2026 NPPES data Pharmacist NPI 1285833459
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JACOB KUSMAK

Pharmacist in SIOUX FALLS, South Dakota. 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
1K
Medicare Part D claims · 364 beneficiaries · Pharmacist avg: 135
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.6912/100
▼ 6 pts below national avg 83.1 · [object Object]

What the federal data shows

JACOB KUSMAK reported a CMS MIPS final score of 76.6912/100 — below the 83.1 national average — and filed 1,072 Medicare Part D claims in 2023.

76.6912/100
MIPS score · -6 vs avg
1K
Part D claims, 2023
92%
generic prescribing

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.

JACOB KUSMAK's MIPS score vs every scored U.S. clinician

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

77 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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

What does the federal data show about JACOB KUSMAK?

Below national average

NPI registry status

Active

Issued 07/17/2007

NPI 1285833459

Primary specialty

Pharmacist

High-volume

290,447 US NPIs in this specialty

Medicare Part D claims

1,072 694% vs specialty avg

2023 prescription claims

Specialty avg: 135

MIPS final score

76.6912/100 6.408799999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Dakota

How Pharmacist compares to other specialties among South Dakota providers

South Dakota providers

Pharmacist share within South Dakota

1. Pharmacist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pharmacist share within South Dakota

Medicare quality performance — MIPS

JACOB KUSMAK's 2023 MIPS final score plotted against the Pharmacist national average

Below national average
MIPS Final Score
76.6912/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pharmacist) — 76.6912/100 vs national avg 83.1

0%100%National avg83%76.7%
MIPS final score (Pharmacist) — 76.6912/100 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).

JACOB KUSMAK appears in the CMS NPPES registry as a Pharmacist provider at 1310 W 22ND ST, SIOUX FALLS, SD, 57105, with a listed phone of (605) 328-8600. NPI 1285833459 was issued on 07/17/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KUSMAK 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 1,072 prescription claims written by this provider, covering 364 Medicare beneficiaries and totaling roughly $492K in drug spend, split 8% brand-name and 92% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.6912/100 for the 2023 performance year (Quality 78.5693, Cost 44.5681), compared with the national average of 83.1.

Pharmacist is a high-volume specialty nationwide, with 290,447 enrolled providers across 56 states and an average of 135 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

1310 W 22ND ST
SIOUX FALLS, SD 57105

Provider Details

NPI 1285833459
Specialty Pharmacist
Gender Male
NPI Issued 07/17/2007

CMS Quality Score (MIPS)

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

76.6912
Final Score
Avg: 83.1
78.5693
Quality
44.5681
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JACOB KUSMAK 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.

SANFORD MEDICAL CENTER
SIOUX FALLS, SD

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 · Generic-heavy

JACOB KUSMAK — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 1,072 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.

1,072
Total Claims
$492K
Total Drug Cost
364
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,314
Total Day Supply
32,796
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$462K
Generic Drug Cost
$31K
Antibiotic Claims
256

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.08
Gender Split
49% female / 51% male
Age Distribution
<65: 33, 65-74: 184, 75-84: 109, 85+: 38

Top Prescribed Drugs (Medicare Part D)

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

What JACOB KUSMAK prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Triamcinolone Acetonide
190
Cephalexin
95
Ketoconazole
53
Minocycline Hcl
43
Betamethasone Dipropionate
40
Clobetasol Propionate
40
Mycophenolate Mofetil
39
Doxycycline Hyclate
36
Dupixent Pen
Dupilumab
31
Terbinafine Hcl
31

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

Pharmacist Overview

How JACOB KUSMAK fits within the Pharmacist landscape nationally.

290,447
Pharmacist Providers in US
56
States with Pharmacist
135
Avg Claims per Provider

JACOB KUSMAK's 1,072 claims are above the specialty average of 135.

Nearby Pharmacist Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as KUSMAK.

Compare Pharmacist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JACOB KUSMAK's specialty?
JACOB KUSMAK specializes in Pharmacist and practices in SIOUX FALLS, South Dakota.
How much does JACOB KUSMAK prescribe under Medicare Part D?
In 2023, JACOB KUSMAK wrote 1,072 Medicare Part D claims totaling $492K in drug costs for 364 beneficiaries.
What is JACOB KUSMAK's Medicare quality score?
JACOB KUSMAK has a CMS MIPS Final Score of 76.6912/100 (Quality: 78.5693, Cost: 44.5681). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JACOB KUSMAK located?
JACOB KUSMAK is located at 1310 W 22ND ST, SIOUX FALLS, SD, 57105. Phone: (605) 328-8600.
What is JACOB KUSMAK's NPI number?
JACOB KUSMAK's National Provider Identifier (NPI) is 1285833459, issued on 07/17/2007.
Does JACOB KUSMAK prescribe more brand-name or generic drugs?
JACOB KUSMAK's prescribing is 8% brand-name and 92% generic drugs by claim count, with $462K in brand drug costs.
How many Pharmacist providers are there in the US?
There are 290,447 Pharmacist providers across 56 states in the US. The average Pharmacist provider writes 135 Medicare Part D claims per year.
What drugs does JACOB KUSMAK prescribe most often?
Based on 2023 Medicare Part D data, JACOB KUSMAK's most frequently prescribed drugs include Triamcinolone Acetonide, Cephalexin, Ketoconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JACOB KUSMAK accept Medicare?
JACOB KUSMAK appears in CMS Medicare data with 1,072 Part D claims and 364 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JACOB KUSMAK's credentials?
JACOB KUSMAK's NPI is 1285833459. 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