2026 NPPES data General Practice Physician NPI 1275692030 M.D.
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KATHY RUSSETH, M.D.

General Practice Physician in MADISON, Wisconsin. 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
46
Medicare Part D claims · General Practice Physician avg: 3K
MIPS score
90.5958/100
▲ 7 pts above national avg 83.1 · [object Object]
What the federal data reveals: KATHY RUSSETH, M.D. is a General Practice Physician ([object Object]) practicing in MADISON, Wisconsin with a Medicare Part D prescribing footprint of 46 claims . Their CMS MIPS Final Score of 90.5958/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KATHY RUSSETH, M.D. reported a CMS MIPS final score of 90.5958 out of 100, above the 83.1 national average, and filed 46 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KATHY RUSSETH, M.D. 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).

KATHY RUSSETH, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 12/07/2006

NPI 1275692030

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

46 98% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

90.5958/100 7.495800000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Wisconsin

How General Practice Physician compares to other specialties among Wisconsin providers

Wisconsin providers

General Practice Physician share within Wisconsin

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Wisconsin

Medicare quality performance — MIPS

KATHY RUSSETH, M.D.'s 2023 MIPS final score plotted against the General Practice Physician national average

High performer (top quartile)
MIPS Final Score
90.5958/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Physician) — 90.5958/100 vs national avg 83.1

0%100%National avg83%90.6%
MIPS final score (General Practice Physician) — 90.5958/100 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).

KATHY RUSSETH, M.D. is a General Practice Physician provider practicing in MADISON, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1275692030. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KATHY RUSSETH, M.D. appears in the CMS NPPES registry as a General Practice Physician provider holding M.D. credentials at 345 W WASHINGTON AVE STE 307, MADISON, WI, 53703, with a listed phone of (414) 395-5435. NPI 1275692030 was issued on 12/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RUSSETH 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 46 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $6K in drug spend. 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 90.5958/100 for the 2023 performance year (Quality 94.2658, Cost 67.032), compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

345 W WASHINGTON AVE STE 307
MADISON, WI 53703

Provider Details

NPI 1275692030
Specialty General Practice Physician
Credentials M.D.
Gender Female
NPI Issued 12/07/2006

CMS Quality Score (MIPS)

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

90.5958
Final Score
Avg: 83.1
94.2658
Quality
67.032
Cost
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

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

46
Total Claims
$6K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
68
Total Day Supply
1,963
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
23.8 years
Avg HCC Risk Score
0.54

General Practice Physician Overview

How KATHY RUSSETH, M.D. fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

KATHY RUSSETH, M.D.'s 46 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Wisconsin

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

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KATHY RUSSETH, M.D.'s specialty?
KATHY RUSSETH, M.D. specializes in General Practice Physician and practices in MADISON, Wisconsin. Credentials: M.D..
How much does KATHY RUSSETH, M.D. prescribe under Medicare Part D?
In 2023, KATHY RUSSETH, M.D. wrote 46 Medicare Part D claims totaling $6K in drug costs for N/A beneficiaries.
What is KATHY RUSSETH, M.D.'s Medicare quality score?
KATHY RUSSETH, M.D. has a CMS MIPS Final Score of 90.5958/100 (Quality: 94.2658, Cost: 67.032). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KATHY RUSSETH, M.D. located?
KATHY RUSSETH, M.D. is located at 345 W WASHINGTON AVE STE 307, MADISON, WI, 53703. Phone: (414) 395-5435.
What is KATHY RUSSETH, M.D.'s NPI number?
KATHY RUSSETH, M.D.'s National Provider Identifier (NPI) is 1275692030, issued on 12/07/2006.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
Does KATHY RUSSETH, M.D. accept Medicare?
KATHY RUSSETH, M.D. appears in CMS Medicare data with 46 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KATHY RUSSETH, M.D.'s credentials?
KATHY RUSSETH, M.D.'s NPI is 1275692030 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

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