2026 NPPES data Orthopaedic Surgery Physician NPI 1649348749 MD, PHD
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James Banovetz, MD, PHD

Orthopaedic Surgery Physician in Stevens Point, 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 25,781 in Orthopaedic Surgery 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
88
Medicare Part D claims · 59 beneficiaries · Orthopaedic Surgery Physician avg: 324
MIPS score
82.2/100
▼ 1 pts below national avg 83.1 · Above neutral
Industry payments
$1.3K
20 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Banovetz, MD, PHD reported a CMS MIPS final score of 82.2/100 - below the 83.1 national average - and filed 88 Medicare Part D claims in 2023.

82.2/100
MIPS score · -1 vs avg
88
Part D claims, 2023
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.

James Banovetz, MD, PHD's MIPS score vs every scored U.S. clinician

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

82 39th percentile higher than 39% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

Where James Banovetz, MD, PHD sits

This provider among orthopaedic surgery physician peers

Across the 8,194 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Banovetz, MD, PHD writes more Part D claims than 23% of them and scores higher on MIPS quality than 52% - placing this provider in the lower-volume, high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 37James Banovetz, MD, PHD-Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 52
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one orthopaedic surgery physician peer from a representative sample of 60; the gold marker is James Banovetz, MD, PHD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

James Banovetz, MD, PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 James Banovetz, MD, PHD?

Near national average

NPI registry status

Active

Issued 11/30/2006

NPI 1649348749

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

88 73% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

82.2/100 0.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Orthopaedic Surgery Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Largest specialties in Wisconsin (% of in-state providers)

Physical Therapist - 5.6%Physical Therapist5.6%Pharmacist - 4.8%Pharmacist4.8%Registered Nurse - 4.5%Registered Nurse4.5%Professional Counselor - 3.3%Professional Counselor3.3%Student in an Organized Health Care Education/Training Program - 3.3%Student in an Organized Health Care Education/Training Program3.3%Family Medicine Physician - 3.2%Family Medicine Physician3.2%Orthopaedic Surgery Physician - 0.6%Orthopaedic Surgery Physician0.6%
Largest specialties in Wisconsin (% of in-state providers)

Medicare quality performance, MIPS

James Banovetz, MD, PHD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Near national average
MIPS Final Score
82.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) - 82.2/100 vs national avg 83.1

0%100%National avg83%82.2%
MIPS final score (Orthopaedic Surgery Physician) - 82.2/100 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).

James Banovetz, MD, PHD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD, PHD credentials at 500 VINCENT ST, Stevens Point, WI, 54481, with a listed phone of (715) 344-0701. NPI 1649348749 was issued on 11/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Banovetz 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 88 prescription claims written by this provider, covering 59 Medicare beneficiaries and totaling roughly $666 in drug spend, with an opioid prescribing rate of 64.8%. 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 82.2/100 for the 2023 performance year (Quality 65.6, Cost 80.8), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

500 VINCENT ST
Stevens Point, WI 54481

Provider Details

NPI 1649348749
Specialty Orthopaedic Surgery Physician
Credentials MD, PHD
Gender Male
NPI Issued 11/30/2006

CMS Quality Score (MIPS)

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

82.1627
Final Score
Avg: 83.1
65.6037
Quality
80.7718
Cost
93
Promoting Interoperability

Reporting: Group practice

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 James Banovetz, MD, PHD. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

Arthrex, Inc.

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

88
Total Claims
$666
Total Drug Cost
59
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
96
Total Day Supply
1,047
Generic Drug Cost
$462
Opioid Claims
57 (64.8% rate)

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
0.71
Gender Split
68% female / 32% 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
Tramadol Hcl
42

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

Orthopaedic Surgery Physician Overview

How James Banovetz, MD, PHD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

James Banovetz, MD, PHD's 88 claims are below the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Wisconsin

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

Compare Orthopaedic Surgery 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 Orthopaedic Surgery 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.

Frequently Asked Questions

What is James Banovetz, MD, PHD's specialty?
James Banovetz, MD, PHD specializes in Orthopaedic Surgery Physician and practices in Stevens Point, Wisconsin. Credentials: MD, PHD.
How much does James Banovetz, MD, PHD prescribe under Medicare Part D?
In 2023, James Banovetz, MD, PHD wrote 88 Medicare Part D claims totaling $666 in drug costs for 59 beneficiaries.
What is James Banovetz, MD, PHD's Medicare quality score?
James Banovetz, MD, PHD has a CMS MIPS Final Score of 82.2/100 (Quality: 65.6, Cost: 80.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Banovetz, MD, PHD located?
James Banovetz, MD, PHD is located at 500 VINCENT ST, Stevens Point, WI, 54481. Phone: (715) 344-0701.
What is James Banovetz, MD, PHD's NPI number?
James Banovetz, MD, PHD's National Provider Identifier (NPI) is 1649348749, issued on 11/30/2006.
Does James Banovetz, MD, PHD prescribe opioids?
Yes, James Banovetz, MD, PHD had 57 opioid claims in 2023 with an opioid prescribing rate of 64.8%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does James Banovetz, MD, PHD prescribe most often?
Based on 2023 Medicare Part D data, James Banovetz, MD, PHD's most frequently prescribed drugs include Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Banovetz, MD, PHD accept Medicare?
James Banovetz, MD, PHD appears in CMS Medicare data with 88 Part D claims and 59 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Banovetz, MD, PHD's credentials?
James Banovetz, MD, PHD's NPI is 1649348749 with credentials MD, PHD. 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

Compiled from official public sources by the PlainDoctor editorial team.