2026 NPPES data Plastic Surgery Physician NPI 1609396464 M.D.
Verify on CMS →

UTKU DOLEN, M.D.

Plastic Surgery Physician in WINFIELD, 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
97
Medicare Part D claims · 15 beneficiaries · Plastic Surgery Physician avg: 84
MIPS score
79.393/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$692.17
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: UTKU DOLEN, M.D. is a Plastic Surgery Physician ([object Object]) practicing in WINFIELD, Illinois with a Medicare Part D prescribing footprint of 97 claims across 15 beneficiaries . Their CMS MIPS Final Score of 79.393/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $692.17 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: UTKU DOLEN, M.D. reported a CMS MIPS final score of 79.393 out of 100, below the 83.1 national average, and filed 97 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

UTKU DOLEN, 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).

UTKU DOLEN, M.D. at a glance

Near national average

NPI registry status

Active

Issued 06/22/2017

NPI 1609396464

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Medicare Part D claims

97 15% vs specialty avg

2023 prescription claims

Specialty avg: 84

MIPS final score

79.393/100 3.7069999999999936% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Plastic Surgery Physician compares to other specialties among Illinois providers

Illinois providers

Plastic Surgery Physician share within Illinois

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

Medicare quality performance — MIPS

UTKU DOLEN, M.D.'s 2023 MIPS final score plotted against the Plastic Surgery Physician national average

Near national average
MIPS Final Score
79.393/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery Physician) — 79.393/100 vs national avg 83.1

0%100%National avg83%79.4%
MIPS final score (Plastic Surgery Physician) — 79.393/100 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).

UTKU DOLEN, M.D. is a Plastic Surgery Physician provider practicing in WINFIELD, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1609396464. 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.

UTKU DOLEN, M.D. appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding M.D. credentials at 25 N WINFIELD RD STE 2022, WINFIELD, IL, 60190, with a listed phone of (630) 307-7799. NPI 1609396464 was issued on 06/22/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOLEN 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 97 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $363 in drug spend, with an opioid prescribing rate of 11.3%. 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 79.393/100 for the 2023 performance year (Quality 77.7697, Cost 54.3735), 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

25 N WINFIELD RD STE 2022
WINFIELD, IL 60190

Provider Details

NPI 1609396464
Specialty Plastic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 06/22/2017

CMS Quality Score (MIPS)

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

79.393
Final Score
Avg: 83.1
77.7697
Quality
54.3735
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where UTKU DOLEN, 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.

NORTHWESTERN MEDICAL FACULTY FOUNDATION
HUNTLEY, 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 UTKU DOLEN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$692

Largest payer

Musculoskeletal Transplant Foundation Inc.

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 UTKU DOLEN, M.D.. To verify UTKU DOLEN, 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.

97
Total Claims
$363
Total Drug Cost
15
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
97
Total Day Supply
868
Brand Drug Cost
$0
Generic Drug Cost
$363
Opioid Claims
11 (11.3% rate)
Antibiotic Claims
17

Patient Demographics

Average Patient Age
66.7 years
Avg HCC Risk Score
0.75

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
23
Cyclobenzaprine Hcl
20
Celecoxib
16
Doxycycline Hyclate
13
Oxycodone Hcl
11

* 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 UTKU DOLEN, 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

UTKU DOLEN, M.D.'s 97 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 DOLEN.

Compare Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is UTKU DOLEN, M.D.'s specialty?
UTKU DOLEN, M.D. specializes in Plastic Surgery Physician and practices in WINFIELD, Illinois. Credentials: M.D..
How much does UTKU DOLEN, M.D. prescribe under Medicare Part D?
In 2023, UTKU DOLEN, M.D. wrote 97 Medicare Part D claims totaling $363 in drug costs for 15 beneficiaries.
What is UTKU DOLEN, M.D.'s Medicare quality score?
UTKU DOLEN, M.D. has a CMS MIPS Final Score of 79.393/100 (Quality: 77.7697, Cost: 54.3735). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is UTKU DOLEN, M.D. located?
UTKU DOLEN, M.D. is located at 25 N WINFIELD RD STE 2022, WINFIELD, IL, 60190. Phone: (630) 307-7799.
What is UTKU DOLEN, M.D.'s NPI number?
UTKU DOLEN, M.D.'s National Provider Identifier (NPI) is 1609396464, issued on 06/22/2017.
Does UTKU DOLEN, M.D. prescribe opioids?
Yes, UTKU DOLEN, M.D. had 11 opioid claims in 2023 with an opioid prescribing rate of 11.3%.
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 UTKU DOLEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, UTKU DOLEN, M.D.'s most frequently prescribed drugs include Gabapentin, Cyclobenzaprine Hcl, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does UTKU DOLEN, M.D. accept Medicare?
UTKU DOLEN, M.D. appears in CMS Medicare data with 97 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify UTKU DOLEN, M.D.'s credentials?
UTKU DOLEN, M.D.'s NPI is 1609396464 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