2026 NPPES data Family Medicine Physician NPI 1558523258 MD
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KELLY BADGER, MD

Family Medicine Physician in OSHKOSH, 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
4K
Medicare Part D claims · 410 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.8552/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$74.32
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KELLY BADGER, MD is a Family Medicine Physician ([object Object]) practicing in OSHKOSH, Wisconsin with a Medicare Part D prescribing footprint of 4K claims across 410 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 78.8552/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $74.32 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KELLY BADGER, MD reported a CMS MIPS final score of 78.8552 out of 100, below the 83.1 national average, and filed 4,168 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)

KELLY BADGER, 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).

KELLY BADGER, MD at a glance

Near national average

NPI registry status

Active

Issued 06/25/2008

NPI 1558523258

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

4,168 22% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

78.8552/100 4.244799999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Family Medicine Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Family Medicine Physician share within Wisconsin

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

Medicare quality performance — MIPS

KELLY BADGER, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
78.8552/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 78.8552/100 vs national avg 83.1

0%100%National avg83%78.9%
MIPS final score (Family Medicine Physician) — 78.8552/100 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).

KELLY BADGER, MD is a Family Medicine Physician provider practicing in OSHKOSH, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1558523258. 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.

KELLY BADGER, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 2725 JACKSON ST, OSHKOSH, WI, 54901, with a listed phone of (920) 223-7500. NPI 1558523258 was issued on 06/25/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BADGER 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 4,168 prescription claims written by this provider, covering 410 Medicare beneficiaries and totaling roughly $305K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 3.3%. 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 78.8552/100 for the 2023 performance year (Quality 66.6851, Cost 54.8733), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

2725 JACKSON ST
OSHKOSH, WI 54901

Provider Details

NPI 1558523258
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 06/25/2008

CMS Quality Score (MIPS)

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

78.8552
Final Score
Avg: 83.1
66.6851
Quality
54.8733
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KELLY BADGER, 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.

MCHS HOSPITALS INC
MARSHFIELD, 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 KELLY BADGER, MD. Source: openpaymentsdata.cms.gov.

Total received

$74

Largest payer

Exact Sciences 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

KELLY BADGER, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 4,168 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.

4,168
Total Claims
$305K
Total Drug Cost
410
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,059
Total Day Supply
294,330
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$230K
Generic Drug Cost
$74K
Opioid Claims
137 (3.3% rate)
Antibiotic Claims
59

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.14
Gender Split
63% female / 37% male
Age Distribution
<65: 47, 65-74: 208, 75-84: 111, 85+: 44

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
218
Levothyroxine Sodium
216
Lisinopril
194
Omeprazole
153
Losartan Potassium
134
Amlodipine Besylate
112
Hydrochlorothiazide
111
Rosuvastatin Calcium
99
Metoprolol Succinate
96
Metformin Hcl Er
Metformin Hcl
88

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

Family Medicine Physician Overview

How KELLY BADGER, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

KELLY BADGER, MD's 4,168 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Wisconsin

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KELLY BADGER, MD's specialty?
KELLY BADGER, MD specializes in Family Medicine Physician and practices in OSHKOSH, Wisconsin. Credentials: MD.
How much does KELLY BADGER, MD prescribe under Medicare Part D?
In 2023, KELLY BADGER, MD wrote 4,168 Medicare Part D claims totaling $305K in drug costs for 410 beneficiaries.
What is KELLY BADGER, MD's Medicare quality score?
KELLY BADGER, MD has a CMS MIPS Final Score of 78.8552/100 (Quality: 66.6851, Cost: 54.8733). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KELLY BADGER, MD located?
KELLY BADGER, MD is located at 2725 JACKSON ST, OSHKOSH, WI, 54901. Phone: (920) 223-7500.
What is KELLY BADGER, MD's NPI number?
KELLY BADGER, MD's National Provider Identifier (NPI) is 1558523258, issued on 06/25/2008.
Does KELLY BADGER, MD prescribe more brand-name or generic drugs?
KELLY BADGER, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $230K in brand drug costs.
Does KELLY BADGER, MD prescribe opioids?
Yes, KELLY BADGER, MD had 137 opioid claims in 2023 with an opioid prescribing rate of 3.3%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does KELLY BADGER, MD prescribe most often?
Based on 2023 Medicare Part D data, KELLY BADGER, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KELLY BADGER, MD accept Medicare?
KELLY BADGER, MD appears in CMS Medicare data with 4,168 Part D claims and 410 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KELLY BADGER, MD's credentials?
KELLY BADGER, MD's NPI is 1558523258 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