2026 NPPES data Obstetrics & Gynecology Physician NPI 1225145428 MD
Verify on CMS →

DONALD SIPES, MD

Obstetrics & Gynecology Physician in GREEN BAY, 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
655
Medicare Part D claims · 117 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

DONALD SIPES, MD filed 655 Medicare Part D claims in 2023 as a Obstetrics & Gynecology Physician in GREEN BAY, Wisconsin, prescribing 87% generic.

655
Part D claims, 2023
87%
generic prescribing
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.

DONALD SIPES, MD's Medicare Part D volume vs every U.S. prescriber

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

655 Top 31% higher than 69% 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%). This entry sits in this band. 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 certification likely (heuristic — not verified)

DONALD SIPES, 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 DONALD SIPES, MD?

Quality data not reported

NPI registry status

Active

Issued 08/24/2006

NPI 1225145428

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

655 266% vs specialty avg

2023 prescription claims

Specialty avg: 179

Specialty distribution in Wisconsin

How Obstetrics & Gynecology Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Obstetrics & Gynecology Physician share within Wisconsin

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

Specialty board-certification context

Estimated specialty board-certified rate — Obstetrics & Gynecology Physician (ABMS / AOA reference)

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

Est. board-certified rate (Obstetrics & Gynecology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Obstetrics & Gynecology 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).

DONALD SIPES, MD appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding MD credentials at 2845 GREENBRIER RD, GREEN BAY, WI, 54308, with a listed phone of (920) 288-8400. NPI 1225145428 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 SIPES 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 655 prescription claims written by this provider, covering 117 Medicare beneficiaries and totaling roughly $39K in drug spend, split 13% brand-name and 87% 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.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 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

2845 GREENBRIER RD
GREEN BAY, WI 54308

Provider Details

NPI 1225145428
Specialty Obstetrics & Gynecology Physician
Credentials MD
Gender Male
NPI Issued 08/24/2006

Hospital and facility affiliations

Facilities where DONALD SIPES, 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.

AURORA MEDICAL GROUP, INC.
MILWAUKEE, 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).

Brand vs generic prescribing mix · Typical

DONALD SIPES, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 655 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.

655
Total Claims
$39K
Total Drug Cost
117
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,595
Total Day Supply
46,458
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$23K
Generic Drug Cost
$16K
Antibiotic Claims
23

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
0.69
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

What DONALD SIPES, 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
Bisoprolol-Hydrochlorothiazide
Bisoprolol/Hydrochlorothiazide
52
Simvastatin
45
Atorvastatin Calcium
41
Fluoxetine Hcl
21
Estradiol
20
Levothyroxine Sodium
19
Ibandronate Sodium
18
Pantoprazole Sodium
17
Triamterene-Hydrochlorothiazid
Triamterene/Hydrochlorothiazid
17
Escitalopram Oxalate
16

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

Obstetrics & Gynecology Physician Overview

How DONALD SIPES, MD fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

DONALD SIPES, MD's 655 claims are above the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in Wisconsin

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

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DONALD SIPES, MD's specialty?
DONALD SIPES, MD specializes in Obstetrics & Gynecology Physician and practices in GREEN BAY, Wisconsin. Credentials: MD.
How much does DONALD SIPES, MD prescribe under Medicare Part D?
In 2023, DONALD SIPES, MD wrote 655 Medicare Part D claims totaling $39K in drug costs for 117 beneficiaries.
Where is DONALD SIPES, MD located?
DONALD SIPES, MD is located at 2845 GREENBRIER RD, GREEN BAY, WI, 54308. Phone: (920) 288-8400.
What is DONALD SIPES, MD's NPI number?
DONALD SIPES, MD's National Provider Identifier (NPI) is 1225145428, issued on 08/24/2006.
Does DONALD SIPES, MD prescribe more brand-name or generic drugs?
DONALD SIPES, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $23K in brand drug costs.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does DONALD SIPES, MD prescribe most often?
Based on 2023 Medicare Part D data, DONALD SIPES, MD's most frequently prescribed drugs include Bisoprolol-Hydrochlorothiazide, Simvastatin, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DONALD SIPES, MD accept Medicare?
DONALD SIPES, MD appears in CMS Medicare data with 655 Part D claims and 117 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DONALD SIPES, MD's credentials?
DONALD SIPES, MD's NPI is 1225145428 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