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2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1245681949 M.D.
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Jonathan Ben-Zev, M.D.

Adult Reconstructive Orthopaedic Surgery Physician in Pleasant Prairie, 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 1,286 in Adult Reconstructive 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
92
Medicare Part D claims · 44 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 537
MIPS score
79.6/100
▼ 4 pts below national avg 83.5 · Above neutral
Industry payments
$1.0K
11 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Jonathan Ben-Zev, M.D. reported a CMS MIPS final score of 79.6/100 - below the 83.5 national average - and filed 92 Medicare Part D claims in 2024.

79.6/100
MIPS score · -4 vs avg
92
Part D claims, 2024
Likely
board-certified (heuristic)
≥26th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Jonathan Ben-Zev, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1245681949), first enumerated 06/24/2016.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 92 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 79.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $1.0K in reported industry payments (11 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1245681949 · Adult Reconstructive Orthopaedic Surgery Physician

NPI-10 · ENUM-MID · TAX-NARROW · MIPS-BELOW · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1245681949
  • ENUM-MID 2016
  • TAX-NARROW 1,286
  • MIPS-BELOW 79.6/100
  • RX-TRACE 92
  • BOOK-THIN 15 in Wisconsin
  • PHOTO-FINISH Kevin Bonner, M.D. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Jonathan Ben-Zev, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

80 ≥ 26th percentile 26% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Jonathan Ben-Zev, M.D. sits

This provider among adult reconstructive orthopaedic surgery physician peers

Across the 422 adult reconstructive orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jonathan Ben-Zev, M.D. writes more Part D claims than 12% of them and scores higher on MIPS quality than 38% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 87Jonathan Ben-Zev, M.D., Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 38
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult reconstructive orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Jonathan Ben-Zev, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Jonathan Ben-Zev, M.D. 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 Jonathan Ben-Zev, M.D.?

Near national average

NPI registry status

Active

Issued 06/24/2016

NPI 1245681949

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,286 US NPIs in this specialty

Medicare Part D claims

92 83% vs specialty avg

2024 prescription claims

Specialty avg: 537

MIPS final score

79.6/100 3.9 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Wisconsin

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Wisconsin providers

Wisconsin providers
Physical Therapist5.5%Registered Nurse4.7%Pharmacist4.6%Student in an Organized Heal…3.4%Professional Counselor3.3%Speech-Language Pathologist3.2%Adult Reconstructive Orthopa…0%
Largest specialties in Wisconsin (% of in-state providers)

Medicare quality performance, MIPS

Jonathan Ben-Zev, M.D.'s 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

Near national average
MIPS Final Score
79.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%79.6%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) - 79.6/100 vs national avg 83.5
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).

Practice Address

9697 SAINT CATHERINES DR STE 200
Pleasant Prairie, WI 53158
(262) 656-3591

Provider Details

NPI 1245681949
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 06/24/2016

CMS Quality Score (MIPS)

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

79.613
Final Score
Measured-score avg: 83.5
70.8884
Quality
61.1551
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Jonathan Ben-Zev, M.D. 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.

Advantage Physical Therapy And Sports Rehab, LLC
Kenosha, WI
Froedtert South Inc
Pleasant Prairie, 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).

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 Jonathan Ben-Zev, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

Largest payer

Zimmer Biomet Holdings, 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 2024.

92
Total Claims
$669
Total Drug Cost
44
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
92
Total Day Supply
1,121
Brand Drug Cost
$0
Generic Drug Cost
$669
Opioid Claims
30 (32.6% rate)
Antibiotic Claims
12

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
1.27
Gender Split
61% female / 39% male
Age Distribution
<65: 12, 65-74: 20, 75-84: 12, 85+: 0

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

Drug Claims
Meloxicam
 15

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

More Adult Reconstructive Orthopaedic Surgery Physician in WI → All providers in Wisconsin → Compare specialties →

Adult Reconstructive Orthopaedic Surgery Physician Overview

How Jonathan Ben-Zev, M.D. fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,286
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
537
Avg Claims per Provider

Jonathan Ben-Zev, M.D.'s 92 claims are below the specialty average of 537.

Nationwide Adult Reconstructive Orthopaedic Surgery Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Ben-Zev, both outside Wisconsin so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (79.6 here).

Kevin Bonner 79.6 VA James Dowd 79.6 VA Louis Jordan 79.6 VA James Browne 79.4 VA

Same NPPES enumeration year (2016)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Stephen Petis Rochester, MN Garen Collett Weston, FL Ajay Premkumar Atlanta, GA David Beaton Comulada San Juan, PR

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Wisconsin

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

One of 15 Adult Reconstructive Orthopaedic Surgery Physician providers enrolled in Wisconsin, 5 are shown here.

Dr. Rusty Brand
M.D.
Eau Claire, WI
Dr. Marcus Greatens
MD
Eau Claire, WI
Benjamin Knight
Milwaukee, WI
Dr. David Liebelt
M.D., PH.D.
Appleton, WI
Dr. William Lutes
D.O.
Kenosha, WI

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Jonathan Ben-Zev, M.D.'s specialty? ▼
Jonathan Ben-Zev, M.D. specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in Pleasant Prairie, Wisconsin. Credentials: M.D..
How much does Jonathan Ben-Zev, M.D. prescribe under Medicare Part D? ▼
In 2024, Jonathan Ben-Zev, M.D. wrote 92 Medicare Part D claims totaling $669 in drug costs for 44 beneficiaries.
What is Jonathan Ben-Zev, M.D.'s Medicare quality score? ▼
Jonathan Ben-Zev, M.D. has a CMS MIPS Final Score of 79.6/100 (Quality: 70.9, Cost: 61.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jonathan Ben-Zev, M.D. located? ▼
Jonathan Ben-Zev, M.D. is located at 9697 SAINT CATHERINES DR STE 200, Pleasant Prairie, WI, 53158. Phone: (262) 656-3591.
What is Jonathan Ben-Zev, M.D.'s NPI number? ▼
Jonathan Ben-Zev, M.D.'s National Provider Identifier (NPI) is 1245681949, issued on 06/24/2016.
Does Jonathan Ben-Zev, M.D. prescribe opioids? ▼
Yes, Jonathan Ben-Zev, M.D. had 30 opioid claims in 2024 with an opioid prescribing rate of 32.6%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US? ▼
There are 1,286 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 537 Medicare Part D claims per year.
What drugs does Jonathan Ben-Zev, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Jonathan Ben-Zev, M.D.'s most frequently prescribed drugs include Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jonathan Ben-Zev, M.D. accept Medicare? ▼
Jonathan Ben-Zev, M.D. appears in CMS Medicare data with 92 Part D claims and 44 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jonathan Ben-Zev, M.D.'s credentials? ▼
Jonathan Ben-Zev, M.D.'s NPI is 1245681949 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

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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.