NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1245974179 MD
Verify on CMS → Derek Sabatka, MD
Pulmonary Disease 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 9,271 in Pulmonary Disease 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
359
Medicare Part D claims · 83 beneficiaries · Pulmonary Disease Physician avg: 1K
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Derek Sabatka, MD filed 359 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in Madison, Wisconsin.
- 359
- Part D claims, 2023
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.
Derek Sabatka, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
359 Top 43% higher than 57% of 1,370,886 prescribers
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)
Derek Sabatka, 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 Derek Sabatka, MD?
Quality data not reportedPrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
359 75% vs specialty avg
Specialty distribution in Wisconsin
How Pulmonary Disease Physician compares to other specialties among Wisconsin 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 Pulmonary Disease Physician. Verify directly:
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).
Derek Sabatka, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 600 HIGHLAND AVE, Madison, WI, 53792, with a listed phone of (608) 263-6400. NPI 1245974179 was issued on 04/26/2022.
Medicare Part D records for calendar year 2023 show 359 prescription claims written by this provider, covering 83 Medicare beneficiaries and totaling roughly $79K in drug spend.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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 | 1245974179 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/26/2022 |
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
359
Total Claims
$79K
Total Drug Cost
83
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 789
- Total Day Supply
- 23,332
- Generic Drug Cost
- $8K
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 2.03
- Gender Split
- 52% female / 48% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Derek Sabatka, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
30 claims
- Metformin Hcl
Metformin Hcl
17 claims
- Eliquis
Eliquis
12 claims
- Jardiance
Jardiance
12 claims
- Hydrochlorothiazide 11
Hydrochlorothiazide
11 claims
- Lisinopril 11
Lisinopril
11 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 30 |
| Metformin Hcl | 17 |
| Eliquis Apixaban | 12 |
| Jardiance Empagliflozin | 12 |
| Hydrochlorothiazide | 11 |
| Lisinopril | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Derek Sabatka, MD fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Derek Sabatka, MD's 359 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Sabatka.
Dr. Ahmed Abdelmagid
M.D.
Milwaukee, WI
Mais Abdou
La Crosse, WI
Dr. Roy Adaniya
MD
Beloit, WI
Dr. Majid Afshar
M.D.
Madison, WI
Dr. Omprakash Ahuja
MD
Eau Claire, WI
Compare Pulmonary Disease 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 Pulmonary Disease 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.
Healthcare Guides
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How to Find a Doctor
Step-by-step guide to choosing a provider
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Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Wisconsin
Frequently Asked Questions
What is Derek Sabatka, MD's specialty? ▼
Derek Sabatka, MD specializes in Pulmonary Disease Physician and practices in Madison, Wisconsin. Credentials: MD.
How much does Derek Sabatka, MD prescribe under Medicare Part D? ▼
In 2023, Derek Sabatka, MD wrote 359 Medicare Part D claims totaling $79K in drug costs for 83 beneficiaries.
Where is Derek Sabatka, MD located? ▼
Derek Sabatka, MD is located at 600 HIGHLAND AVE, Madison, WI, 53792. Phone: (608) 263-6400.
What is Derek Sabatka, MD's NPI number? ▼
Derek Sabatka, MD's National Provider Identifier (NPI) is 1245974179, issued on 04/26/2022.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Derek Sabatka, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Derek Sabatka, MD's most frequently prescribed drugs include Atorvastatin Calcium, Metformin Hcl, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Derek Sabatka, MD accept Medicare? ▼
Derek Sabatka, MD appears in CMS Medicare data with 359 Part D claims and 83 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Derek Sabatka, MD's credentials? ▼
Derek Sabatka, MD's NPI is 1245974179 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.
- 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.