2026 NPPES data Pulmonary Disease Physician NPI 1831114248 M.D.
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ROBERT COHEN, M.D.

Pulmonary Disease 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
79
Medicare Part D claims · 19 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
22%
generic claims · 78% 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]
Industry payments
$87.42
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ROBERT COHEN, M.D. is a Pulmonary Disease Physician ([object Object]) practicing in CHICAGO, Illinois with a Medicare Part D prescribing footprint of 79 claims across 19 beneficiaries — 78% brand-name prescribing . Their CMS MIPS Final Score of 94.1036/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $87.42 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ROBERT COHEN, M.D. reported a CMS MIPS final score of 94.1036 out of 100, above the 83.1 national average, and filed 79 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)

ROBERT COHEN, 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).

ROBERT COHEN, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/13/2006

NPI 1831114248

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

79 95% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

94.1036/100 11.003600000000006% pts

Exceptional band

vs 83.1 national avg

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

Medicare quality performance — MIPS

ROBERT COHEN, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

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

MIPS final score (Pulmonary Disease Physician) — 94.1036/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Pulmonary Disease 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).

ROBERT COHEN, M.D. is a Pulmonary Disease Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1831114248. 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.

ROBERT COHEN, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 680 N LAKE SHORE DR, CHICAGO, IL, 60611, with a listed phone of (312) 695-9026. NPI 1831114248 was issued on 07/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COHEN 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 79 prescription claims written by this provider, covering 19 Medicare beneficiaries and totaling roughly $39K in drug spend, split 78% brand-name and 22% 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.

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

680 N LAKE SHORE DR
CHICAGO, IL 60611

Provider Details

NPI 1831114248
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 07/13/2006

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 ROBERT COHEN, 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.

NORTHWESTERN MEDICAL FACULTY FOUNDATION
CHICAGO, 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 ROBERT COHEN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$87

Largest payer

AngioDynamics, 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 ROBERT COHEN, M.D.. To verify ROBERT COHEN, 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

ROBERT COHEN, M.D. — brand share 78.0%
Specialty average (est.)

78% brand-name claims vs 22% generic, on 79 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.

79
Total Claims
$39K
Total Drug Cost
19
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
118
Total Day Supply
3,470
Brand vs Generic
78% brand / 22% generic
Brand Drug Cost
$39K
Generic Drug Cost
$531

Patient Demographics

Average Patient Age
73.6 years
Avg HCC Risk Score
1.22

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ventolin Hfa
Albuterol Sulfate
12

* 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 ROBERT COHEN, 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

ROBERT COHEN, M.D.'s 79 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 COHEN.

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

Frequently Asked Questions

What is ROBERT COHEN, M.D.'s specialty?
ROBERT COHEN, M.D. specializes in Pulmonary Disease Physician and practices in CHICAGO, Illinois. Credentials: M.D..
How much does ROBERT COHEN, M.D. prescribe under Medicare Part D?
In 2023, ROBERT COHEN, M.D. wrote 79 Medicare Part D claims totaling $39K in drug costs for 19 beneficiaries.
What is ROBERT COHEN, M.D.'s Medicare quality score?
ROBERT COHEN, M.D. 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 ROBERT COHEN, M.D. located?
ROBERT COHEN, M.D. is located at 680 N LAKE SHORE DR, CHICAGO, IL, 60611. Phone: (312) 695-9026.
What is ROBERT COHEN, M.D.'s NPI number?
ROBERT COHEN, M.D.'s National Provider Identifier (NPI) is 1831114248, issued on 07/13/2006.
Does ROBERT COHEN, M.D. prescribe more brand-name or generic drugs?
ROBERT COHEN, M.D.'s prescribing is 78% brand-name and 22% generic drugs by claim count, with $39K 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 ROBERT COHEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ROBERT COHEN, M.D.'s most frequently prescribed drugs include Ventolin Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERT COHEN, M.D. accept Medicare?
ROBERT COHEN, M.D. appears in CMS Medicare data with 79 Part D claims and 19 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT COHEN, M.D.'s credentials?
ROBERT COHEN, M.D.'s NPI is 1831114248 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