2026 NPPES data General Practice Physician NPI 1356617849 M.D.
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SAMUEL LESPINASSE, M.D.

General Practice Physician in CICERO, 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 · 128 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]

What the federal data shows

SAMUEL LESPINASSE, M.D. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 5,342 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
5K
Part D claims, 2023
75%
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.

SAMUEL LESPINASSE, 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

100 Top 7% higher than 93% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

SAMUEL LESPINASSE, 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 SAMUEL LESPINASSE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 03/28/2012

NPI 1356617849

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

5,342 86% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How General Practice Physician compares to other specialties among Illinois providers

Illinois providers

General Practice Physician share within Illinois

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

Medicare quality performance — MIPS

SAMUEL LESPINASSE, M.D.'s 2023 MIPS final score plotted against the General Practice Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (General Practice Physician) — 100/100 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).

SAMUEL LESPINASSE, M.D. is a General Practice Physician provider practicing in CICERO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1356617849. 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.

SAMUEL LESPINASSE, M.D. appears in the CMS NPPES registry as a General Practice Physician provider holding M.D. credentials at 1904 S CICERO AVE, CICERO, IL, 60804, with a listed phone of (773) 263-9382. NPI 1356617849 was issued on 03/28/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LESPINASSE 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 5,342 prescription claims written by this provider, covering 128 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 25% brand-name and 75% generic by claim count, with an opioid prescribing rate of 3.9%. 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 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 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

1904 S CICERO AVE
CICERO, IL 60804

Provider Details

NPI 1356617849
Specialty General Practice Physician
Credentials M.D.
Gender Male
NPI Issued 03/28/2012

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where SAMUEL LESPINASSE, 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.

PHYSICIANS TO YOU HOME HEALTH LIMITED
BERWYN, 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).

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 SAMUEL LESPINASSE, M.D.. To verify SAMUEL LESPINASSE, 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 · Above average

SAMUEL LESPINASSE, M.D. — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 5,342 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.

5,342
Total Claims
$1.1M
Total Drug Cost
128
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,509
Total Day Supply
307,174
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$958K
Generic Drug Cost
$158K
Opioid Claims
211 (3.9% rate)
Antibiotic Claims
88

Patient Demographics

Average Patient Age
77.3 years
Avg HCC Risk Score
2.26
Gender Split
66% female / 34% male
Age Distribution
<65: 17, 65-74: 30, 75-84: 46, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
216
Gabapentin
170
Ozempic
Semaglutide
149
Tradjenta
Linagliptin
149
Pantoprazole Sodium
147
Metformin Hcl
134
Omeprazole
122
Fluticasone Propionate
113
Levothyroxine Sodium
106
Ammonium Lactate
95

* 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 SAMUEL LESPINASSE, M.D. fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

SAMUEL LESPINASSE, M.D.'s 5,342 claims are above 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 LESPINASSE.

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SAMUEL LESPINASSE, M.D.'s specialty?
SAMUEL LESPINASSE, M.D. specializes in General Practice Physician and practices in CICERO, Illinois. Credentials: M.D..
How much does SAMUEL LESPINASSE, M.D. prescribe under Medicare Part D?
In 2023, SAMUEL LESPINASSE, M.D. wrote 5,342 Medicare Part D claims totaling $1.1M in drug costs for 128 beneficiaries.
What is SAMUEL LESPINASSE, M.D.'s Medicare quality score?
SAMUEL LESPINASSE, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SAMUEL LESPINASSE, M.D. located?
SAMUEL LESPINASSE, M.D. is located at 1904 S CICERO AVE, CICERO, IL, 60804. Phone: (773) 263-9382.
What is SAMUEL LESPINASSE, M.D.'s NPI number?
SAMUEL LESPINASSE, M.D.'s National Provider Identifier (NPI) is 1356617849, issued on 03/28/2012.
Does SAMUEL LESPINASSE, M.D. prescribe more brand-name or generic drugs?
SAMUEL LESPINASSE, M.D.'s prescribing is 25% brand-name and 75% generic drugs by claim count, with $958K in brand drug costs.
Does SAMUEL LESPINASSE, M.D. prescribe opioids?
Yes, SAMUEL LESPINASSE, M.D. had 211 opioid claims in 2023 with an opioid prescribing rate of 3.9%.
How many General Practice Physician providers are there in the US?
There are 16,677 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 SAMUEL LESPINASSE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SAMUEL LESPINASSE, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Gabapentin, Ozempic. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SAMUEL LESPINASSE, M.D. accept Medicare?
SAMUEL LESPINASSE, M.D. appears in CMS Medicare data with 5,342 Part D claims and 128 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SAMUEL LESPINASSE, M.D.'s credentials?
SAMUEL LESPINASSE, M.D.'s NPI is 1356617849 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