2026 NPPES data Orthopaedic Surgery Physician NPI 1922340967 DO
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ADAM HALVERSON, DO

Orthopaedic Surgery Physician in WAUSAU, Wisconsin. 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
137
Medicare Part D claims · 80 beneficiaries · Orthopaedic Surgery Physician avg: 324
MIPS score
85.4166/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$131.22
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ADAM HALVERSON, DO is a Orthopaedic Surgery Physician ([object Object]) practicing in WAUSAU, Wisconsin with a Medicare Part D prescribing footprint of 137 claims across 80 beneficiaries . Their CMS MIPS Final Score of 85.4166/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $131.22 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ADAM HALVERSON, DO reported a CMS MIPS final score of 85.4166 out of 100, above the 83.1 national average, and filed 137 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)

ADAM HALVERSON, DO 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).

ADAM HALVERSON, DO at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/16/2013

NPI 1922340967

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

137 58% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

85.4166/100 2.316600000000008% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Orthopaedic Surgery Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Orthopaedic Surgery Physician share within Wisconsin

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

Medicare quality performance — MIPS

ADAM HALVERSON, DO's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
85.4166/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 85.4166/100 vs national avg 83.1

0%100%National avg83%85.4%
MIPS final score (Orthopaedic Surgery Physician) — 85.4166/100 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).

ADAM HALVERSON, DO is a Orthopaedic Surgery Physician provider practicing in WAUSAU, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1922340967. 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.

ADAM HALVERSON, DO appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding DO credentials at 225000 HUMMINGBIRD RD STE 100, WAUSAU, WI, 54401, with a listed phone of (715) 359-6442. NPI 1922340967 was issued on 03/16/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HALVERSON 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 137 prescription claims written by this provider, covering 80 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 59.1%. 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 85.4166/100 for the 2023 performance year, compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401

Provider Details

NPI 1922340967
Specialty Orthopaedic Surgery Physician
Credentials DO
Gender Male
NPI Issued 03/16/2013

CMS Quality Score (MIPS)

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

85.4166
Final Score
Avg: 83.1
71.5553
Cost
89
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ADAM HALVERSON, DO 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.

BONE AND JOINT CLINIC S.C.
WAUSAU, WI

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 ADAM HALVERSON, DO. Source: openpaymentsdata.cms.gov.

Total received

$131

Largest payer

Arthrex, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

137
Total Claims
$3K
Total Drug Cost
80
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
137
Total Day Supply
1,369
Generic Drug Cost
$945
Opioid Claims
81 (59.1% rate)
Antibiotic Claims
15

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
0.82
Gender Split
64% female / 36% 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
55
Tramadol Hcl
15
Meloxicam
14

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

Orthopaedic Surgery Physician Overview

How ADAM HALVERSON, DO fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

ADAM HALVERSON, DO's 137 claims are below the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Wisconsin

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

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

Frequently Asked Questions

What is ADAM HALVERSON, DO's specialty?
ADAM HALVERSON, DO specializes in Orthopaedic Surgery Physician and practices in WAUSAU, Wisconsin. Credentials: DO.
How much does ADAM HALVERSON, DO prescribe under Medicare Part D?
In 2023, ADAM HALVERSON, DO wrote 137 Medicare Part D claims totaling $3K in drug costs for 80 beneficiaries.
What is ADAM HALVERSON, DO's Medicare quality score?
ADAM HALVERSON, DO has a CMS MIPS Final Score of 85.4166/100, Cost: 71.5553. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ADAM HALVERSON, DO located?
ADAM HALVERSON, DO is located at 225000 HUMMINGBIRD RD STE 100, WAUSAU, WI, 54401. Phone: (715) 359-6442.
What is ADAM HALVERSON, DO's NPI number?
ADAM HALVERSON, DO's National Provider Identifier (NPI) is 1922340967, issued on 03/16/2013.
Does ADAM HALVERSON, DO prescribe opioids?
Yes, ADAM HALVERSON, DO had 81 opioid claims in 2023 with an opioid prescribing rate of 59.1%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does ADAM HALVERSON, DO prescribe most often?
Based on 2023 Medicare Part D data, ADAM HALVERSON, DO's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Tramadol Hcl, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ADAM HALVERSON, DO accept Medicare?
ADAM HALVERSON, DO appears in CMS Medicare data with 137 Part D claims and 80 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADAM HALVERSON, DO's credentials?
ADAM HALVERSON, DO's NPI is 1922340967 with credentials DO. 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