NPPES file of Aug 9, 2026

Alan P. Gegenheimer, D.O.

Orthopaedic Surgery Physician · Pleasant Prairie, WI

Alan P. Gegenheimer, D.O. is an orthopaedic surgery physician with a practice address in Pleasant Prairie, Wisconsin, and NPI 1730119561, issued on Jul 4, 2006. Check the license on the Wisconsin Medical Examining Board; 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
1730119561
Name
Alan P. Gegenheimer
Credential
D.O.
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License number
036-099781 IL
Self-reported in NPPES; status is on the state search
Practice location
9697 Saint Catherines Dr, Pleasant Prairie, WI 53158
Phone
(262) 656-3590
Enumerated
Jul 4, 2006
Record last updated
Aug 9, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(262) 656-3591
Medicaid ID
1730119561 WI
Medicare enrollment
Enrolled (PECOS I20150727001292); accepts Medicare assignment
Medical or professional school
Michigan State University College Of Osteopathic Medicine, 1988
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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Also registered at 9697 Saint Catherines Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mhd Alsawaf, MBBS, MDOrthopaedic Surgery Physician1144411653
  2. Nicholas Cain, PT, DPTSports Physical Therapist1245168996
  3. Michelle Gauthier, DOFamily Medicine Physician1265489264
  4. Brian Hill, MDSurgery of the Hand (Plastic Surgery) Physician1922328921
  5. Laronda James, NURSE PRACTITIONERNurse Practitioner1093274425
  6. Abdul Khan, MDGastroenterology Physician1295944163

Verify Alan P. Gegenheimer in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWisconsin Medical Examining BoardCheck 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 Wisconsin license search

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59% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024

141 Medicare Part D claims for 83 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 23 claims were for opioids.

  1. Alan Gegenheimer141
  2. Specialty average346

Most prescribed

  1. Amoxicillin44 claims
  2. Methylprednisolone33 claims
  3. Hydrocodone-Acetaminophen19 claims
  4. Clindamycin Hcl11 claims
  5. Diclofenac Sodium11 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): 79.6 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. Qualityout of 100 · 30% of the final score70.9
  2. Costout of 100 · 30%61.2
  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).

Industry payments in 2024: $315.79

12 payments; by number, the most common kind was food and beverage; the largest payer was Ferring Pharmaceuticals Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Alan Gegenheimer$316
  2. Specialty average$23,023

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Advantage Physical Therapy And Sports Rehab, LLCKenosha, WI
  2. Froedtert South IncKenosha, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Alan P. Gegenheimer among 656 orthopaedic surgery physician records in Wisconsin

Alan P. Gegenheimer, D.O. is one of 656 orthopaedic surgery physician records with a practice address in Wisconsin. 71% 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 15% of them.

  • NPI issued2006 · 15% of these records are older, 41% newer
  • In a Medicare fileYes · 71% of these records are
  • In the CMS Doctors and Clinicians fileYes · 61% of these records are
  • Graduated1988 · median 2006 among the 401 with a school on file
  • Record last updated2016 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

6 orthopaedic surgery physician records list a practice address in Pleasant Prairie

They are 6 of the 307 NPPES records with a practice address in Pleasant Prairie, and 656 orthopaedic surgery physician records in Wisconsin.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. Mhd Alsawaf, MBBS, MDPleasant Prairie, WI 531581144411653
  2. Jonathan Ben-Zev, M.D.Pleasant Prairie, WI 531581245681949
  3. Michael Jacker, M.D.Pleasant Prairie, WI 531581235164328
  4. Andrew Rizzi, MDPleasant Prairie, WI 531581508350190
  5. Scott Simmons, MDPleasant Prairie, WI 531581528175726
  6. Alexander Riordan, M.D.Oak Creek, WI 531541972879534
  7. Joseph Kelly, DONew Berlin, WI 531511164917779
  8. Jonathan Erickson, M.D.Lake Geneva, WI 531471255794533

Common questions

What is Alan P. Gegenheimer, D.O.'s NPI number?

Alan P. Gegenheimer, D.O.'s National Provider Identifier (NPI) is 1730119561, issued on Jul 4, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Alan P. Gegenheimer, D.O. located?

The NPPES record lists a practice address at 9697 Saint Catherines Dr, Pleasant Prairie, WI, 53158. Phone: (262) 656-3590. Providers update this record themselves, so call before visiting.

How can I verify Alan P. Gegenheimer, D.O.'s license?

Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Alan P. Gegenheimer, D.O. prescribe under Medicare Part D?

In 2024, Alan P. Gegenheimer, D.O. had 141 Medicare Part D claims for 83 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is Alan P. Gegenheimer, D.O.'s MIPS final score?

The 2023 MIPS final score is 79.6 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.