%16.3%
MIPS final score (Family Medicine Physician) — 16.2732/100 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).

RAYMOND BIANCHI, M.D. is a Family Medicine Physician provider practicing in LAKE ZURICH, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1114916558. 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.

RAYMOND BIANCHI, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 290 N RAND RD, LAKE ZURICH, IL, 60047, with a listed phone of (847) 438-4028. NPI 1114916558 was issued on 10/18/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BIANCHI 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 6,437 prescription claims written by this provider, covering 369 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 25% brand-name and 75% 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 16.2732/100 for the 2023 performance year (Quality 0, Cost 54.244), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

290 N RAND RD
LAKE ZURICH, IL 60047

Provider Details

NPI 1114916558
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 10/18/2005

CMS Quality Score (MIPS)

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

16.2732
Final Score
Avg: 83.1
0
Quality
54.244
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where RAYMOND BIANCHI, 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.

ADVANCED MEDICAL CARE LTD
LAKE ZURICH, 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 RAYMOND BIANCHI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$3.1K

Largest payer

AstraZeneca Pharmaceuticals LP

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 RAYMOND BIANCHI, M.D.. To verify RAYMOND BIANCHI, 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 · Above average

RAYMOND BIANCHI, M.D. — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 6,437 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.

6,437
Total Claims
$1.5M
Total Drug Cost
369
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,327
Total Day Supply
347,939
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$1.4M
Generic Drug Cost
$124K
Opioid Claims
53 (0.8% rate)
Antibiotic Claims
192

Patient Demographics

Average Patient Age
77.4 years
Avg HCC Risk Score
1.31
Gender Split
46% female / 54% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
440
Metoprolol Succinate
213
Ozempic
Semaglutide
190
Lisinopril
175
Ramipril
171
Pantoprazole Sodium
170
Levothyroxine Sodium
165
Xarelto
Rivaroxaban
155
Tamsulosin Hcl
132
Jardiance
Empagliflozin
124

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

Family Medicine Physician Overview

How RAYMOND BIANCHI, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

RAYMOND BIANCHI, M.D.'s 6,437 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Illinois

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAYMOND BIANCHI, M.D.'s specialty?
RAYMOND BIANCHI, M.D. specializes in Family Medicine Physician and practices in LAKE ZURICH, Illinois. Credentials: M.D..
How much does RAYMOND BIANCHI, M.D. prescribe under Medicare Part D?
In 2023, RAYMOND BIANCHI, M.D. wrote 6,437 Medicare Part D claims totaling $1.5M in drug costs for 369 beneficiaries.
What is RAYMOND BIANCHI, M.D.'s Medicare quality score?
RAYMOND BIANCHI, M.D. has a CMS MIPS Final Score of 16.2732/100 (Quality: 0, Cost: 54.244). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAYMOND BIANCHI, M.D. located?
RAYMOND BIANCHI, M.D. is located at 290 N RAND RD, LAKE ZURICH, IL, 60047. Phone: (847) 438-4028.
What is RAYMOND BIANCHI, M.D.'s NPI number?
RAYMOND BIANCHI, M.D.'s National Provider Identifier (NPI) is 1114916558, issued on 10/18/2005.
Does RAYMOND BIANCHI, M.D. prescribe more brand-name or generic drugs?
RAYMOND BIANCHI, M.D.'s prescribing is 25% brand-name and 75% generic drugs by claim count, with $1.4M in brand drug costs.
Does RAYMOND BIANCHI, M.D. prescribe opioids?
Yes, RAYMOND BIANCHI, M.D. had 53 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does RAYMOND BIANCHI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAYMOND BIANCHI, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Metoprolol Succinate, Ozempic. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAYMOND BIANCHI, M.D. accept Medicare?
RAYMOND BIANCHI, M.D. appears in CMS Medicare data with 6,437 Part D claims and 369 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAYMOND BIANCHI, M.D.'s credentials?
RAYMOND BIANCHI, M.D.'s NPI is 1114916558 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