NPPES file of Aug 9, 2026

Sergey Shushunov, MD

Pediatric Critical Care Medicine Physician · Saint Anne, IL

Sergey Shushunov, MD is a pediatric critical care medicine physician with a practice address in Saint Anne, Illinois, and NPI 1588632681, issued on Mar 14, 2006. Check the license (Illinois 036070073, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1588632681
Name
Sergey Shushunov
Credential
MD
Primary taxonomy
Pediatric Critical Care Medicine Physician 2080P0203X
License number
036070073 IL
Self-reported in NPPES; status is on the state search
Practice location
135 W Station St, Saint Anne, IL 60964
Phone
(815) 427-1324
Enumerated
Mar 14, 2006
Record last updated
Aug 22, 2023
Medicaid ID
036070073 IL
Medicare enrollment
Enrolled (PECOS I20221202001917); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Sergey Shushunov in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036070073
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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4.3 times the Medicare Part D claims of the average pediatric critical care medicine physician in 2024

197 Medicare Part D claims for 21 beneficiaries, against an average of 46 among the 83 providers of this specialty who prescribed in Part D. Brand-name drugs were 54% of claims.

  1. Sergey Shushunov197
  2. Specialty average46

Most prescribed

  1. Furosemide55 claims
  2. Eliquis36 claims
  3. Tradjenta26 claims
  4. Quetiapine Fumarate13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 90.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costout of 100 · 30%50.2
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Sergey Shushunov among 144 pediatric critical care medicine physician records in Illinois

Sergey Shushunov, MD is one of 144 pediatric critical care medicine physician records with a practice address in Illinois. 29% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 76% newer
  • In a Medicare fileYes · 29% of these records are
  • In the CMS Doctors and Clinicians fileYes · 22% of these records are
  • Graduated1977 · median 2012 among the 31 with a school on file
  • Record last updated2023 · 33% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0203X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Critical Care Medicine Physician providers in Illinois

There are 144 pediatric critical care medicine physician records in Illinois.

The 8 pediatric critical care medicine physician records with the nearest ZIP codes

  1. Joel Manaligod, M.D.Rockford, IL 611031881769214
  2. David Ubogy, M.D., M.A.Chicago, IL 607071053537027
  3. Fatima Ajmal, M.D.Chicago, IL 606371881125342
  4. Alisha Bouzaher, MDChicago, IL 606371942763602
  5. Joan Buen, M.D.Chicago, IL 606371316301351
  6. Stephen Gan, MDChicago, IL 606371811491525
  7. Brett Habermehl, MDChicago, IL 606371205402179
  8. Naveen Kanji, MDChicago, IL 606371093343238

Common questions

What is Sergey Shushunov, MD's NPI number?

Sergey Shushunov, MD's National Provider Identifier (NPI) is 1588632681, issued on Mar 14, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Sergey Shushunov, MD located?

The NPPES record lists a practice address at 135 W Station St, Saint Anne, IL, 60964. Phone: (815) 427-1324. Providers update this record themselves, so call before visiting.

How can I verify Sergey Shushunov, MD's license?

NPPES lists Illinois license number 036070073, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sergey Shushunov, MD prescribe under Medicare Part D?

In 2024, Sergey Shushunov, MD had 197 Medicare Part D claims for 21 beneficiaries; the average among pediatric critical care medicine physician prescribers was 46. Part D covers Medicare prescriptions only.

What is Sergey Shushunov, MD's MIPS final score?

The 2023 MIPS final score is 90.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.