Evan James Cretney, MD
Otolaryngology Physician · Sheboygan, WI
Evan James Cretney, MD is an otolaryngology physician with a practice address in Sheboygan, Wisconsin, and NPI 1528563442, issued on Mar 25, 2018. Check the license (Wisconsin 81319, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Evan James Cretney
- Credential
- MD
- Primary taxonomy
- Otolaryngology Physician 207Y00000X
- License number
- 81319 WI
Self-reported in NPPES; status is on the state search - Practice location
- 2414 Kohler Memorial Drive, Sheboygan, WI 53081
- Phone
- (920) 457-4461
- Enumerated
- Mar 25, 2018
- Record last updated
- Jul 17, 2026
- Medicaid ID
- 100244071 WI
- Medicare enrollment
- Enrolled (PECOS I20230913001861); accepts Medicare assignment
- Medical or professional school
- University Of Wisconsin School Of Medicine, 2018
- Entity
- Type 1 · individual
8 nearest otolaryngology physician records → All 231 in Wisconsin → Look up another NPI →
Also registered at 2414 Kohler Memorial Drive
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mansoor Mirza, MDInternal Medicine Physician1508974502
Verify Evan James Cretney in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 81319Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
17% fewer Medicare Part D claims than the average otolaryngology physician in 2024
450 Medicare Part D claims for 149 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 41 claims were for opioids.
Most prescribed
- Levothyroxine Sodium86 claims
- Fluticasone Propionate50 claims
- Oxycodone Hcl40 claims
- Pantoprazole Sodium32 claims
- Ipratropium Bromide28 claims
- Prednisone26 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $391.36
14 payments; by number, the most common kind was food and beverage; the largest payer was Cochlear Americas. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Aurora Medical Group, Inc.Sheboygan, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Evan James Cretney among 231 otolaryngology physician records in Wisconsin
Evan James Cretney, MD is one of 231 otolaryngology physician records with a practice address in Wisconsin. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 87% of them.
- NPI issued2018 · 87% of these records are older, 11% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2018 · median 2004 among the 147 with a school on file
- Record last updated2026 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Otolaryngology Physician providers in Wisconsin
There are 231 otolaryngology physician records in Wisconsin.
All 231 in Wisconsin → Every provider in Sheboygan → Otolaryngology Physician nationwide →
The 8 otolaryngology physician records with the nearest ZIP codes
- John Revelis, MDSheboygan, WI 530811437266780
- P Phillips, MDSheboygan, WI 530831871542092
- Robert Gogan, MDMequon, WI 530921366434086
- Richard Schmidt, M.D.Mequon, WI 530921518182724
- Russell Yale, M.D.Mequon, WI 530921275526667
- April Shera, M.D.West Bend, WI 530951134375124
- Donald Blatnik, M.D.Oconomowoc, WI 530661700027810
- Mark Flick, DOOconomowoc, WI 530661780799841
Common questions
What is Evan James Cretney, MD's NPI number?
Evan James Cretney, MD's National Provider Identifier (NPI) is 1528563442, issued on Mar 25, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Evan James Cretney, MD located?
The NPPES record lists a practice address at 2414 Kohler Memorial Drive, Sheboygan, WI, 53081. Phone: (920) 457-4461. Providers update this record themselves, so call before visiting.
How can I verify Evan James Cretney, MD's license?
NPPES lists Wisconsin license number 81319, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Evan James Cretney, MD prescribe under Medicare Part D?
In 2024, Evan James Cretney, MD had 450 Medicare Part D claims for 149 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.
What is Evan James Cretney, MD's MIPS final score?
The 2023 MIPS final score is 100 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.