Ashish M. Rawal, MD
Sports Medicine (Orthopaedic Surgery) Physician · Stoughton, WI
Ashish M. Rawal, MD is a sports medicine (orthopaedic surgery) physician with a practice address in Stoughton, Wisconsin, and NPI 1356392252, issued on May 15, 2006. Check the license (Wisconsin 62023-20, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Ashish M. Rawal
- Credential
- MD
- Primary taxonomy
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License number
- 62023-20 WI
Self-reported in NPPES; status is on the state search - Practice location
- 900 Ridge St, Stoughton, WI 53589
- Phone
- (608) 877-3419
- Enumerated
- May 15, 2006
- Record last updated
- Nov 20, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (608) 231-3430
- Medicaid ID
- 036110642 IL
- Medicare enrollment
- Enrolled (PECOS I20140617001729); accepts Medicare assignment
- Medical or professional school
- University Of Cincinnati College Of Medicine, 2000
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest sports medicine (orthopaedic surgery) physician records → All 46 in Wisconsin → Look up another NPI →
Also registered at 900 Ridge St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mark Belligan, MPA, PA-CPhysician Assistant1184177297
- Tina Degroot, APNPAdult Health Clinical Nurse Specialist1346327392
- Emily Devine, DPTPhysical Therapist1184880445
- Jeanne Duncan, PTPhysical Therapist1467625608
- Denise Duranczyk, MS, PTPhysical Therapist1326211350
- Noah Figgins, PA-CPhysician Assistant1013744283
Verify Ashish M. Rawal in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 62023-20Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
68% fewer Medicare Part D claims than the average sports medicine (orthopaedic surgery) physician in 2024
92 Medicare Part D claims for 52 beneficiaries, against an average of 288 among the 2,562 providers of this specialty who prescribed in Part D.
Most prescribed
- Amoxicillin58 claims
- Clindamycin Hcl11 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): 79.8 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $352.96
1 payment: travel and lodging; the largest payer was Arthrex, Inc. The 2,400 providers of this specialty with any payment received $19,779.31 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Stoughton Hospital AssociationStoughton, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ashish M. Rawal among 46 sports medicine (orthopaedic surgery) physician records in Wisconsin
Ashish M. Rawal, MD is one of 46 sports medicine (orthopaedic surgery) physician records with a practice address in Wisconsin. 72% 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 7% of them.
- NPI issued2006 · 7% of these records are older, 59% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated2000 · median 2007 among the 31 with a school on file
- Record last updated2020 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XX0005X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Sports Medicine (Orthopaedic Surgery) Physician providers in Wisconsin
There are 46 sports medicine (orthopaedic surgery) physician records in Wisconsin.
All 46 in Wisconsin → Every provider in Stoughton → Sports Medicine (Orthopaedic Surgery) Physician nationwide →
The 8 sports medicine (orthopaedic surgery) physician records with the nearest ZIP codes
- Christopher Dale, MDJanesville, WI 535461639116890
- William Clancy, M.D.Madison, WI 537111538123641
- Eric Cotter, MDMadison, WI 537111346746021
- Molly Day, M.D.Madison, WI 537111356721450
- James Keene, MDMadison, WI 537111326003088
- Tamara Scerpella, MDMadison, WI 537111811992886
- John Orwin, MDMadison, WI 537171336103928
- Jessica Flood, MS, LATMadison, WI 537181538716725
Common questions
What is Ashish M. Rawal, MD's NPI number?
Ashish M. Rawal, MD's National Provider Identifier (NPI) is 1356392252, issued on May 15, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Ashish M. Rawal, MD located?
The NPPES record lists a practice address at 900 Ridge St, Stoughton, WI, 53589. Phone: (608) 877-3419. Providers update this record themselves, so call before visiting.
How can I verify Ashish M. Rawal, MD's license?
NPPES lists Wisconsin license number 62023-20, as entered by the provider. 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 Ashish M. Rawal, MD prescribe under Medicare Part D?
In 2024, Ashish M. Rawal, MD had 92 Medicare Part D claims for 52 beneficiaries; the average among sports medicine (orthopaedic surgery) physician prescribers was 288. Part D covers Medicare prescriptions only.
What is Ashish M. Rawal, MD's MIPS final score?
The 2023 MIPS final score is 79.8 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.