NPI registry status
Active
2026 NPPES data Plastic Surgery Physician NPI 1588007231 M.D.
Verify on CMS → Sameer Kapadia, M.D.
Plastic Surgery Physician in Elk Grove Village, 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 5,316 in Plastic Surgery 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
150
Medicare Part D claims · 30 beneficiaries · Plastic Surgery Physician avg: 84
MIPS score
84.4/100
▲ 1 pts above national avg 83.1 · Above neutral
Industry payments
$1.6K
40 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sameer Kapadia, M.D. reported a CMS MIPS final score of 84.4/100 - above the 83.1 national average - and filed 150 Medicare Part D claims in 2023.
- 84.4/100
- MIPS score · +1 vs avg
- 150
- Part D claims, 2023
- 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.
Sameer Kapadia, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
84 45th percentile higher than 45% of 477,587 scored providers
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
Where Sameer Kapadia, M.D. sits
This provider among plastic surgery physician peers
Across the 561 plastic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sameer Kapadia, M.D. writes more Part D claims than 77% of them and scores higher on MIPS quality than 51% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one plastic surgery physician peer from a representative sample of 60; the gold marker is Sameer Kapadia, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
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).
What does the federal data show about Sameer Kapadia, M.D.?
Near national averagePrimary specialty
Plastic Surgery Physician
Medicare Part D claims
150 79% vs specialty avg
MIPS final score
84.4/100 1.3 pts vs avg
Specialty distribution in Illinois
How Plastic Surgery Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Sameer Kapadia, M.D.'s 2023 MIPS final score plotted against the Plastic Surgery Physician national average
- MIPS Final Score
- 84.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Plastic Surgery Physician) - 84.4/100 vs national avg 83.1
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).
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.
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%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.4/100 for the 2023 performance year (Quality 61.3), 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
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.
What Sameer Kapadia, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Cephalexin
Cephalexin
27 claims
- Gabapentin
Gabapentin
25 claims
- Cyclobenzaprine Hcl
Cyclobenzaprine Hcl
22 claims
- Ondansetron Odt
Ondansetron Odt
22 claims
| 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.
Dr. Brenon Abernathie
MD
Maryville, IL
Dr. Neta Adler
M.D.
Chicago, IL
Dr. Sonya Agnew
M.D.
Chicago, IL
Dr. Lee Alkureishi
MBCHB
Chicago, IL
Dr. Otis Allen
M.D.
Bloomington, IL
Compare Plastic Surgery 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 Plastic Surgery 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 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 84.4/100 (Quality: 61.3). 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
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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.