James Pedraza
Nurse Practitioner • Chicago, IL
4354 W 63rd St
Chicago, IL 606295039
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 28, 2019; this date does not establish years in practice.
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Published CMS data list 21 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 21 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 276 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 88 prescription fills, including refills.
- Ibuprofen — 44 prescription fills, including refills.
- Gabapentin — 35 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 8 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Chicago, IL (2024, 377 clinicians with data). Median for this group: 153. Middle half: 60 to 327.
Fewer Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: 261. Middle half: 101 to 526.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 125 in 2020 to 21 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
4354 W 63rd St
Chicago, IL 606295039
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
18 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $1,667 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $714 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
278 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$6,714 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $210.47 across 12 records.
By nature of payment
- Food and Beverage: $210.47 across 12 records.
Reporting-company totals (3 largest of 5)
- Pacira Pharmaceuticals Incorporated: $83.66 across 2 records.
- Electronic Waveform Lab, Inc.: $58.80 across 7 records.
- ABBVIE INC.: $32.33 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
NPI first issued
2019
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
James Pedraza has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists James Pedraza as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Chicago and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Chicago, IL (2024, 377 clinicians with data). Median for this group: 153. Middle half: 60 to 327.
Fewer Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: 261. Middle half: 101 to 526.
Medicare-allowed amount
A lower Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Chicago, IL (2024, 377 clinicians with data). Median for this group: $13,286. Middle half: $5,333 to $28,905.
A lower Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $21,010. Middle half: $8,652 to $42,014.
Paid by Medicare
A lower Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Chicago, IL (2024, 377 clinicians with data). Median for this group: $9,934. Middle half: $3,962 to $21,570.
A lower Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $15,151. Middle half: $6,396 to $31,322.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Chicago, IL (2024, 364 clinicians with data). Median for this group: 134. Middle half: 47 to 424.
Close to the middle for clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: 259. Middle half: 80 to 930.
Part D drug cost
Close to the middle for clinicians listed under Nurse Practitioner in Chicago, IL (2024, 364 clinicians with data). Median for this group: $7,605. Middle half: $492 to $57,977.
Close to the middle for clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: $10,867. Middle half: $976 to $113,945.
952 active clinicians are listed under Nurse Practitioner with a practice address in Chicago, IL (4,894 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Chicago
20% of these 952 clinicians have the CMS telehealth indicator.
56.2% of these 952 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 83% from 125 in 2020 to 21 in 2024.
- 2020: 125
- 2021: 1,668
- 2022: 116
- 2023: 93
- 2024: 21
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Medicare-allowed amount
Medicare-allowed amount decreased 88% from $13,748 in 2020 to $1,667 in 2024.
- 2020: $13,748
- 2021: $40,376
- 2022: $8,339
- 2023: $6,944
- 2024: $1,667
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Paid by Medicare
Paid by Medicare decreased 93% from $10,794 in 2020 to $714 in 2024.
- 2020: $10,794
- 2021: $31,401
- 2022: $6,124
- 2023: $4,872
- 2024: $714
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 421% from 53 in 2020 to 276 in 2024.
- 2020: 53
- 2021: 706
- 2022: 929
- 2023: 1,086
- 2024: 276
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30-day fills
30-day fills increased 425% from 53 in 2020 to 278 in 2024.
- 2020: 53
- 2021: 742
- 2022: 972
- 2023: 1,118
- 2024: 278
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Part D drug cost
Part D drug cost increased 391% from $1,368 in 2020 to $6,714 in 2024.
- 2020: $1,368
- 2021: $38,312
- 2022: $47,730
- 2023: $49,899
- 2024: $6,714
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $119.10 in 2021 to $210.47 in 2024.
- 2021: $119.10
- 2022: $722.45
- 2023: $743.54
- 2024: $210.47
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): 12 records totaling $210.47.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Pacira Pharmaceuticals Incorporated |
Food and Beverage
In-kind items and services
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Exparel | General | $45.59 |
| Pacira Pharmaceuticals Incorporated |
Food and Beverage
In-kind items and services
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Iovera | General | $38.07 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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QULIPTA | General | $32.33 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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NURTEC ODT | General | $22.23 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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PROCLAIM | General | $13.45 |
| Electronic Waveform Lab, Inc. |
Food and Beverage
Cash or cash equivalent
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— | General | $13.36 |
| Electronic Waveform Lab, Inc. |
Food and Beverage
Cash or cash equivalent
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— | General | $11.43 |
| Electronic Waveform Lab, Inc. |
Food and Beverage
Cash or cash equivalent
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— | General | $10.31 |
| Electronic Waveform Lab, Inc. |
Food and Beverage
Cash or cash equivalent
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— | General | $8.93 |
| Electronic Waveform Lab, Inc. |
Food and Beverage
Cash or cash equivalent
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— | General | $7.63 |
| Electronic Waveform Lab, Inc. |
Food and Beverage
Cash or cash equivalent
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— | General | $3.81 |
| Electronic Waveform Lab, Inc. |
Food and Beverage
Cash or cash equivalent
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— | General | $3.33 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2019–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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21 | 14 | $425.00 | $79.37 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 88 | 2,498 | $4,103.35 | 63 |
| Ibuprofen | Ibuprofen | 44 | 1,320 | $443.50 | — |
| Gabapentin | Gabapentin | 35 | 1,110 | $537.04 | 11 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 31 | 849 | $329.08 | 11 |
| Tizanidine Hcl | Tizanidine Hcl | 28 | 840 | $311.60 | — |
| Meloxicam | Meloxicam | 19 | 570 | $100.31 | — |
| Tramadol Hcl | Tramadol Hcl | 18 | 507 | $169.00 | — |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 13 | 371 | $719.71 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-11-27NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LC0200X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20190625003026
IL
6709110703
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Anesthesiology
Doctor of Medicine (M.D.)
Anesthesiology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4354 W 63RD ST, CHICAGO, IL 606295039 (Tel: 7734825800)
Registered at 4354 W 63RD ST, CHICAGO, IL 606295039 (Tel: 7734825800)
NPI status registered as active in NPPES database
Registered at 800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 600073361 (Tel: 8474375500)
Registered at 6233 S MASON AVE, CHICAGO, IL 606384425 (Tel: 3125456236)
Recorded as JAMES PEDRAZA
Nurse Practitioner (license number reported to NPPES: IL STUDENT)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Chicago
- Thomas Cottrell, APN-CNP
- Mary Grace Mcmurray, APRN, CNP
- Nataliya Strachnikov, NP
- David Walters, FNP-BC
- Jessica Torre, APRN, CNP
- Rebecca Shah, APN-CNP
Mailing Address
4354 W 63rd St
Chicago, IL 606295039
Phone: 7734825800