2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1922182849 M.D.
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HARRY FISCHER, M.D.

Child & Adolescent Psychiatry Physician in ELKADER, Iowa. 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
359
Medicare Part D claims · 19 beneficiaries · Child & Adolescent Psychiatry Physician avg: 600
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: HARRY FISCHER, M.D. is a Child & Adolescent Psychiatry Physician ([object Object]) practicing in ELKADER, Iowa with a Medicare Part D prescribing footprint of 359 claims across 19 beneficiaries — 17% brand-name prescribing .

What stands out: HARRY FISCHER, M.D. filed 359 Medicare Part D claims in 2023 across ELKADER, Iowa. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

HARRY FISCHER, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

HARRY FISCHER, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 10/25/2006

NPI 1922182849

Primary specialty

Child & Adolescent Psychiatry Physician

Mid-sized

6,160 US NPIs in this specialty

Medicare Part D claims

359 40% vs specialty avg

2023 prescription claims

Specialty avg: 600

Specialty distribution in Iowa

How Child & Adolescent Psychiatry Physician compares to other specialties among Iowa providers

Iowa providers

Child & Adolescent Psychiatry Physician share within Iowa

1. Child & Adolescent Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Child & Adolescent Psychiatry Physician share within Iowa

Specialty board-certification context

Estimated specialty board-certified rate — Child & Adolescent Psychiatry Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Child & Adolescent Psychiatry Physician ABMS/AOA estimate

Est. board-certified rate (Child & Adolescent Psychiatry Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Child & Adolescent Psychiatry 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).

HARRY FISCHER, M.D. is a Child & Adolescent Psychiatry Physician provider practicing in ELKADER, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1922182849. 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.

HARRY FISCHER, M.D. appears in the CMS NPPES registry as a Child & Adolescent Psychiatry Physician provider holding M.D. credentials at 17752 CHARIOT RD, ELKADER, IA, 52043, with a listed phone of (563) 245-3268. NPI 1922182849 was issued on 10/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FISCHER 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 359 prescription claims written by this provider, covering 19 Medicare beneficiaries and totaling roughly $146K in drug spend, split 17% brand-name and 83% 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.

Child & Adolescent Psychiatry Physician is a mid-sized specialty nationwide, with 6,160 enrolled providers across 54 states and an average of 600 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

17752 CHARIOT RD
ELKADER, IA 52043

Provider Details

NPI 1922182849
Specialty Child & Adolescent Psychiatry Physician
Credentials M.D.
Gender Male
NPI Issued 10/25/2006

Brand vs generic prescribing mix · Typical

HARRY FISCHER, M.D. — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 359 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.

359
Total Claims
$146K
Total Drug Cost
19
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
653
Total Day Supply
18,759
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$111K
Generic Drug Cost
$36K

Patient Demographics

Average Patient Age
65.3 years
Avg HCC Risk Score
1.33

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Quetiapine Fumarate
50
Risperdal Consta
Risperidone Microspheres
46
Gabapentin
36
Clozapine
27
Lithium Carbonate Er
Lithium Carbonate
27
Lamotrigine
23
Lorazepam
17
Divalproex Sodium Er
Divalproex Sodium
16
Lithium Carbonate
14
Invega Sustenna
Paliperidone Palmitate
13

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

Child & Adolescent Psychiatry Physician Overview

How HARRY FISCHER, M.D. fits within the Child & Adolescent Psychiatry Physician landscape nationally.

6,160
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
600
Avg Claims per Provider

HARRY FISCHER, M.D.'s 359 claims are below the specialty average of 600.

Nearby Child & Adolescent Psychiatry Physician Providers in Iowa

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

Compare Child & Adolescent Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HARRY FISCHER, M.D.'s specialty?
HARRY FISCHER, M.D. specializes in Child & Adolescent Psychiatry Physician and practices in ELKADER, Iowa. Credentials: M.D..
How much does HARRY FISCHER, M.D. prescribe under Medicare Part D?
In 2023, HARRY FISCHER, M.D. wrote 359 Medicare Part D claims totaling $146K in drug costs for 19 beneficiaries.
Where is HARRY FISCHER, M.D. located?
HARRY FISCHER, M.D. is located at 17752 CHARIOT RD, ELKADER, IA, 52043. Phone: (563) 245-3268.
What is HARRY FISCHER, M.D.'s NPI number?
HARRY FISCHER, M.D.'s National Provider Identifier (NPI) is 1922182849, issued on 10/25/2006.
Does HARRY FISCHER, M.D. prescribe more brand-name or generic drugs?
HARRY FISCHER, M.D.'s prescribing is 17% brand-name and 83% generic drugs by claim count, with $111K in brand drug costs.
How many Child & Adolescent Psychiatry Physician providers are there in the US?
There are 6,160 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 600 Medicare Part D claims per year.
What drugs does HARRY FISCHER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, HARRY FISCHER, M.D.'s most frequently prescribed drugs include Quetiapine Fumarate, Risperdal Consta, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HARRY FISCHER, M.D. accept Medicare?
HARRY FISCHER, M.D. appears in CMS Medicare data with 359 Part D claims and 19 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HARRY FISCHER, M.D.'s credentials?
HARRY FISCHER, M.D.'s NPI is 1922182849 with credentials M.D.. 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