NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1881702116 DO
Verify on CMS → Frank Leon, DO
Gastroenterology Physician in Weston, 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 16,567 in Gastroenterology 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
160
Medicare Part D claims · 140 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
69%
generic claims · 31% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.9/100
▼ 4 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Frank Leon, DO reported a CMS MIPS final score of 78.9/100 - below the 83.1 national average - and filed 160 Medicare Part D claims in 2023.
- 78.9/100
- MIPS score · -4 vs avg
- 160
- Part D claims, 2023
- 69%
- 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.
Frank Leon, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 27th percentile higher than 27% of 477,587 scored providers
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
Where Frank Leon, DO sits
This provider among gastroenterology physician peers
Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Frank Leon, DO writes more Part D claims than 12% of them and scores higher on MIPS quality than 29% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Frank Leon, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Frank Leon, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 Frank Leon, DO?
Near national averagePrimary specialty
Gastroenterology Physician
Medicare Part D claims
160 81% vs specialty avg
MIPS final score
78.9/100 4.2 pts vs avg
Specialty distribution in Wisconsin
How Gastroenterology Physician compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
Frank Leon, DO's 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 78.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 78.9/100 vs national avg 83.1
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).
Frank Leon, DO appears in the CMS NPPES registry as a Gastroenterology Physician provider holding DO credentials at 3501 CRANBERRY BLVD, Weston, WI, 54476, with a listed phone of (715) 393-1000. NPI 1881702116 was issued on 08/27/2006.
Medicare Part D records for calendar year 2023 show 160 prescription claims written by this provider, covering 140 Medicare beneficiaries and totaling roughly $12K in drug spend, split 31% brand-name and 69% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.9/100 for the 2023 performance year (Quality 66.7, Cost 54.9), compared with the national average of 83.1.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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 | 1881702116 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 08/27/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.8552
Final Score
Avg: 83.1
66.6851
Quality
54.8733
Cost
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Frank Leon, 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.
Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc.
Stevens Point, WI
Mchs Hospitals Inc
Marshfield, 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 · Above average
Frank Leon, DO - brand share 31.0%
Gastroenterology Physician average
31% brand-name claims vs 69% generic, on 160 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.
160
Total Claims
$12K
Total Drug Cost
140
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 208
- Total Day Supply
- 2,386
- Brand vs Generic
- 31% brand / 69% generic
- Brand Drug Cost
- $1K
- Generic Drug Cost
- $11K
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 1.03
- Gender Split
- 54% female / 46% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Peg 3350-Electrolyte Sodium Chloride/Nahco3/Kcl/Peg | 62 |
| Gavilyte-G "Peg3350/Sod Sulf | N/A |
| Peg-3350 And Electrolytes "Peg3350/Sod Sulf | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Frank Leon, DO fits within the Gastroenterology Physician landscape nationally.
16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Frank Leon, DO's 160 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Leon.
Dr. Frank Aberger
MD
La Crosse, WI
Dr. Aboud Affi
M.D.
Milwaukee, WI
Dr. Banke Agarwal
MD
La Crosse, WI
Dr. Parul Agarwal
M.D.
Madison, WI
Dr. Dilpesh Agrawal
M.D, MRCP
Milwaukee, WI
Compare Gastroenterology 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 Gastroenterology 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.
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Frequently Asked Questions
What is Frank Leon, DO's specialty? ▼
Frank Leon, DO specializes in Gastroenterology Physician and practices in Weston, Wisconsin. Credentials: DO.
How much does Frank Leon, DO prescribe under Medicare Part D? ▼
In 2023, Frank Leon, DO wrote 160 Medicare Part D claims totaling $12K in drug costs for 140 beneficiaries.
What is Frank Leon, DO's Medicare quality score? ▼
Frank Leon, DO has a CMS MIPS Final Score of 78.9/100 (Quality: 66.7, Cost: 54.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Frank Leon, DO located? ▼
Frank Leon, DO is located at 3501 CRANBERRY BLVD, Weston, WI, 54476. Phone: (715) 393-1000.
What is Frank Leon, DO's NPI number? ▼
Frank Leon, DO's National Provider Identifier (NPI) is 1881702116, issued on 08/27/2006.
Does Frank Leon, DO prescribe more brand-name or generic drugs? ▼
Frank Leon, DO's prescribing is 31% brand-name and 69% generic drugs by claim count, with $1K in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Frank Leon, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Frank Leon, DO's most frequently prescribed drugs include Peg 3350-Electrolyte, Gavilyte-G, Peg-3350 And Electrolytes. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Frank Leon, DO accept Medicare? ▼
Frank Leon, DO appears in CMS Medicare data with 160 Part D claims and 140 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Frank Leon, DO's credentials? ▼
Frank Leon, DO's NPI is 1881702116 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 (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
Compiled from official public sources by the PlainDoctor editorial team.