NPPES file of Aug 9, 2026

Robert T. Nixon, MD

Sports Medicine (Orthopaedic Surgery) Physician · Crystal Lake, IL

Robert T. Nixon, MD is a sports medicine (orthopaedic surgery) physician with a practice address in Crystal Lake, Illinois, and NPI 1821160516, issued on Nov 15, 2006. Check the license (Illinois 036-078380, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1821160516
Name
Robert T. Nixon
Credential
MD
Primary taxonomy
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
License numbers
036-078380 IL
036078380 IL
Self-reported in NPPES; status is on the state search
Practice location
420 N IL Route 31, Crystal Lake, IL 60012
Phone
(815) 356-5200
Enumerated
Nov 15, 2006
Record last updated
Oct 19, 2018 (not updated in 8 years: call before relying on the address or phone)
Fax
(815) 356-5262
Medicaid ID
036078380 IL
Medicare enrollment
Enrolled (PECOS I20100105000655); accepts Medicare assignment
Medical or professional school
Loyola University Of Chicago, Stritch School Of Medicine, 1987
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 420 N IL Route 31

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Sam Biafora, M.D.Orthopaedic Hand Surgery Physician1205037991
  2. Laura Blumenkamp, PTPhysical Therapist1356608673
  3. Shelly Chamberlin, OTR/L, CHTOccupational Therapist1336335900
  4. Devin Chen, PA-CPhysician Assistant1174305312
  5. Staci Connery, P.T.Physical Therapist1932364338
  6. William Cox, M.D.Sports Medicine (Orthopaedic Surgery) Physician1407928062

Verify Robert T. Nixon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036-078380
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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41% fewer Medicare Part D claims than the average sports medicine (orthopaedic surgery) physician in 2024

169 Medicare Part D claims for 97 beneficiaries, against an average of 288 among the 2,562 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 114 claims were for opioids.

  1. Robert Nixon169
  2. Specialty average288

Most prescribed

  1. Hydrocodone-Acetaminophen67 claims
  2. Tramadol Hcl34 claims
  3. Methylprednisolone31 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 94.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score82.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Central Dupage Physician GroupHuntley, IL
  2. Northwestern Medical Faculty FoundationHuntley, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Robert T. Nixon among 102 sports medicine (orthopaedic surgery) physician records in Illinois

Robert T. Nixon, MD is one of 102 sports medicine (orthopaedic surgery) physician records with a practice address in Illinois. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 16% of them.

  • NPI issued2006 · 16% of these records are older, 55% newer
  • In a Medicare fileYes · 89% of these records are
  • In the CMS Doctors and Clinicians fileYes · 84% of these records are
  • Graduated1987 · median 2003 among the 86 with a school on file
  • Record last updated2018 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XX0005X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Sports Medicine (Orthopaedic Surgery) Physician providers in Illinois

There are 102 sports medicine (orthopaedic surgery) physician records in Illinois.

The 8 sports medicine (orthopaedic surgery) physician records with the nearest ZIP codes

  1. William Cox, M.D.Crystal Lake, IL 600121407928062
  2. Savan Patel, MDCrystal Lake, IL 600121033422209
  3. Craig Cummins, M.D.Barrington, IL 600101588650006
  4. Joseph Krob, MDElk Grove Village, IL 600071639630197
  5. Daniel Kuesis, M.D.Elk Grove Village, IL 600071679573240
  6. Eugene Lopez, M.D.Elk Grove Village, IL 600071467452300
  7. Jeffrey Murray, M.D.Elk Grove Village, IL 600071518943018
  8. Sean Odell, MDElk Grove Village, IL 600071518981612

Common questions

What is Robert T. Nixon, MD's NPI number?

Robert T. Nixon, MD's National Provider Identifier (NPI) is 1821160516, issued on Nov 15, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Robert T. Nixon, MD located?

The NPPES record lists a practice address at 420 N IL Route 31, Crystal Lake, IL, 60012. Phone: (815) 356-5200. Providers update this record themselves, so call before visiting.

How can I verify Robert T. Nixon, MD's license?

NPPES lists Illinois license number 036-078380, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Robert T. Nixon, MD prescribe under Medicare Part D?

In 2024, Robert T. Nixon, MD had 169 Medicare Part D claims for 97 beneficiaries; the average among sports medicine (orthopaedic surgery) physician prescribers was 288. Part D covers Medicare prescriptions only.

What is Robert T. Nixon, MD's MIPS final score?

The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.