James W. Verbsky, MD
Pediatric Rheumatology Physician · Milwaukee, WI
James W. Verbsky, MD is a pediatric rheumatology physician with a practice address in Milwaukee, Wisconsin, and NPI 1528010113, issued on May 16, 2006. Check the license (Wisconsin 48197, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- James W. Verbsky
- Credential
- MD
- Primary taxonomy
- Pediatric Rheumatology Physician 2080P0216X
- License number
- 48197 WI
Self-reported in NPPES; status is on the state search - Practice location
- 9000 W Wisconsin Ave, Milwaukee, WI 53226
- Phone
- (414) 266-6700
- Enumerated
- May 16, 2006
- Record last updated
- Mar 13, 2024
- Fax
- (414) 266-6695
- Medicaid ID
- 1528010113 WI
- Medicare enrollment
- Enrolled (PECOS I20060417000761); accepts Medicare assignment
- Medical or professional school
- Washington University School Of Medicine, 2000
- Entity
- Type 1 · individual
8 nearest pediatric rheumatology physician records → All 13 in Wisconsin → Look up another NPI →
Also registered at 9000 W Wisconsin Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lynn Abad-Santos, APNPPediatric Nurse Practitioner1184675696
- Steven AbramowskiPediatric Nurse Practitioner1871118802
- Thomas Abshire, MDPediatric Hematology & Oncology Physician1730249681
- Elham Abushanab, M.D.Neurology with Special Qualifications in Child Neurology Physician1306392634
- Samuel Adams, M.D.Neurology with Special Qualifications in Child Neurology Physician1972947224
- Adeleye Afolayan, M.DNeonatal-Perinatal Medicine Physician1760649776
Verify James W. Verbsky in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 48197Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
90% fewer Medicare Part D claims than the average pediatric rheumatology physician in 2024
15 Medicare Part D claims, against an average of 149 among the 71 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 80.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,000.00
1 payment: consulting fee; the largest payer was Pharming Healthcare, Inc. The 185 providers of this specialty with any payment received $2,646.07 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Childrens Specialty Group IncMilwaukee, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
James W. Verbsky among 13 pediatric rheumatology physician records in Wisconsin
James W. Verbsky, MD is one of 13 pediatric rheumatology physician records with a practice address in Wisconsin. 46% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 0% of them.
- NPI issued2006 · 0% of these records are older, 46% newer
- In a Medicare fileYes · 46% of these records are
- In the CMS Doctors and Clinicians fileYes · 15% of these records are
- Record last updated2024 · 38% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0216X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Rheumatology Physician providers in Wisconsin
There are 13 pediatric rheumatology physician records in Wisconsin.
All 13 in Wisconsin → Every provider in Milwaukee → Pediatric Rheumatology Physician nationwide →
The 8 pediatric rheumatology physician records with the nearest ZIP codes
- Emma AustenfeldMilwaukee, WI 532261750813184
- Danielle FairMilwaukee, WI 532261497173215
- Kaitlin Kirkpatrick, MDMilwaukee, WI 532261790218428
- James Nocton, MDMilwaukee, WI 532261508818287
- Judyann Olson, MDMilwaukee, WI 532261285688028
- Sara Sabbagh, D.O.Milwaukee, WI 532261548503972
- Calvin Williams, MDMilwaukee, WI 532261467408658
- Anna Huttenlocher, MDMadison, WI 537171134195399
Common questions
What is James W. Verbsky, MD's NPI number?
James W. Verbsky, MD's National Provider Identifier (NPI) is 1528010113, issued on May 16, 2006. An NPI identifies a provider in billing; it is not a license.
Where is James W. Verbsky, MD located?
The NPPES record lists a practice address at 9000 W Wisconsin Ave, Milwaukee, WI, 53226. Phone: (414) 266-6700. Providers update this record themselves, so call before visiting.
How can I verify James W. Verbsky, MD's license?
NPPES lists Wisconsin license number 48197, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does James W. Verbsky, MD prescribe under Medicare Part D?
In 2024, James W. Verbsky, MD had 15 Medicare Part D claims; the average among pediatric rheumatology physician prescribers was 149. Part D covers Medicare prescriptions only.
What is James W. Verbsky, MD's MIPS final score?
The 2023 MIPS final score is 80.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.