2026 NPPES data Orthopaedic Surgery Physician NPI 1174574966 MD
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BRIAN DONAHUE, MD

Orthopaedic Surgery Physician in HAYWARD, 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
339
Medicare Part D claims · 156 beneficiaries · Orthopaedic Surgery Physician avg: 324
MIPS score
85.4872/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$1.1K
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: BRIAN DONAHUE, MD is a Orthopaedic Surgery Physician ([object Object]) practicing in HAYWARD, Wisconsin with a Medicare Part D prescribing footprint of 339 claims across 156 beneficiaries . Their CMS MIPS Final Score of 85.4872/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.1K across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: BRIAN DONAHUE, MD reported a CMS MIPS final score of 85.4872 out of 100, above the 83.1 national average, and filed 339 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)

BRIAN DONAHUE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

BRIAN DONAHUE, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/15/2006

NPI 1174574966

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

339 5% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

85.4872/100 2.387200000000007% 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

BRIAN DONAHUE, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
85.4872/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 85.4872/100 vs national avg 83.1

0%100%National avg83%85.5%
MIPS final score (Orthopaedic Surgery Physician) — 85.4872/100 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).

BRIAN DONAHUE, MD is a Orthopaedic Surgery Physician provider practicing in HAYWARD, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1174574966. 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.

BRIAN DONAHUE, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 11040 N STATE ROAD 77, HAYWARD, WI, 54843, with a listed phone of (715) 934-4850. NPI 1174574966 was issued on 05/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DONAHUE 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 339 prescription claims written by this provider, covering 156 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 22.7%. 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 85.4872/100 for the 2023 performance year (Quality 73.613), 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

11040 N STATE ROAD 77
HAYWARD, WI 54843

Provider Details

NPI 1174574966
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 05/15/2006

CMS Quality Score (MIPS)

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

85.4872
Final Score
Avg: 83.1
73.613
Quality
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where BRIAN DONAHUE, 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.

ADVANTAGE PHYSICAL THERAPY AND SPORTS REHAB, LLC
HAYWARD, WI
MEDICAL SERVICES, INC
HAYWARD, 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 BRIAN DONAHUE, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Zimmer Biomet Holdings, Inc.

Most common payment type

Travel and Lodging

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.

339
Total Claims
$2K
Total Drug Cost
156
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
366
Total Day Supply
7,864
Generic Drug Cost
$2K
Opioid Claims
77 (22.7% rate)
Antibiotic Claims
29

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
0.78
Gender Split
63% female / 37% 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
Meloxicam
184
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
56
Celecoxib
19
Tramadol Hcl
18
Amoxicillin
16

* 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 BRIAN DONAHUE, MD 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

BRIAN DONAHUE, MD's 339 claims are above 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 DONAHUE.

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

Frequently Asked Questions

What is BRIAN DONAHUE, MD's specialty?
BRIAN DONAHUE, MD specializes in Orthopaedic Surgery Physician and practices in HAYWARD, Wisconsin. Credentials: MD.
How much does BRIAN DONAHUE, MD prescribe under Medicare Part D?
In 2023, BRIAN DONAHUE, MD wrote 339 Medicare Part D claims totaling $2K in drug costs for 156 beneficiaries.
What is BRIAN DONAHUE, MD's Medicare quality score?
BRIAN DONAHUE, MD has a CMS MIPS Final Score of 85.4872/100 (Quality: 73.613). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRIAN DONAHUE, MD located?
BRIAN DONAHUE, MD is located at 11040 N STATE ROAD 77, HAYWARD, WI, 54843. Phone: (715) 934-4850.
What is BRIAN DONAHUE, MD's NPI number?
BRIAN DONAHUE, MD's National Provider Identifier (NPI) is 1174574966, issued on 05/15/2006.
Does BRIAN DONAHUE, MD prescribe opioids?
Yes, BRIAN DONAHUE, MD had 77 opioid claims in 2023 with an opioid prescribing rate of 22.7%.
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 BRIAN DONAHUE, MD prescribe most often?
Based on 2023 Medicare Part D data, BRIAN DONAHUE, MD's most frequently prescribed drugs include Meloxicam, Hydrocodone-Acetaminophen, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRIAN DONAHUE, MD accept Medicare?
BRIAN DONAHUE, MD appears in CMS Medicare data with 339 Part D claims and 156 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN DONAHUE, MD's credentials?
BRIAN DONAHUE, MD's NPI is 1174574966 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

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