NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1386394864 DO
Verify on CMS → Fallon Peplinski, DO
Family Medicine Physician in Spooner, 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 150,125 in Family Medicine 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
242
Medicare Part D claims · 38 beneficiaries · Family Medicine Physician avg: 4K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$37.47
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Fallon Peplinski, DO filed 242 Medicare Part D claims in 2024 as a Family Medicine Physician in Spooner, Wisconsin, prescribing 80% generic.
- 242
- Part D claims, 2024
- 80%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥48th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Fallon Peplinski, DO
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1386394864), first enumerated 03/27/2022.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 242 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$37.47 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1386394864 · Family Medicine Physician
NPI-10 · ENUM-RECENT · TAX-MEGA · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1386394864
- ENUM-RECENT 2022
- TAX-MEGA 150K Family Medicine
- RX-LIGHT 242
- BOOK-LIGHT 3,629 in Wisconsin
- PHOTO-ENUM Kyle Swearingen, MD · 2022
Fallon Peplinski, DO's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
242 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Fallon Peplinski, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations - 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 Fallon Peplinski, DO?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
242 93% vs specialty avg
Specialty distribution in Wisconsin
How Family Medicine 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 Family Medicine 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).
Practice Address
Provider Details
| NPI | 1386394864 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 03/27/2022 |
Hospital and facility affiliations
Facilities where Fallon Peplinski, DO 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.
According to CMS billing records, Fallon Peplinski, DO is affiliated with 3 Medicare-billing facilities.
Advantage Physical Therapy And Sports Rehab, LLC
Spooner, WI
Spooner Health System Inc
Spooner, WI
St Marys Hospital OF Superior
Spooner, 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 Fallon Peplinski, DO. Source: openpaymentsdata.cms.gov.
Total received
$37
Largest payer
AstraZeneca Pharmaceuticals LP
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 · Typical
Fallon Peplinski, DO - brand share 20.0%
Family Medicine Physician average
20% brand-name claims vs 80% generic, on 242 2024 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 2024.
242
Total Claims
$42K
Total Drug Cost
38
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 412.667
- Total Day Supply
- 11,739
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $32K
- Generic Drug Cost
- $11K
Patient Demographics
- Average Patient Age
- 65.7 years
- Avg HCC Risk Score
- 1.52
- Gender Split
- 47% female / 53% male
- Age Distribution
- <65: 13, 65-74: 18, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Fallon Peplinski, DO prescribes most
Top Medicare Part D drugs by claim count, 2024
- Lisinopril
Lisinopril
28 claims
- Atorvastatin Calcium
Atorvastatin Calcium
25 claims
- Metformin Hcl
Metformin Hcl
16 claims
- Basaglar Kwikpen U…
Basaglar Kwikpen U-100
13 claims
- Prednisone
Prednisone
12 claims
- Gabapentin 11
Gabapentin
11 claims
- Omeprazole 11
Omeprazole
11 claims
| Drug | Claims |
|---|---|
| Lisinopril | 28 |
| Atorvastatin Calcium | 25 |
| Metformin Hcl | 16 |
| Basaglar Kwikpen U-100 Insulin Glargine,hum.Rec.Anlog | 13 |
| Prednisone | 12 |
| Gabapentin | 11 |
| Omeprazole | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Fallon Peplinski, DO fits within the Family Medicine Physician landscape nationally.
150,125
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,519
Avg Claims per Provider
Fallon Peplinski, DO's 242 claims are below the specialty average of 3,519.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Peplinski, both outside Wisconsin so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2022)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Peplinski.
One of 3,629 Family Medicine Physician providers enrolled in Wisconsin, 5 are shown here.
Dr. Ghudran Abdulal
MD
New Berlin, WI
Dr. Vanessa Abejuela-Matt
D.O.
Mount Pleasant, WI
Dr. Benjamin Abeyta
M.D.
Wauwatosa, WI
Dr. Emily Abeyta
MD
Waukesha, WI
Dr. Islam Abo Al Nadie
MD
Milwaukee, WI
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Fallon Peplinski, DO's specialty? ▼
Fallon Peplinski, DO specializes in Family Medicine Physician and practices in Spooner, Wisconsin. Credentials: DO.
How much does Fallon Peplinski, DO prescribe under Medicare Part D? ▼
In 2024, Fallon Peplinski, DO wrote 242 Medicare Part D claims totaling $42K in drug costs for 38 beneficiaries.
Where is Fallon Peplinski, DO located? ▼
Fallon Peplinski, DO is located at 1180 CHANDLER DR, Spooner, WI, 54801. Phone: (218) 635-2151.
What is Fallon Peplinski, DO's NPI number? ▼
Fallon Peplinski, DO's National Provider Identifier (NPI) is 1386394864, issued on 03/27/2022.
Does Fallon Peplinski, DO prescribe more brand-name or generic drugs? ▼
Fallon Peplinski, DO's prescribing is 20% brand-name and 80% generic drugs by claim count, with $32K in brand drug costs.
How many Family Medicine Physician providers are there in the US? ▼
There are 150,125 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,519 Medicare Part D claims per year.
What drugs does Fallon Peplinski, DO prescribe most often? ▼
Based on 2024 Medicare Part D data, Fallon Peplinski, DO's most frequently prescribed drugs include Lisinopril, Atorvastatin Calcium, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Fallon Peplinski, DO accept Medicare? ▼
Fallon Peplinski, DO appears in CMS Medicare data with 242 Part D claims and 38 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Fallon Peplinski, DO's credentials? ▼
Fallon Peplinski, DO's NPI is 1386394864 with credentials DO. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.