2026 NPPES data Gastroenterology Physician NPI 1760442511 M.D.
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WILLIAM KOSMALA, M.D.

Gastroenterology Physician in PALOS HEIGHTS, 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
1K
Medicare Part D claims · 414 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.094/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$302.18
14 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

WILLIAM KOSMALA, M.D. reported a CMS MIPS final score of 85.094/100 — above the 83.1 national average — and filed 1,278 Medicare Part D claims in 2023.

85.094/100
MIPS score · +2 vs avg
1K
Part D claims, 2023
79%
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.

WILLIAM KOSMALA, 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

85 49th percentile higher than 49% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

WILLIAM KOSMALA, 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 WILLIAM KOSMALA, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 03/24/2006

NPI 1760442511

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

1,278 53% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

85.094/100 1.9939999999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Gastroenterology Physician compares to other specialties among Illinois providers

Illinois providers

Gastroenterology Physician share within Illinois

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

Medicare quality performance — MIPS

WILLIAM KOSMALA, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
85.094/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 85.094/100 vs national avg 83.1

0%100%National avg83%85.1%
MIPS final score (Gastroenterology Physician) — 85.094/100 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).

WILLIAM KOSMALA, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 12150 S HARLEM AVE, PALOS HEIGHTS, IL, 60463, with a listed phone of (708) 361-4778. NPI 1760442511 was issued on 03/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOSMALA 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 1,278 prescription claims written by this provider, covering 414 Medicare beneficiaries and totaling roughly $415K in drug spend, split 21% brand-name and 79% generic by claim count. 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 85.094/100 for the 2023 performance year (Quality 73.1645, Cost 77.9822), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

12150 S HARLEM AVE
PALOS HEIGHTS, IL 60463

Provider Details

NPI 1760442511
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 03/24/2006

CMS Quality Score (MIPS)

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

85.094
Final Score
Avg: 83.1
73.1645
Quality
77.9822
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where WILLIAM KOSMALA, 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.

ILLINOIS GASTROENTEROLOGY GROUP LLC
ORLAND 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).

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 WILLIAM KOSMALA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$302

Largest payer

Takeda Pharmaceuticals U.S.A., 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 WILLIAM KOSMALA, M.D.. To verify WILLIAM KOSMALA, 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

WILLIAM KOSMALA, M.D. — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 1,278 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.

1,278
Total Claims
$415K
Total Drug Cost
414
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,498
Total Day Supply
69,853
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$303K
Generic Drug Cost
$112K
Antibiotic Claims
54

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
1.16
Gender Split
59% female / 41% male
Age Distribution
<65: 19, 65-74: 210, 75-84: 154, 85+: 31

Top Prescribed Drugs (Medicare Part D)

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

What WILLIAM KOSMALA, 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
Pantoprazole Sodium
367
Omeprazole
137
Sucralfate
56
Balsalazide Disodium
52
Plenvu
Peg3350/Sod Sul/Nacl/Kcl/Asb/C
52
Famotidine
51
Linzess
Linaclotide
47
Budesonide Dr
Budesonide
36
Mesalamine
32
Mesalamine Dr
Mesalamine
27

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

Gastroenterology Physician Overview

How WILLIAM KOSMALA, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

WILLIAM KOSMALA, M.D.'s 1,278 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Illinois

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

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is WILLIAM KOSMALA, M.D.'s specialty?
WILLIAM KOSMALA, M.D. specializes in Gastroenterology Physician and practices in PALOS HEIGHTS, Illinois. Credentials: M.D..
How much does WILLIAM KOSMALA, M.D. prescribe under Medicare Part D?
In 2023, WILLIAM KOSMALA, M.D. wrote 1,278 Medicare Part D claims totaling $415K in drug costs for 414 beneficiaries.
What is WILLIAM KOSMALA, M.D.'s Medicare quality score?
WILLIAM KOSMALA, M.D. has a CMS MIPS Final Score of 85.094/100 (Quality: 73.1645, Cost: 77.9822). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WILLIAM KOSMALA, M.D. located?
WILLIAM KOSMALA, M.D. is located at 12150 S HARLEM AVE, PALOS HEIGHTS, IL, 60463. Phone: (708) 361-4778.
What is WILLIAM KOSMALA, M.D.'s NPI number?
WILLIAM KOSMALA, M.D.'s National Provider Identifier (NPI) is 1760442511, issued on 03/24/2006.
Does WILLIAM KOSMALA, M.D. prescribe more brand-name or generic drugs?
WILLIAM KOSMALA, M.D.'s prescribing is 21% brand-name and 79% generic drugs by claim count, with $303K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does WILLIAM KOSMALA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, WILLIAM KOSMALA, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Sucralfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILLIAM KOSMALA, M.D. accept Medicare?
WILLIAM KOSMALA, M.D. appears in CMS Medicare data with 1,278 Part D claims and 414 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM KOSMALA, M.D.'s credentials?
WILLIAM KOSMALA, M.D.'s NPI is 1760442511 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