NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1376543488 D.O.
Verify on CMS → Serena Baqai, D.O.
Emergency Medicine Physician in Evanston, 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 64,463 in Emergency Medicine 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
75
Medicare Part D claims · 62 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
89.6/100
▲ 6 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Serena Baqai, D.O. reported a CMS MIPS final score of 89.6/100 - above the 83.1 national average - and filed 75 Medicare Part D claims in 2023.
- 89.6/100
- MIPS score · +6 vs avg
- 75
- 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.
Serena Baqai, D.O.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 42% higher than 58% 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 Serena Baqai, D.O. sits
This provider among emergency medicine physician peers
Across the 14,967 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Serena Baqai, D.O. writes more Part D claims than 25% of them and scores higher on MIPS quality than 47% - placing this provider in the lower-volume, lower-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 emergency medicine physician peer from a representative sample of 60; the gold marker is Serena Baqai, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Serena Baqai, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Serena Baqai, D.O.?
High performer (top quartile)Primary specialty
Emergency Medicine Physician
Medicare Part D claims
75 79% vs specialty avg
MIPS final score
89.6/100 6.5 pts vs avg
Specialty distribution in Illinois
How Emergency Medicine Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Serena Baqai, D.O.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 89.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Emergency Medicine Physician) - 89.6/100 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).
Serena Baqai, D.O. appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding D.O. credentials at 2650 RIDGE AVE, Evanston, IL, 60201, with a listed phone of (847) 570-2000. NPI 1376543488 was issued on 07/29/2005.
Medicare Part D records for calendar year 2023 show 75 prescription claims written by this provider, covering 62 Medicare beneficiaries and totaling roughly $705 in drug spend, with an opioid prescribing rate of 25.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.6/100 for the 2023 performance year (Quality 70.5, Cost 100), compared with the national average of 83.1.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 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 | 1376543488 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | D.O. |
| Gender | Female |
| NPI Issued | 07/29/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
89.5594
Final Score
Avg: 83.1
70.4515
Quality
100
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Serena Baqai, D.O. 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.
Cepamerica Illinois LLP
Chicago, IL
Endeavor Health Medical Group
Evanston, 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 Serena Baqai, D.O.. To verify Serena Baqai, D.O.'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.
75
Total Claims
$705
Total Drug Cost
62
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 75
- Total Day Supply
- 600
- Generic Drug Cost
- $585
- Opioid Claims
- 19 (25.3% rate)
- Antibiotic Claims
- 27
Patient Demographics
- Average Patient Age
- 75.3 years
- Avg HCC Risk Score
- 1.42
- Gender Split
- 71% female / 29% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 19 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Serena Baqai, D.O. fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Serena Baqai, D.O.'s 75 claims are below the specialty average of 352.
Nearby Emergency Medicine Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Baqai.
Dr. Osama Aaflaq
M.D.
Carbondale, IL
Dr. Suresh Abad
M.D.
Vernon Hills, IL
Dr. Albert Abalos
M.D.
Elmhurst, IL
Dr. Habib Abbasi
M.D.
Joliet, IL
Dr. Andrew Abbeg
D.O.
Greenville, IL
Compare Emergency Medicine 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 Emergency Medicine 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 Serena Baqai, D.O.'s specialty? ▼
Serena Baqai, D.O. specializes in Emergency Medicine Physician and practices in Evanston, Illinois. Credentials: D.O..
How much does Serena Baqai, D.O. prescribe under Medicare Part D? ▼
In 2023, Serena Baqai, D.O. wrote 75 Medicare Part D claims totaling $705 in drug costs for 62 beneficiaries.
What is Serena Baqai, D.O.'s Medicare quality score? ▼
Serena Baqai, D.O. has a CMS MIPS Final Score of 89.6/100 (Quality: 70.5, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Serena Baqai, D.O. located? ▼
Serena Baqai, D.O. is located at 2650 RIDGE AVE, Evanston, IL, 60201. Phone: (847) 570-2000.
What is Serena Baqai, D.O.'s NPI number? ▼
Serena Baqai, D.O.'s National Provider Identifier (NPI) is 1376543488, issued on 07/29/2005.
Does Serena Baqai, D.O. prescribe opioids? ▼
Yes, Serena Baqai, D.O. had 19 opioid claims in 2023 with an opioid prescribing rate of 25.3%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Serena Baqai, D.O. prescribe most often? ▼
Based on 2023 Medicare Part D data, Serena Baqai, D.O.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Serena Baqai, D.O. accept Medicare? ▼
Serena Baqai, D.O. appears in CMS Medicare data with 75 Part D claims and 62 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Serena Baqai, D.O.'s credentials? ▼
Serena Baqai, D.O.'s NPI is 1376543488 with credentials D.O.. 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.
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.