2026 NPPES data Pediatric Otolaryngology Physician NPI 1104245018 MD
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Karl Doerfer, MD

Pediatric Otolaryngology Physician in Milwaukee, 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 574 in Pediatric Otolaryngology 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
148
Medicare Part D claims · 87 beneficiaries · Pediatric Otolaryngology Physician avg: 313
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.5/100
▼ 3 pts below national avg 83.1 · Above neutral
Industry payments
$263.73
3 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Karl Doerfer, MD reported a CMS MIPS final score of 80.5/100 - below the 83.1 national average - and filed 148 Medicare Part D claims in 2023.

80.5/100
MIPS score · -3 vs avg
148
Part D claims, 2023
88%
generic prescribing
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.

Karl Doerfer, MD's MIPS score vs every scored U.S. clinician

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

81 33rd percentile higher than 33% 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+: 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 Karl Doerfer, MD sits

This provider among pediatric otolaryngology physician peers

Across the 58 pediatric otolaryngology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Karl Doerfer, MD writes more Part D claims than 28% of them and scores higher on MIPS quality than 36% - placing this provider in the lower-volume, lower-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: 75 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 44 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 21Part D claim volume, percentile in specialty: 86 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 49 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 39 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 9Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 11Part D claim volume, percentile in specialty: 79 · MIPS quality, percentile: 51Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 89Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 46Part D claim volume, percentile in specialty: 11 · MIPS quality, percentile: 84Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 16Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 14Part D claim volume, percentile in specialty: 21 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 81 · MIPS quality, percentile: 51Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 96 · MIPS quality, percentile: 51Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 21Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 46 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 14 · MIPS quality, percentile: 91Part D claim volume, percentile in specialty: 61 · MIPS quality, percentile: 96Part D claim volume, percentile in specialty: 54 · MIPS quality, percentile: 51Part D claim volume, percentile in specialty: 26 · MIPS quality, percentile: 49Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 51 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 84Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 21Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 51Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 100Part D claim volume, percentile in specialty: 91 · MIPS quality, percentile: 21Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 19Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 84Part D claim volume, percentile in specialty: 16 · MIPS quality, percentile: 61Part D claim volume, percentile in specialty: 84 · MIPS quality, percentile: 21Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 44Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 21Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 9 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 89 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 47Karl Doerfer, MD-Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 36
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pediatric otolaryngology physician peer from a representative sample of 57; the gold marker is Karl Doerfer, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Karl Doerfer, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Karl Doerfer, MD?

Near national average

NPI registry status

Active

Issued 04/08/2014

NPI 1104245018

Primary specialty

Pediatric Otolaryngology Physician

Niche

574 US NPIs in this specialty

Medicare Part D claims

148 53% vs specialty avg

2023 prescription claims

Specialty avg: 313

MIPS final score

80.5/100 2.6 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Pediatric Otolaryngology 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%Pediatric Otolaryngology Physician - 0%Pediatric Otolaryngology Physician0%
Largest specialties in Wisconsin (% of in-state providers)

Medicare quality performance, MIPS

Karl Doerfer, MD's 2023 MIPS final score plotted against the Pediatric Otolaryngology Physician national average

Near national average
MIPS Final Score
80.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Otolaryngology Physician) - 80.5/100 vs national avg 83.1

0%100%National avg83%80.5%
MIPS final score (Pediatric Otolaryngology Physician) - 80.5/100 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).

Karl Doerfer, MD appears in the CMS NPPES registry as a Pediatric Otolaryngology Physician provider holding MD credentials at 9200 W WISCONSIN AVE FL 3, Milwaukee, WI, 53226, with a listed phone of (414) 805-5580. NPI 1104245018 was issued on 04/08/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Doerfer 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 148 prescription claims written by this provider, covering 87 Medicare beneficiaries and totaling roughly $8K in drug spend, split 12% brand-name and 88% 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 80.5/100 for the 2023 performance year (Quality 66.2, Cost 68.6), compared with the national average of 83.1.

Pediatric Otolaryngology Physician is a narrow specialty nationwide, with 574 enrolled providers across 43 states and an average of 313 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

9200 W WISCONSIN AVE FL 3
Milwaukee, WI 53226

Provider Details

NPI 1104245018
Specialty Pediatric Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 04/08/2014

CMS Quality Score (MIPS)

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

80.4671
Final Score
Avg: 83.1
66.2426
Quality
68.6477
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Karl Doerfer, MD 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.

The Medical College OF Wisconsin Inc
Milwaukee, 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 Karl Doerfer, MD. Source: openpaymentsdata.cms.gov.

Total received

$264

Largest payer

Integra LifeSciences Corporation

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.

Brand vs generic prescribing mix · Typical

Karl Doerfer, MD - brand share 12.0%
Pediatric Otolaryngology Physician average

12% brand-name claims vs 88% generic, on 148 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.

148
Total Claims
$8K
Total Drug Cost
87
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
179
Total Day Supply
2,968
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$3K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.66
Gender Split
53% female / 47% 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
Ofloxacin
38
Ciprofloxacin-Dexamethasone
Ciprofloxacin Hcl/Dexameth
34

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

Pediatric Otolaryngology Physician Overview

How Karl Doerfer, MD fits within the Pediatric Otolaryngology Physician landscape nationally.

574
Pediatric Otolaryngology Physician Providers in US
43
States with Pediatric Otolaryngology Physician
313
Avg Claims per Provider

Karl Doerfer, MD's 148 claims are below the specialty average of 313.

Nearby Pediatric Otolaryngology Physician Providers in Wisconsin

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

Compare Pediatric Otolaryngology 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 Pediatric Otolaryngology 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 Karl Doerfer, MD's specialty?
Karl Doerfer, MD specializes in Pediatric Otolaryngology Physician and practices in Milwaukee, Wisconsin. Credentials: MD.
How much does Karl Doerfer, MD prescribe under Medicare Part D?
In 2023, Karl Doerfer, MD wrote 148 Medicare Part D claims totaling $8K in drug costs for 87 beneficiaries.
What is Karl Doerfer, MD's Medicare quality score?
Karl Doerfer, MD has a CMS MIPS Final Score of 80.5/100 (Quality: 66.2, Cost: 68.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karl Doerfer, MD located?
Karl Doerfer, MD is located at 9200 W WISCONSIN AVE FL 3, Milwaukee, WI, 53226. Phone: (414) 805-5580.
What is Karl Doerfer, MD's NPI number?
Karl Doerfer, MD's National Provider Identifier (NPI) is 1104245018, issued on 04/08/2014.
Does Karl Doerfer, MD prescribe more brand-name or generic drugs?
Karl Doerfer, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $3K in brand drug costs.
How many Pediatric Otolaryngology Physician providers are there in the US?
There are 574 Pediatric Otolaryngology Physician providers across 43 states in the US. The average Pediatric Otolaryngology Physician provider writes 313 Medicare Part D claims per year.
What drugs does Karl Doerfer, MD prescribe most often?
Based on 2023 Medicare Part D data, Karl Doerfer, MD's most frequently prescribed drugs include Ofloxacin, Ciprofloxacin-Dexamethasone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karl Doerfer, MD accept Medicare?
Karl Doerfer, MD appears in CMS Medicare data with 148 Part D claims and 87 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karl Doerfer, MD's credentials?
Karl Doerfer, MD's NPI is 1104245018 with credentials MD. 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.