2026 NPPES data Urology Physician NPI 1235194846 MD
Verify on CMS →

David Paolone, MD

Urology Physician in Madison, 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 13,350 in Urology 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
3K
Medicare Part D claims · 698 beneficiaries · Urology Physician avg: 1K
Industry payments
$106.91
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

David Paolone, MD filed 3,314 Medicare Part D claims in 2023 as a Urology Physician in Madison, Wisconsin.

3K
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.

David Paolone, MD's Medicare Part D volume vs every U.S. prescriber

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

3,314 Top 10% higher than 90% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. 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 certification likely (heuristic, not verified)

David Paolone, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 David Paolone, MD?

Quality data not reported

NPI registry status

Active

Issued 04/18/2006

NPI 1235194846

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

3,314 159% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

Specialty distribution in Wisconsin

How Urology Physician compares to other specialties among Wisconsin providers

Wisconsin providers
Physical Therapist - 5.6%Physical Therapist5.6%Pharmacist - 4.8%Pharmacist4.8%Registered Nurse - 4.5%Registered Nurse4.5%Professional Counselor - 3.3%Professional Counselor3.3%Student in an Organized Health Care Education/Training Program - 3.3%Student in an Organized Health Care Education/Training Program3.3%Family Medicine Physician - 3.2%Family Medicine Physician3.2%Urology Physician - 0.2%Urology Physician0.2%
Largest specialties in Wisconsin (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Urology Physician. Verify directly:

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).

David Paolone, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 1 S PARK ST, Madison, WI, 53715, with a listed phone of (608) 287-2900. NPI 1235194846 was issued on 04/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Paolone 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 3,314 prescription claims written by this provider, covering 698 Medicare beneficiaries and totaling roughly $302K 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.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

1 S PARK ST
Madison, WI 53715

Provider Details

NPI 1235194846
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 04/18/2006

Hospital and facility affiliations

Facilities where David Paolone, 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.

University OF Wisconsin Medical Foundation 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).

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 David Paolone, MD. Source: openpaymentsdata.cms.gov.

Total received

$107

Largest payer

Dendreon Pharmaceuticals LLC

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.

3,314
Total Claims
$302K
Total Drug Cost
698
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,586
Total Day Supply
223,136
Generic Drug Cost
$88K
Antibiotic Claims
137

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.17
Gender Split
8% female / 92% male
Age Distribution
<65: 36, 65-74: 311, 75-84: 264, 85+: 87

Top Prescribed Drugs (Medicare Part D)

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

What David Paolone, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Finasteride
970
Tamsulosin Hcl
891
Oxybutynin Chloride Er
Oxybutynin Chloride
354
Myrbetriq
Mirabegron
266
Solifenacin Succinate
145
Alfuzosin Hcl Er
Alfuzosin Hcl
72
Tolterodine Tartrate Er
Tolterodine Tartrate
58
Ciprofloxacin Hcl
55
Trospium Chloride
50
Testosterone
44

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

Urology Physician Overview

How David Paolone, MD fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

David Paolone, MD's 3,314 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in Wisconsin

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

Compare Urology 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 Urology 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.

Frequently Asked Questions

What is David Paolone, MD's specialty?
David Paolone, MD specializes in Urology Physician and practices in Madison, Wisconsin. Credentials: MD.
How much does David Paolone, MD prescribe under Medicare Part D?
In 2023, David Paolone, MD wrote 3,314 Medicare Part D claims totaling $302K in drug costs for 698 beneficiaries.
Where is David Paolone, MD located?
David Paolone, MD is located at 1 S PARK ST, Madison, WI, 53715. Phone: (608) 287-2900.
What is David Paolone, MD's NPI number?
David Paolone, MD's National Provider Identifier (NPI) is 1235194846, issued on 04/18/2006.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does David Paolone, MD prescribe most often?
Based on 2023 Medicare Part D data, David Paolone, MD's most frequently prescribed drugs include Finasteride, Tamsulosin Hcl, Oxybutynin Chloride Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does David Paolone, MD accept Medicare?
David Paolone, MD appears in CMS Medicare data with 3,314 Part D claims and 698 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify David Paolone, MD's credentials?
David Paolone, MD's NPI is 1235194846 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

Compiled from official public sources by the PlainDoctor editorial team.