NPI registry status
Active
2026 NPPES data General Practice Physician NPI 1780392399 M.D.
Verify on CMS → Roy Eapen, M.D.
General Practice Physician in Chicago, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,725 in General Practice Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 286 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
83%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Roy Eapen, M.D. filed 1,785 Medicare Part D claims in 2023 as a General Practice Physician in Chicago, Illinois, prescribing 83% generic.
- 2K
- Part D claims, 2023
- 83%
- generic prescribing
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.
Roy Eapen, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,785 Top 17% higher than 83% of 1,370,886 prescribers
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-eligible specialty (heuristic, not verified)
Roy Eapen, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Roy Eapen, M.D.?
Quality data not reportedPrimary specialty
General Practice Physician
Medicare Part D claims
1,785 38% vs specialty avg
Specialty distribution in Illinois
How General Practice Physician compares to other specialties among Illinois providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for General Practice Physician. Verify directly:
How MIPS and board certification work
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).
Roy Eapen, M.D. appears in the CMS NPPES registry as a General Practice Physician provider holding M.D. credentials at 2003 W FULTON ST STE 303, Chicago, IL, 60612, with a listed phone of (312) 243-2223. NPI 1780392399 was issued on 11/11/2022.
Medicare Part D records for calendar year 2023 show 1,785 prescription claims written by this provider, covering 286 Medicare beneficiaries and totaling roughly $210K in drug spend, split 16% brand-name and 83% generic by claim count.
General Practice Physician is a mid-sized specialty nationwide, with 16,725 enrolled providers across 56 states and an average of 2,872 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
Provider Details
| NPI | 1780392399 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 11/11/2022 |
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 Roy Eapen, M.D.. To verify Roy Eapen, 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 · Typical
Roy Eapen, M.D. - brand share 16.0%
General Practice Physician average
16% brand-name claims vs 83% generic, on 1,785 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.
1,785
Total Claims
$210K
Total Drug Cost
286
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,654
- Total Day Supply
- 106,321
- Brand vs Generic
- 16% brand / 83% generic
- Brand Drug Cost
- $170K
- Generic Drug Cost
- $40K
- Antibiotic Claims
- 63
Patient Demographics
- Average Patient Age
- 74.6 years
- Avg HCC Risk Score
- 2.98
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 55, 65-74: 71, 75-84: 85, 85+: 75
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Roy Eapen, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
116 claims
- Amlodipine Besylate
Amlodipine Besylate
82 claims
- Eliquis
Eliquis
62 claims
- Gabapentin
Gabapentin
62 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
54 claims
- Furosemide
Furosemide
54 claims
- Pantoprazole Sodium
Pantoprazole Sodium
49 claims
- Metformin Hcl 45
Metformin Hcl
45 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 116 |
| Amlodipine Besylate | 82 |
| Eliquis Apixaban | 62 |
| Gabapentin | 62 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 54 |
| Furosemide | 54 |
| Pantoprazole Sodium | 49 |
| Metformin Hcl | 45 |
| Trazodone Hcl | 44 |
| Lisinopril | 40 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
General Practice Physician Overview
How Roy Eapen, M.D. fits within the General Practice Physician landscape nationally.
16,725
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider
Roy Eapen, M.D.'s 1,785 claims are below the specialty average of 2,872.
Nearby General Practice Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Eapen.
Dr. Aluino Abalos
M.D.
Anna, IL
Dr. Ahuad Abdala
M.D.
Chicago, IL
Dr. Josie Abogast
DVM
Chicago, IL
Dr. Afia Adu-Gyamfi
MD
Chicago, IL
Dr. Vedavathi Agadi
M.D.
Oak Brook, IL
Compare General Practice Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby General Practice Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Roy Eapen, M.D.'s specialty? ▼
Roy Eapen, M.D. specializes in General Practice Physician and practices in Chicago, Illinois. Credentials: M.D..
How much does Roy Eapen, M.D. prescribe under Medicare Part D? ▼
In 2023, Roy Eapen, M.D. wrote 1,785 Medicare Part D claims totaling $210K in drug costs for 286 beneficiaries.
Where is Roy Eapen, M.D. located? ▼
Roy Eapen, M.D. is located at 2003 W FULTON ST STE 303, Chicago, IL, 60612. Phone: (312) 243-2223.
What is Roy Eapen, M.D.'s NPI number? ▼
Roy Eapen, M.D.'s National Provider Identifier (NPI) is 1780392399, issued on 11/11/2022.
Does Roy Eapen, M.D. prescribe more brand-name or generic drugs? ▼
Roy Eapen, M.D.'s prescribing is 16% brand-name and 83% generic drugs by claim count, with $170K in brand drug costs.
How many General Practice Physician providers are there in the US? ▼
There are 16,725 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does Roy Eapen, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Roy Eapen, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Roy Eapen, M.D. accept Medicare? ▼
Roy Eapen, M.D. appears in CMS Medicare data with 1,785 Part D claims and 286 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roy Eapen, M.D.'s credentials? ▼
Roy Eapen, M.D.'s NPI is 1780392399 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.