2026 NPPES data Plastic Surgery Physician NPI 1588007231 M.D.
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SAMEER KAPADIA, M.D.

Plastic Surgery Physician in ELK GROVE VILLAGE, 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
150
Medicare Part D claims · 30 beneficiaries · Plastic Surgery Physician avg: 84
MIPS score
84.3743/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$1.6K
40 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SAMEER KAPADIA, M.D. is a Plastic Surgery Physician ([object Object]) practicing in ELK GROVE VILLAGE, Illinois with a Medicare Part D prescribing footprint of 150 claims across 30 beneficiaries . Their CMS MIPS Final Score of 84.3743/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.6K across 40 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SAMEER KAPADIA, M.D. reported a CMS MIPS final score of 84.3743 out of 100, above the 83.1 national average, and filed 150 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)

SAMEER KAPADIA, 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).

SAMEER KAPADIA, M.D. at a glance

Near national average

NPI registry status

Active

Issued 04/12/2013

NPI 1588007231

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Medicare Part D claims

150 79% vs specialty avg

2023 prescription claims

Specialty avg: 84

MIPS final score

84.3743/100 1.2743000000000109% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Plastic Surgery Physician compares to other specialties among Illinois providers

Illinois providers

Plastic Surgery Physician share within Illinois

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

Medicare quality performance — MIPS

SAMEER KAPADIA, M.D.'s 2023 MIPS final score plotted against the Plastic Surgery Physician national average

Near national average
MIPS Final Score
84.3743/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery Physician) — 84.3743/100 vs national avg 83.1

0%100%National avg83%84.4%
MIPS final score (Plastic Surgery Physician) — 84.3743/100 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).

SAMEER KAPADIA, M.D. is a Plastic Surgery Physician provider practicing in ELK GROVE VILLAGE, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1588007231. 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.

SAMEER KAPADIA, M.D. appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding M.D. credentials at 800 BIESTERFIELD RD STE 765, ELK GROVE VILLAGE, IL, 60007, with a listed phone of (312) 872-8514. NPI 1588007231 was issued on 04/12/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KAPADIA 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 150 prescription claims written by this provider, covering 30 Medicare beneficiaries and totaling roughly $6K in drug spend, with an opioid prescribing rate of 16.7%. 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 84.3743/100 for the 2023 performance year (Quality 61.2776), compared with the national average of 83.1.

Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,316 enrolled providers across 52 states and an average of 84 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

800 BIESTERFIELD RD STE 765
ELK GROVE VILLAGE, IL 60007

Provider Details

NPI 1588007231
Specialty Plastic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 04/12/2013

CMS Quality Score (MIPS)

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

84.3743
Final Score
Avg: 83.1
61.2776
Quality
93
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where SAMEER KAPADIA, 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.

BONAVENTURE MEDICAL FOUNDATION LLC
HOFFMAN ESTATES, 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 SAMEER KAPADIA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.6K

Largest payer

MOTIVA USA, LLC

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 SAMEER KAPADIA, M.D.. To verify SAMEER KAPADIA, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

150
Total Claims
$6K
Total Drug Cost
30
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
166
Total Day Supply
1,606
Generic Drug Cost
$996
Opioid Claims
25 (16.7% rate)
Antibiotic Claims
42

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
0.85

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cephalexin
27
Gabapentin
25
Cyclobenzaprine Hcl
22
Ondansetron Odt
Ondansetron
22

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

Plastic Surgery Physician Overview

How SAMEER KAPADIA, M.D. fits within the Plastic Surgery Physician landscape nationally.

5,316
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider

SAMEER KAPADIA, M.D.'s 150 claims are above the specialty average of 84.

Nearby Plastic Surgery Physician Providers in Illinois

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

Compare Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SAMEER KAPADIA, M.D.'s specialty?
SAMEER KAPADIA, M.D. specializes in Plastic Surgery Physician and practices in ELK GROVE VILLAGE, Illinois. Credentials: M.D..
How much does SAMEER KAPADIA, M.D. prescribe under Medicare Part D?
In 2023, SAMEER KAPADIA, M.D. wrote 150 Medicare Part D claims totaling $6K in drug costs for 30 beneficiaries.
What is SAMEER KAPADIA, M.D.'s Medicare quality score?
SAMEER KAPADIA, M.D. has a CMS MIPS Final Score of 84.3743/100 (Quality: 61.2776). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SAMEER KAPADIA, M.D. located?
SAMEER KAPADIA, M.D. is located at 800 BIESTERFIELD RD STE 765, ELK GROVE VILLAGE, IL, 60007. Phone: (312) 872-8514.
What is SAMEER KAPADIA, M.D.'s NPI number?
SAMEER KAPADIA, M.D.'s National Provider Identifier (NPI) is 1588007231, issued on 04/12/2013.
Does SAMEER KAPADIA, M.D. prescribe opioids?
Yes, SAMEER KAPADIA, M.D. had 25 opioid claims in 2023 with an opioid prescribing rate of 16.7%.
How many Plastic Surgery Physician providers are there in the US?
There are 5,316 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
What drugs does SAMEER KAPADIA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SAMEER KAPADIA, M.D.'s most frequently prescribed drugs include Cephalexin, Gabapentin, Cyclobenzaprine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SAMEER KAPADIA, M.D. accept Medicare?
SAMEER KAPADIA, M.D. appears in CMS Medicare data with 150 Part D claims and 30 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SAMEER KAPADIA, M.D.'s credentials?
SAMEER KAPADIA, M.D.'s NPI is 1588007231 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