2026 NPPES data Otolaryngology/Facial Plastic Surgery Physician NPI 1962617845 D.O.
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EDWARD SMITH, D.O.

Otolaryngology/Facial Plastic Surgery 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
885
Medicare Part D claims · 326 beneficiaries · Otolaryngology/Facial Plastic Surgery Physician avg: 561
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.7791/100
▼ 0 pts below national avg 83.1 · [object Object]
Industry payments
$14.92
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

EDWARD SMITH, D.O. reported a CMS MIPS final score of 82.7791/100 — below the 83.1 national average — and filed 885 Medicare Part D claims in 2023.

82.7791/100
MIPS score · 0 vs avg
885
Part D claims, 2023
94%
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.

EDWARD SMITH, D.O.'s MIPS score vs every scored U.S. clinician

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

83 39th percentile higher than 39% 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)

EDWARD SMITH, D.O. 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 EDWARD SMITH, D.O.?

Near national average

NPI registry status

Active

Issued 05/13/2007

NPI 1962617845

Primary specialty

Otolaryngology/Facial Plastic Surgery Physician

Niche

744 US NPIs in this specialty

Medicare Part D claims

885 58% vs specialty avg

2023 prescription claims

Specialty avg: 561

MIPS final score

82.7791/100 0.32089999999999463% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Otolaryngology/Facial Plastic Surgery Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Otolaryngology/Facial Plastic Surgery Physician share within Wisconsin

1. Otolaryngology/Facial Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology/Facial Plastic Surgery Physician share within Wisconsin

Medicare quality performance — MIPS

EDWARD SMITH, D.O.'s 2023 MIPS final score plotted against the Otolaryngology/Facial Plastic Surgery Physician national average

Near national average
MIPS Final Score
82.7791/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology/Facial Plastic Surgery Physician) — 82.7791/100 vs national avg 83.1

0%100%National avg83%82.8%
MIPS final score (Otolaryngology/Facial Plastic Surgery Physician) — 82.7791/100 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).

EDWARD SMITH, D.O. is a Otolaryngology/Facial Plastic Surgery Physician provider practicing in SHEBOYGAN, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1962617845. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

EDWARD SMITH, D.O. appears in the CMS NPPES registry as a Otolaryngology/Facial Plastic Surgery Physician provider holding D.O. credentials at 1411 N TAYLOR DR, SHEBOYGAN, WI, 53081, with a listed phone of (616) 735-3257. NPI 1962617845 was issued on 05/13/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SMITH 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 885 prescription claims written by this provider, covering 326 Medicare beneficiaries and totaling roughly $31K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 2.5%. 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 82.7791/100 for the 2023 performance year (Quality 85.3615, Cost 57.2354), compared with the national average of 83.1.

Otolaryngology/Facial Plastic Surgery Physician is a narrow specialty nationwide, with 744 enrolled providers across 53 states and an average of 561 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

1411 N TAYLOR DR
SHEBOYGAN, WI 53081

Provider Details

NPI 1962617845
Specialty Otolaryngology/Facial Plastic Surgery Physician
Credentials D.O.
Gender Male
NPI Issued 05/13/2007

CMS Quality Score (MIPS)

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

82.7791
Final Score
Avg: 83.1
85.3615
Quality
57.2354
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where EDWARD SMITH, D.O. 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.

FROEDTERT MANITOWOC MEDICAL GROUP, LLC
SHEBOYGAN, 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 EDWARD SMITH, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$15

Largest payer

AERIN MEDICAL INC.

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.

Brand vs generic prescribing mix · Generic-heavy

EDWARD SMITH, D.O. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 885 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.

885
Total Claims
$31K
Total Drug Cost
326
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,383
Total Day Supply
33,485
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$9K
Generic Drug Cost
$22K
Opioid Claims
22 (2.5% rate)
Antibiotic Claims
90

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.28
Gender Split
56% female / 44% male
Age Distribution
<65: 45, 65-74: 143, 75-84: 106, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Fluticasone Propionate
205
Prednisone
85
Azelastine Hcl
70
Omeprazole
52
Methylprednisolone
45
Ipratropium Bromide
36
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
34
Ciprofloxacin-Dexamethasone
Ciprofloxacin Hcl/Dexameth
30
Azithromycin
23
Famotidine
19

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

Otolaryngology/Facial Plastic Surgery Physician Overview

How EDWARD SMITH, D.O. fits within the Otolaryngology/Facial Plastic Surgery Physician landscape nationally.

744
Otolaryngology/Facial Plastic Surgery Physician Providers in US
53
States with Otolaryngology/Facial Plastic Surgery Physician
561
Avg Claims per Provider

EDWARD SMITH, D.O.'s 885 claims are above the specialty average of 561.

Nearby Otolaryngology/Facial Plastic Surgery Physician Providers in Wisconsin

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

Compare Otolaryngology/Facial Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDWARD SMITH, D.O.'s specialty?
EDWARD SMITH, D.O. specializes in Otolaryngology/Facial Plastic Surgery Physician and practices in SHEBOYGAN, Wisconsin. Credentials: D.O..
How much does EDWARD SMITH, D.O. prescribe under Medicare Part D?
In 2023, EDWARD SMITH, D.O. wrote 885 Medicare Part D claims totaling $31K in drug costs for 326 beneficiaries.
What is EDWARD SMITH, D.O.'s Medicare quality score?
EDWARD SMITH, D.O. has a CMS MIPS Final Score of 82.7791/100 (Quality: 85.3615, Cost: 57.2354). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDWARD SMITH, D.O. located?
EDWARD SMITH, D.O. is located at 1411 N TAYLOR DR, SHEBOYGAN, WI, 53081. Phone: (616) 735-3257.
What is EDWARD SMITH, D.O.'s NPI number?
EDWARD SMITH, D.O.'s National Provider Identifier (NPI) is 1962617845, issued on 05/13/2007.
Does EDWARD SMITH, D.O. prescribe more brand-name or generic drugs?
EDWARD SMITH, D.O.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $9K in brand drug costs.
Does EDWARD SMITH, D.O. prescribe opioids?
Yes, EDWARD SMITH, D.O. had 22 opioid claims in 2023 with an opioid prescribing rate of 2.5%.
How many Otolaryngology/Facial Plastic Surgery Physician providers are there in the US?
There are 744 Otolaryngology/Facial Plastic Surgery Physician providers across 53 states in the US. The average Otolaryngology/Facial Plastic Surgery Physician provider writes 561 Medicare Part D claims per year.
What drugs does EDWARD SMITH, D.O. prescribe most often?
Based on 2023 Medicare Part D data, EDWARD SMITH, D.O.'s most frequently prescribed drugs include Fluticasone Propionate, Prednisone, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWARD SMITH, D.O. accept Medicare?
EDWARD SMITH, D.O. appears in CMS Medicare data with 885 Part D claims and 326 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWARD SMITH, D.O.'s credentials?
EDWARD SMITH, D.O.'s NPI is 1962617845 with credentials D.O.. 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