2026 NPPES data Pulmonary Disease Physician NPI 1841262789 M.D.
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RAYMUND PINEDA, M.D.

Pulmonary Disease Physician in MARION, 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 · 232 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
24%
generic claims · 76% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

RAYMUND PINEDA, M.D. filed 1,132 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in MARION, Illinois, prescribing 24% generic.

1K
Part D claims, 2023
24%
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.

RAYMUND PINEDA, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

1,132 Top 23% higher than 77% 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%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 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)

RAYMUND PINEDA, M.D. 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 RAYMUND PINEDA, M.D.?

Quality data not reported

NPI registry status

Active

Issued 02/05/2006

NPI 1841262789

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,132 22% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Illinois

How Pulmonary Disease Physician compares to other specialties among Illinois providers

Illinois providers

Pulmonary Disease Physician share within Illinois

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

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pulmonary Disease Physician ABMS/AOA estimate

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease 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).

RAYMUND PINEDA, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 2401 W MAIN ST, MARION, IL, 62959, with a listed phone of (618) 997-5311. NPI 1841262789 was issued on 02/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PINEDA 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 1,132 prescription claims written by this provider, covering 232 Medicare beneficiaries and totaling roughly $702K in drug spend, split 76% brand-name and 24% generic by claim count. 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.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 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

2401 W MAIN ST
MARION, IL 62959

Provider Details

NPI 1841262789
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 02/05/2006

Hospital and facility affiliations

Facilities where RAYMUND PINEDA, 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.

DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
MARION, IL
PINCKNEYVILLE COMMUNITY HOSPITAL
PINCKNEYVILLE, IL
Critical Access Hospitals
CMS CCN: 141307

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 RAYMUND PINEDA, M.D.. To verify RAYMUND PINEDA, 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

RAYMUND PINEDA, M.D. — brand share 76.0%
Specialty average (est.)

76% brand-name claims vs 24% generic, on 1,132 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.

1,132
Total Claims
$702K
Total Drug Cost
232
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,370
Total Day Supply
38,270
Brand vs Generic
76% brand / 24% generic
Brand Drug Cost
$631K
Antibiotic Claims
25

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.86
Gender Split
61% female / 39% male
Age Distribution
<65: 43, 65-74: 94, 75-84: 79, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

What RAYMUND PINEDA, 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
Albuterol Sulfate Hfa
Albuterol Sulfate
171
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
147
Symbicort
Budesonide/Formoterol Fumarate
130
Breo Ellipta
Fluticasone/Vilanterol
100
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
65
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
55
Spiriva Respimat
Tiotropium Bromide
50
Prednisone
44
Ventolin Hfa
Albuterol Sulfate
38
Roflumilast
37

* 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 RAYMUND PINEDA, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

RAYMUND PINEDA, M.D.'s 1,132 claims are below 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 PINEDA.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAYMUND PINEDA, M.D.'s specialty?
RAYMUND PINEDA, M.D. specializes in Pulmonary Disease Physician and practices in MARION, Illinois. Credentials: M.D..
How much does RAYMUND PINEDA, M.D. prescribe under Medicare Part D?
In 2023, RAYMUND PINEDA, M.D. wrote 1,132 Medicare Part D claims totaling $702K in drug costs for 232 beneficiaries.
Where is RAYMUND PINEDA, M.D. located?
RAYMUND PINEDA, M.D. is located at 2401 W MAIN ST, MARION, IL, 62959. Phone: (618) 997-5311.
What is RAYMUND PINEDA, M.D.'s NPI number?
RAYMUND PINEDA, M.D.'s National Provider Identifier (NPI) is 1841262789, issued on 02/05/2006.
Does RAYMUND PINEDA, M.D. prescribe more brand-name or generic drugs?
RAYMUND PINEDA, M.D.'s prescribing is 76% brand-name and 24% generic drugs by claim count, with $631K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 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 RAYMUND PINEDA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAYMUND PINEDA, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Symbicort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAYMUND PINEDA, M.D. accept Medicare?
RAYMUND PINEDA, M.D. appears in CMS Medicare data with 1,132 Part D claims and 232 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAYMUND PINEDA, M.D.'s credentials?
RAYMUND PINEDA, M.D.'s NPI is 1841262789 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.
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