2026 NPPES data Pediatric Orthopaedic Surgery Physician NPI 1982601530 MD
Verify on CMS →

CARL NISSEN, MD

Pediatric Orthopaedic Surgery Physician in HARTFORD, Connecticut. 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
60
Medicare Part D claims · 26 beneficiaries · Pediatric Orthopaedic Surgery Physician avg: 128
MIPS score
86.4127/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$124.99
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CARL NISSEN, MD reported a CMS MIPS final score of 86.4127/100 — above the 83.1 national average — and filed 60 Medicare Part D claims in 2023.

86.4127/100
MIPS score · +3 vs avg
60
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.

CARL NISSEN, MD's MIPS score vs every scored U.S. clinician

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

86 Top 48% higher than 52% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

CARL NISSEN, 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 CARL NISSEN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/28/2005

NPI 1982601530

Primary specialty

Pediatric Orthopaedic Surgery Physician

Niche

613 US NPIs in this specialty

Medicare Part D claims

60 53% vs specialty avg

2023 prescription claims

Specialty avg: 128

MIPS final score

86.4127/100 3.3127000000000066% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Connecticut

How Pediatric Orthopaedic Surgery Physician compares to other specialties among Connecticut providers

Connecticut providers

Pediatric Orthopaedic Surgery Physician share within Connecticut

1. Pediatric Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Orthopaedic Surgery Physician share within Connecticut

Medicare quality performance — MIPS

CARL NISSEN, MD's 2023 MIPS final score plotted against the Pediatric Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
86.4127/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Orthopaedic Surgery Physician) — 86.4127/100 vs national avg 83.1

0%100%National avg83%86.4%
MIPS final score (Pediatric Orthopaedic Surgery Physician) — 86.4127/100 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).

CARL NISSEN, MD appears in the CMS NPPES registry as a Pediatric Orthopaedic Surgery Physician provider holding MD credentials at 31 SEYMOUR ST STE 204, HARTFORD, CT, 06106, with a listed phone of (860) 421-3233. NPI 1982601530 was issued on 06/28/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NISSEN 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 60 prescription claims written by this provider, covering 26 Medicare beneficiaries and totaling roughly $3K 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 86.4127/100 for the 2023 performance year (Quality 81.9936, Cost 43.0396), compared with the national average of 83.1.

Pediatric Orthopaedic Surgery Physician is a narrow specialty nationwide, with 613 enrolled providers across 49 states and an average of 128 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

31 SEYMOUR ST STE 204
HARTFORD, CT 06106

Provider Details

NPI 1982601530
Specialty Pediatric Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 06/28/2005

CMS Quality Score (MIPS)

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

86.4127
Final Score
Avg: 83.1
81.9936
Quality
43.0396
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CARL NISSEN, 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.

HARTFORD HOSPITAL
★★★★☆ 4/5
HARTFORD, CT
Acute Care Hospitals
CMS CCN: 070025

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 CARL NISSEN, MD. Source: openpaymentsdata.cms.gov.

Total received

$125

Largest payer

Vericel Corporation

Most common payment type

Food and Beverage

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.

60
Total Claims
$3K
Total Drug Cost
26
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
64
Total Day Supply
1,570
Generic Drug Cost
$667

Patient Demographics

Average Patient Age
67.4 years
Avg HCC Risk Score
1.01

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Ibuprofen
28

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Orthopaedic Surgery Physician Overview

How CARL NISSEN, MD fits within the Pediatric Orthopaedic Surgery Physician landscape nationally.

613
Pediatric Orthopaedic Surgery Physician Providers in US
49
States with Pediatric Orthopaedic Surgery Physician
128
Avg Claims per Provider

CARL NISSEN, MD's 60 claims are below the specialty average of 128.

Nearby Pediatric Orthopaedic Surgery Physician Providers in Connecticut

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

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

Frequently Asked Questions

What is CARL NISSEN, MD's specialty?
CARL NISSEN, MD specializes in Pediatric Orthopaedic Surgery Physician and practices in HARTFORD, Connecticut. Credentials: MD.
How much does CARL NISSEN, MD prescribe under Medicare Part D?
In 2023, CARL NISSEN, MD wrote 60 Medicare Part D claims totaling $3K in drug costs for 26 beneficiaries.
What is CARL NISSEN, MD's Medicare quality score?
CARL NISSEN, MD has a CMS MIPS Final Score of 86.4127/100 (Quality: 81.9936, Cost: 43.0396). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CARL NISSEN, MD located?
CARL NISSEN, MD is located at 31 SEYMOUR ST STE 204, HARTFORD, CT, 06106. Phone: (860) 421-3233.
What is CARL NISSEN, MD's NPI number?
CARL NISSEN, MD's National Provider Identifier (NPI) is 1982601530, issued on 06/28/2005.
How many Pediatric Orthopaedic Surgery Physician providers are there in the US?
There are 613 Pediatric Orthopaedic Surgery Physician providers across 49 states in the US. The average Pediatric Orthopaedic Surgery Physician provider writes 128 Medicare Part D claims per year.
What drugs does CARL NISSEN, MD prescribe most often?
Based on 2023 Medicare Part D data, CARL NISSEN, MD's most frequently prescribed drugs include Ibuprofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARL NISSEN, MD accept Medicare?
CARL NISSEN, MD appears in CMS Medicare data with 60 Part D claims and 26 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARL NISSEN, MD's credentials?
CARL NISSEN, MD's NPI is 1982601530 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