NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1982960191 MD
Verify on CMS → Berkin Ulgen, MD
Sports Medicine (Family Medicine) Physician in Altoona, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,087 in Sports Medicine (Family Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
879
Medicare Part D claims · 82 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
MIPS score
94.6/100
▲ 12 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Berkin Ulgen, MD reported a CMS MIPS final score of 94.6/100 - above the 83.1 national average - and filed 879 Medicare Part D claims in 2023.
- 94.6/100
- MIPS score · +12 vs avg
- 879
- 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.
Berkin Ulgen, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
95 Top 25% higher than 75% of 477,587 scored providers
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
Where Berkin Ulgen, MD sits
This provider among sports medicine (family medicine) physician peers
Across the 571 sports medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Berkin Ulgen, MD writes more Part D claims than 76% of them and scores higher on MIPS quality than 79% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one sports medicine (family medicine) physician peer from a representative sample of 60; the gold marker is Berkin Ulgen, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Berkin Ulgen, MD 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 Berkin Ulgen, MD?
High performer (top quartile)Primary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
879 29% vs specialty avg
MIPS final score
94.6/100 11.5 pts vs avg
Specialty distribution in Wisconsin
How Sports Medicine (Family Medicine) Physician compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
Berkin Ulgen, MD's 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 94.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Family Medicine) Physician) - 94.6/100 vs national avg 83.1
How MIPS and board certification work
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).
Berkin Ulgen, MD appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding MD credentials at 3119 WOODMAN DR, Altoona, WI, 54720, with a listed phone of (920) 469-4700. NPI 1982960191 was issued on 04/02/2012.
Medicare Part D records for calendar year 2023 show 879 prescription claims written by this provider, covering 82 Medicare beneficiaries and totaling roughly $96K in drug spend, with an opioid prescribing rate of 8.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.6/100 for the 2023 performance year (Quality 85.2), compared with the national average of 83.1.
Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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
Provider Details
| NPI | 1982960191 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/02/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.6154
Final Score
Avg: 83.1
85.1795
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Berkin Ulgen, MD 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.
Dean Health Systems Inc
Madison, 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.
879
Total Claims
$96K
Total Drug Cost
82
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,454
- Total Day Supply
- 40,228
- Generic Drug Cost
- $21K
- Opioid Claims
- 77 (8.8% rate)
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 67.7 years
- Avg HCC Risk Score
- 1.53
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 24, 65-74: 34, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Berkin Ulgen, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
34 claims
- Atorvastatin Calcium
Atorvastatin Calcium
33 claims
- Tramadol Hcl
Tramadol Hcl
31 claims
- Levothyroxine Sodium
Levothyroxine Sodium
30 claims
- Metformin Hcl Er
Metformin Hcl Er
29 claims
- Ozempic
Ozempic
27 claims
- Amlodipine Besylate
Amlodipine Besylate
26 claims
- Methocarbamol
Methocarbamol
24 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 34 |
| Atorvastatin Calcium | 33 |
| Tramadol Hcl | 31 |
| Levothyroxine Sodium | 30 |
| Metformin Hcl Er Metformin Hcl | 29 |
| Ozempic Semaglutide | 27 |
| Amlodipine Besylate | 26 |
| Methocarbamol | 24 |
| Esomeprazole Magnesium | 23 |
| Losartan Potassium | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Family Medicine) Physician in WI →
All providers in Wisconsin →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How Berkin Ulgen, MD fits within the Sports Medicine (Family Medicine) Physician landscape nationally.
2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider
Berkin Ulgen, MD's 879 claims are below the specialty average of 1,242.
Nearby Sports Medicine (Family Medicine) Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Ulgen.
Dr. Rula Al-Baghdadi
MD
Beaver Dam, WI
Dr. Benjamin Bondow
M.D.
Wauwatosa, WI
Dr. Kathleen Carr
MD
Verona, WI
Dr. Myriam Donovitch
M.D
Kenosha, WI
Dr. Chad Giles
D.O.
Stevens Point, WI
Compare Sports Medicine (Family Medicine) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Family Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Berkin Ulgen, MD's specialty? ▼
Berkin Ulgen, MD specializes in Sports Medicine (Family Medicine) Physician and practices in Altoona, Wisconsin. Credentials: MD.
How much does Berkin Ulgen, MD prescribe under Medicare Part D? ▼
In 2023, Berkin Ulgen, MD wrote 879 Medicare Part D claims totaling $96K in drug costs for 82 beneficiaries.
What is Berkin Ulgen, MD's Medicare quality score? ▼
Berkin Ulgen, MD has a CMS MIPS Final Score of 94.6/100 (Quality: 85.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Berkin Ulgen, MD located? ▼
Berkin Ulgen, MD is located at 3119 WOODMAN DR, Altoona, WI, 54720. Phone: (920) 469-4700.
What is Berkin Ulgen, MD's NPI number? ▼
Berkin Ulgen, MD's National Provider Identifier (NPI) is 1982960191, issued on 04/02/2012.
Does Berkin Ulgen, MD prescribe opioids? ▼
Yes, Berkin Ulgen, MD had 77 opioid claims in 2023 with an opioid prescribing rate of 8.8%.
How many Sports Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
What drugs does Berkin Ulgen, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Berkin Ulgen, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Atorvastatin Calcium, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Berkin Ulgen, MD accept Medicare? ▼
Berkin Ulgen, MD appears in CMS Medicare data with 879 Part D claims and 82 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Berkin Ulgen, MD's credentials? ▼
Berkin Ulgen, MD's NPI is 1982960191 with credentials MD. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.