2026 NPPES data Vascular Neurology Physician NPI 1164498614 MD
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RICHARD BERNSTEIN, MD

Vascular Neurology Physician in CHICAGO, 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
626
Medicare Part D claims · 136 beneficiaries · Vascular Neurology Physician avg: 378
Generic prescribing
61%
generic claims · 39% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1036/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

RICHARD BERNSTEIN, MD reported a CMS MIPS final score of 94.1036/100 — above the 83.1 national average — and filed 626 Medicare Part D claims in 2023.

94.1036/100
MIPS score · +11 vs avg
626
Part D claims, 2023
61%
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.

RICHARD BERNSTEIN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

94 Top 25% higher than 75% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

RICHARD BERNSTEIN, MD 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 RICHARD BERNSTEIN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 02/24/2006

NPI 1164498614

Primary specialty

Vascular Neurology Physician

Niche

555 US NPIs in this specialty

Medicare Part D claims

626 66% vs specialty avg

2023 prescription claims

Specialty avg: 378

MIPS final score

94.1036/100 11.003600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Vascular Neurology Physician compares to other specialties among Illinois providers

Illinois providers

Vascular Neurology Physician share within Illinois

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

Medicare quality performance — MIPS

RICHARD BERNSTEIN, MD's 2023 MIPS final score plotted against the Vascular Neurology Physician national average

High performer (top quartile)
MIPS Final Score
94.1036/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Vascular Neurology Physician) — 94.1036/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Vascular Neurology Physician) — 94.1036/100 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).

RICHARD BERNSTEIN, MD is a Vascular Neurology Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1164498614. 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.

RICHARD BERNSTEIN, MD appears in the CMS NPPES registry as a Vascular Neurology Physician provider holding MD credentials at 259 E ERIE ST STE 1900, CHICAGO, IL, 60611, with a listed phone of (312) 695-7950. NPI 1164498614 was issued on 02/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERNSTEIN 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 626 prescription claims written by this provider, covering 136 Medicare beneficiaries and totaling roughly $233K in drug spend, split 39% brand-name and 61% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1036/100 for the 2023 performance year (Quality 82.5938), compared with the national average of 83.1.

Vascular Neurology Physician is a narrow specialty nationwide, with 555 enrolled providers across 47 states and an average of 378 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

259 E ERIE ST STE 1900
CHICAGO, IL 60611

Provider Details

NPI 1164498614
Specialty Vascular Neurology Physician
Credentials MD
Gender Male
NPI Issued 02/24/2006

CMS Quality Score (MIPS)

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

94.1036
Final Score
Avg: 83.1
82.5938
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where RICHARD BERNSTEIN, 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.

NORTHWESTERN MEDICAL FACULTY FOUNDATION
LAKE FOREST, 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 RICHARD BERNSTEIN, MD. To verify RICHARD BERNSTEIN, 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.

Brand vs generic prescribing mix · Above average

RICHARD BERNSTEIN, MD — brand share 39.0%
Specialty average (est.)

39% brand-name claims vs 61% generic, on 626 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.

626
Total Claims
$233K
Total Drug Cost
136
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,206
Total Day Supply
36,050
Brand vs Generic
39% brand / 61% generic
Brand Drug Cost
$213K
Generic Drug Cost
$21K

Patient Demographics

Average Patient Age
75.8 years
Avg HCC Risk Score
1.72
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
Eliquis
Apixaban
168
Clopidogrel
Clopidogrel Bisulfate
93
Atorvastatin Calcium
86
Xarelto
Rivaroxaban
34
Nortriptyline Hcl
31
Pregabalin
29
Aspirin-Dipyridamole Er
Aspirin/Dipyridamole
24
Gabapentin
19
Rosuvastatin Calcium
13
Dabigatran Etexilate
Dabigatran Etexilate Mesylate
12

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

Vascular Neurology Physician Overview

How RICHARD BERNSTEIN, MD fits within the Vascular Neurology Physician landscape nationally.

555
Vascular Neurology Physician Providers in US
47
States with Vascular Neurology Physician
378
Avg Claims per Provider

RICHARD BERNSTEIN, MD's 626 claims are above the specialty average of 378.

Nearby Vascular Neurology Physician Providers in Illinois

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

Compare Vascular Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RICHARD BERNSTEIN, MD's specialty?
RICHARD BERNSTEIN, MD specializes in Vascular Neurology Physician and practices in CHICAGO, Illinois. Credentials: MD.
How much does RICHARD BERNSTEIN, MD prescribe under Medicare Part D?
In 2023, RICHARD BERNSTEIN, MD wrote 626 Medicare Part D claims totaling $233K in drug costs for 136 beneficiaries.
What is RICHARD BERNSTEIN, MD's Medicare quality score?
RICHARD BERNSTEIN, MD has a CMS MIPS Final Score of 94.1036/100 (Quality: 82.5938). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RICHARD BERNSTEIN, MD located?
RICHARD BERNSTEIN, MD is located at 259 E ERIE ST STE 1900, CHICAGO, IL, 60611. Phone: (312) 695-7950.
What is RICHARD BERNSTEIN, MD's NPI number?
RICHARD BERNSTEIN, MD's National Provider Identifier (NPI) is 1164498614, issued on 02/24/2006.
Does RICHARD BERNSTEIN, MD prescribe more brand-name or generic drugs?
RICHARD BERNSTEIN, MD's prescribing is 39% brand-name and 61% generic drugs by claim count, with $213K in brand drug costs.
How many Vascular Neurology Physician providers are there in the US?
There are 555 Vascular Neurology Physician providers across 47 states in the US. The average Vascular Neurology Physician provider writes 378 Medicare Part D claims per year.
What drugs does RICHARD BERNSTEIN, MD prescribe most often?
Based on 2023 Medicare Part D data, RICHARD BERNSTEIN, MD's most frequently prescribed drugs include Eliquis, Clopidogrel, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICHARD BERNSTEIN, MD accept Medicare?
RICHARD BERNSTEIN, MD appears in CMS Medicare data with 626 Part D claims and 136 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD BERNSTEIN, MD's credentials?
RICHARD BERNSTEIN, MD's NPI is 1164498614 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.
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