2026 NPPES data Family Medicine Physician NPI 1013172139 M.D.
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SANDRA PINILLA, M.D.

Family Medicine Physician in BELLWOOD, 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
7K
Medicare Part D claims · 646 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

SANDRA PINILLA, M.D. filed 6,699 Medicare Part D claims in 2023 as a Family Medicine Physician in BELLWOOD, Illinois, prescribing 87% generic.

7K
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.

SANDRA PINILLA, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

6,699 Top 4% higher than 96% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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 certification likely (heuristic — not verified)

SANDRA PINILLA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 SANDRA PINILLA, M.D.?

Quality data not reported

NPI registry status

Active

Issued 07/29/2008

NPI 1013172139

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

6,699 96% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Illinois

How Family Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Family Medicine Physician share within Illinois

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

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

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).

SANDRA PINILLA, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 456 25TH AVE, BELLWOOD, IL, 60104, with a listed phone of (708) 467-7254. NPI 1013172139 was issued on 07/29/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PINILLA 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 6,699 prescription claims written by this provider, covering 646 Medicare beneficiaries and totaling roughly $868K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 1.2%. 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

456 25TH AVE
BELLWOOD, IL 60104

Provider Details

NPI 1013172139
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 07/29/2008

Hospital and facility affiliations

Facilities where SANDRA PINILLA, 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.

OAK STREET HEALTH PHYSICIANS GROUP PC
OAK PARK, 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 SANDRA PINILLA, M.D.. To verify SANDRA PINILLA, 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

SANDRA PINILLA, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 6,699 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.

6,699
Total Claims
$868K
Total Drug Cost
646
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,223
Total Day Supply
474,308
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$774K
Generic Drug Cost
$87K
Opioid Claims
80 (1.2% rate)
Antibiotic Claims
153

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.99
Gender Split
60% female / 40% male
Age Distribution
<65: 85, 65-74: 339, 75-84: 182, 85+: 40

Top Prescribed Drugs (Medicare Part D)

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

What SANDRA PINILLA, M.D. 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
Atorvastatin Calcium
651
Amlodipine Besylate
369
Metformin Hcl
331
Lisinopril
276
Losartan Potassium
263
Omeprazole
181
Tamsulosin Hcl
166
Hydrochlorothiazide
163
Albuterol Sulfate Hfa
Albuterol Sulfate
136
Gabapentin
133

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

Family Medicine Physician Overview

How SANDRA PINILLA, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

SANDRA PINILLA, M.D.'s 6,699 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Illinois

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANDRA PINILLA, M.D.'s specialty?
SANDRA PINILLA, M.D. specializes in Family Medicine Physician and practices in BELLWOOD, Illinois. Credentials: M.D..
How much does SANDRA PINILLA, M.D. prescribe under Medicare Part D?
In 2023, SANDRA PINILLA, M.D. wrote 6,699 Medicare Part D claims totaling $868K in drug costs for 646 beneficiaries.
Where is SANDRA PINILLA, M.D. located?
SANDRA PINILLA, M.D. is located at 456 25TH AVE, BELLWOOD, IL, 60104. Phone: (708) 467-7254.
What is SANDRA PINILLA, M.D.'s NPI number?
SANDRA PINILLA, M.D.'s National Provider Identifier (NPI) is 1013172139, issued on 07/29/2008.
Does SANDRA PINILLA, M.D. prescribe more brand-name or generic drugs?
SANDRA PINILLA, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $774K in brand drug costs.
Does SANDRA PINILLA, M.D. prescribe opioids?
Yes, SANDRA PINILLA, M.D. had 80 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does SANDRA PINILLA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SANDRA PINILLA, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANDRA PINILLA, M.D. accept Medicare?
SANDRA PINILLA, M.D. appears in CMS Medicare data with 6,699 Part D claims and 646 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANDRA PINILLA, M.D.'s credentials?
SANDRA PINILLA, M.D.'s NPI is 1013172139 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.
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