2026 NPPES data Rheumatology Physician NPI 1568436574 MD
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ROVINDER SAINI, MD

Rheumatology Physician in FREEPORT, 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
5K
Medicare Part D claims · 456 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.571/100
▼ 1 pts below national avg 83.1 · [object Object]

What the federal data shows

ROVINDER SAINI, MD reported a CMS MIPS final score of 82.571/100 — below the 83.1 national average — and filed 5,492 Medicare Part D claims in 2023.

82.571/100
MIPS score · -1 vs avg
5K
Part D claims, 2023
87%
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.

ROVINDER SAINI, MD's MIPS score vs every scored U.S. clinician

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

83 39th percentile higher than 39% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

ROVINDER SAINI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 ROVINDER SAINI, MD?

Near national average

NPI registry status

Active

Issued 02/15/2006

NPI 1568436574

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

5,492 167% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

82.571/100 0.5289999999999964% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Rheumatology Physician compares to other specialties among Illinois providers

Illinois providers

Rheumatology Physician share within Illinois

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

Medicare quality performance — MIPS

ROVINDER SAINI, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average

Near national average
MIPS Final Score
82.571/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 82.571/100 vs national avg 83.1

0%100%National avg83%82.6%
MIPS final score (Rheumatology Physician) — 82.571/100 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).

ROVINDER SAINI, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 1010 FAIRWAY DR, FREEPORT, IL, 61032, with a listed phone of (815) 599-7740. NPI 1568436574 was issued on 02/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SAINI 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 5,492 prescription claims written by this provider, covering 456 Medicare beneficiaries and totaling roughly $1.7 million in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 7.7%. 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 82.571/100 for the 2023 performance year (Quality 87.596, Cost 58.0418), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

1010 FAIRWAY DR
FREEPORT, IL 61032

Provider Details

NPI 1568436574
Specialty Rheumatology Physician
Credentials MD
Gender Male
NPI Issued 02/15/2006

CMS Quality Score (MIPS)

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

82.571
Final Score
Avg: 83.1
87.596
Quality
58.0418
Cost
92
Promoting Interoperability

Reporting: Group practice

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 ROVINDER SAINI, MD. To verify ROVINDER SAINI, 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 · Typical

ROVINDER SAINI, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 5,492 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.

5,492
Total Claims
$1.7M
Total Drug Cost
456
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,804
Total Day Supply
317,075
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$1.6M
Generic Drug Cost
$89K
Opioid Claims
423 (7.7% rate)
Antibiotic Claims
57

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.38
Gender Split
66% female / 34% male
Age Distribution
<65: 85, 65-74: 174, 75-84: 133, 85+: 64

Top Prescribed Drugs (Medicare Part D)

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

What ROVINDER SAINI, MD 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
Methotrexate
Methotrexate Sodium
465
Prednisone
440
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
240
Hydroxychloroquine Sulfate
231
Gabapentin
226
Alendronate Sodium
159
Sulfasalazine
159
Atorvastatin Calcium
151
Metformin Hcl
124
Lisinopril
104

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

Rheumatology Physician Overview

How ROVINDER SAINI, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

ROVINDER SAINI, MD's 5,492 claims are above the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Illinois

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

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROVINDER SAINI, MD's specialty?
ROVINDER SAINI, MD specializes in Rheumatology Physician and practices in FREEPORT, Illinois. Credentials: MD.
How much does ROVINDER SAINI, MD prescribe under Medicare Part D?
In 2023, ROVINDER SAINI, MD wrote 5,492 Medicare Part D claims totaling $1.7M in drug costs for 456 beneficiaries.
What is ROVINDER SAINI, MD's Medicare quality score?
ROVINDER SAINI, MD has a CMS MIPS Final Score of 82.571/100 (Quality: 87.596, Cost: 58.0418). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROVINDER SAINI, MD located?
ROVINDER SAINI, MD is located at 1010 FAIRWAY DR, FREEPORT, IL, 61032. Phone: (815) 599-7740.
What is ROVINDER SAINI, MD's NPI number?
ROVINDER SAINI, MD's National Provider Identifier (NPI) is 1568436574, issued on 02/15/2006.
Does ROVINDER SAINI, MD prescribe more brand-name or generic drugs?
ROVINDER SAINI, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $1.6M in brand drug costs.
Does ROVINDER SAINI, MD prescribe opioids?
Yes, ROVINDER SAINI, MD had 423 opioid claims in 2023 with an opioid prescribing rate of 7.7%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does ROVINDER SAINI, MD prescribe most often?
Based on 2023 Medicare Part D data, ROVINDER SAINI, MD's most frequently prescribed drugs include Methotrexate, Prednisone, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROVINDER SAINI, MD accept Medicare?
ROVINDER SAINI, MD appears in CMS Medicare data with 5,492 Part D claims and 456 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROVINDER SAINI, MD's credentials?
ROVINDER SAINI, MD's NPI is 1568436574 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