2026 NPPES data Pediatrics Physician NPI 1366948309
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ALISSA ZEGLIN

Pediatrics Physician in WAUWATOSA, 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
64
Medicare Part D claims · 23 beneficiaries · Pediatrics Physician avg: 762
MIPS score
79.4829/100
▼ 4 pts below national avg 83.1 · [object Object]

What the federal data shows

ALISSA ZEGLIN reported a CMS MIPS final score of 79.4829/100 — below the 83.1 national average — and filed 64 Medicare Part D claims in 2023.

79.4829/100
MIPS score · -4 vs avg
64
Part D claims, 2023
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.

ALISSA ZEGLIN's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

79 30th percentile higher than 30% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

ALISSA ZEGLIN 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 ALISSA ZEGLIN?

Near national average

NPI registry status

Active

Issued 03/30/2018

NPI 1366948309

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

64 92% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

79.4829/100 3.6170999999999935% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Pediatrics Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Pediatrics Physician share within Wisconsin

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

Medicare quality performance — MIPS

ALISSA ZEGLIN's 2023 MIPS final score plotted against the Pediatrics Physician national average

Near national average
MIPS Final Score
79.4829/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 79.4829/100 vs national avg 83.1

0%100%National avg83%79.5%
MIPS final score (Pediatrics Physician) — 79.4829/100 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).

ALISSA ZEGLIN appears in the CMS NPPES registry as a Pediatrics Physician provider at 1155 N MAYFAIR RD, WAUWATOSA, WI, 53226, with a listed phone of (414) 955-5990. NPI 1366948309 was issued on 03/30/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ZEGLIN 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 64 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $4K in drug spend. 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 79.4829/100 for the 2023 performance year (Quality 68.5144, Cost 63.0952), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

1155 N MAYFAIR RD
WAUWATOSA, WI 53226

Provider Details

NPI 1366948309
Specialty Pediatrics Physician
Gender Female
NPI Issued 03/30/2018

CMS Quality Score (MIPS)

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

79.4829
Final Score
Avg: 83.1
68.5144
Quality
63.0952
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ALISSA ZEGLIN 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.

FROEDTERT ANDTHE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC
MENOMONEE FALLS, 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).

Medicare Part D Prescribing Data

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

64
Total Claims
$4K
Total Drug Cost
23
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
125
Total Day Supply
3,516
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
67.4 years
Avg HCC Risk Score
1.30

Pediatrics Physician Overview

How ALISSA ZEGLIN fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

ALISSA ZEGLIN's 64 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Wisconsin

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

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

Frequently Asked Questions

What is ALISSA ZEGLIN's specialty?
ALISSA ZEGLIN specializes in Pediatrics Physician and practices in WAUWATOSA, Wisconsin.
How much does ALISSA ZEGLIN prescribe under Medicare Part D?
In 2023, ALISSA ZEGLIN wrote 64 Medicare Part D claims totaling $4K in drug costs for 23 beneficiaries.
What is ALISSA ZEGLIN's Medicare quality score?
ALISSA ZEGLIN has a CMS MIPS Final Score of 79.4829/100 (Quality: 68.5144, Cost: 63.0952). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALISSA ZEGLIN located?
ALISSA ZEGLIN is located at 1155 N MAYFAIR RD, WAUWATOSA, WI, 53226. Phone: (414) 955-5990.
What is ALISSA ZEGLIN's NPI number?
ALISSA ZEGLIN's National Provider Identifier (NPI) is 1366948309, issued on 03/30/2018.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
Does ALISSA ZEGLIN accept Medicare?
ALISSA ZEGLIN appears in CMS Medicare data with 64 Part D claims and 23 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALISSA ZEGLIN's credentials?
ALISSA ZEGLIN's NPI is 1366948309. 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