2026 NPPES data Hematology & Oncology Physician NPI 1649387911 MD
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CHERUPPOLIL SANTHOSH-KUMAR, MD

Hematology & Oncology Physician in SHEBOYGAN, 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
61
Medicare Part D claims · 23 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

CHERUPPOLIL SANTHOSH-KUMAR, MD filed 61 Medicare Part D claims in 2023 as a Hematology & Oncology Physician in SHEBOYGAN, Wisconsin, prescribing 82% generic.

61
Part D claims, 2023
82%
generic prescribing

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.

CHERUPPOLIL SANTHOSH-KUMAR, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

61 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

CHERUPPOLIL SANTHOSH-KUMAR, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CHERUPPOLIL SANTHOSH-KUMAR, MD?

Quality data not reported

NPI registry status

Active

Issued 08/24/2006

NPI 1649387911

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

61 93% vs specialty avg

2023 prescription claims

Specialty avg: 847

Specialty distribution in Wisconsin

How Hematology & Oncology Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Hematology & Oncology Physician share within Wisconsin

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

Specialty board-certification context

Estimated specialty board-certified rate — Hematology & Oncology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Hematology & Oncology Physician ABMS/AOA estimate

Est. board-certified rate (Hematology & Oncology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hematology & Oncology Physician) — ABMS / AOA estimate

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).

CHERUPPOLIL SANTHOSH-KUMAR, MD appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding MD credentials at 1222 N 23RD ST, SHEBOYGAN, WI, 53081, with a listed phone of (920) 457-6800. NPI 1649387911 was issued on 08/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SANTHOSH-KUMAR 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 61 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $102K in drug spend, split 18% brand-name and 82% generic by claim count. 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.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

1222 N 23RD ST
SHEBOYGAN, WI 53081

Provider Details

NPI 1649387911
Specialty Hematology & Oncology Physician
Credentials MD
Gender Male
NPI Issued 08/24/2006

Brand vs generic prescribing mix · Typical

CHERUPPOLIL SANTHOSH-KUMAR, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 61 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

61
Total Claims
$102K
Total Drug Cost
23
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
88
Total Day Supply
2,237
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$101K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
2.16

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
11

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

Hematology & Oncology Physician Overview

How CHERUPPOLIL SANTHOSH-KUMAR, MD fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

CHERUPPOLIL SANTHOSH-KUMAR, MD's 61 claims are below the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in Wisconsin

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

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CHERUPPOLIL SANTHOSH-KUMAR, MD's specialty?
CHERUPPOLIL SANTHOSH-KUMAR, MD specializes in Hematology & Oncology Physician and practices in SHEBOYGAN, Wisconsin. Credentials: MD.
How much does CHERUPPOLIL SANTHOSH-KUMAR, MD prescribe under Medicare Part D?
In 2023, CHERUPPOLIL SANTHOSH-KUMAR, MD wrote 61 Medicare Part D claims totaling $102K in drug costs for 23 beneficiaries.
Where is CHERUPPOLIL SANTHOSH-KUMAR, MD located?
CHERUPPOLIL SANTHOSH-KUMAR, MD is located at 1222 N 23RD ST, SHEBOYGAN, WI, 53081. Phone: (920) 457-6800.
What is CHERUPPOLIL SANTHOSH-KUMAR, MD's NPI number?
CHERUPPOLIL SANTHOSH-KUMAR, MD's National Provider Identifier (NPI) is 1649387911, issued on 08/24/2006.
Does CHERUPPOLIL SANTHOSH-KUMAR, MD prescribe more brand-name or generic drugs?
CHERUPPOLIL SANTHOSH-KUMAR, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $101K in brand drug costs.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does CHERUPPOLIL SANTHOSH-KUMAR, MD prescribe most often?
Based on 2023 Medicare Part D data, CHERUPPOLIL SANTHOSH-KUMAR, MD's most frequently prescribed drugs include Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHERUPPOLIL SANTHOSH-KUMAR, MD accept Medicare?
CHERUPPOLIL SANTHOSH-KUMAR, MD appears in CMS Medicare data with 61 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 CHERUPPOLIL SANTHOSH-KUMAR, MD's credentials?
CHERUPPOLIL SANTHOSH-KUMAR, MD's NPI is 1649387911 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.
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