2026 NPPES data Pediatrics Physician NPI 1619902111 MD
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MARK GOELZER, MD

Pediatrics Physician in JANESVILLE, 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
370
Medicare Part D claims · 258 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
5%
generic claims · 95% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

MARK GOELZER, MD filed 370 Medicare Part D claims in 2023 as a Pediatrics Physician in JANESVILLE, Wisconsin, prescribing 5% generic.

370
Part D claims, 2023
5%
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.

MARK GOELZER, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

370 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

MARK GOELZER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 MARK GOELZER, MD?

Quality data not reported

NPI registry status

Active

Issued 07/12/2006

NPI 1619902111

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

370 51% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Wisconsin

How Pediatrics Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Pediatrics Physician share within Wisconsin

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

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatrics Physician ABMS/AOA estimate

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

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).

MARK GOELZER, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 3524 E MILWAUKEE ST, JANESVILLE, WI, 53546, with a listed phone of (608) 756-7100. NPI 1619902111 was issued on 07/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOELZER 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 370 prescription claims written by this provider, covering 258 Medicare beneficiaries and totaling roughly $78K in drug spend, split 95% brand-name and 5% 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

3524 E MILWAUKEE ST
JANESVILLE, WI 53546

Provider Details

NPI 1619902111
Specialty Pediatrics Physician
Credentials MD
Gender Male
NPI Issued 07/12/2006

Hospital and facility affiliations

Facilities where MARK GOELZER, 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.

MERCY HEALTH SYSTEM CORPORATION
JANESVILLE, 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).

Brand vs generic prescribing mix · Brand-heavy

MARK GOELZER, MD — brand share 95.0%
Specialty average (est.)

95% brand-name claims vs 5% generic, on 370 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.

370
Total Claims
$78K
Total Drug Cost
258
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
400
Total Day Supply
1,954
Brand vs Generic
95% brand / 5% generic
Brand Drug Cost
$77K

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.24
Gender Split
52% female / 48% male
Age Distribution
<65: 12, 65-74: 123, 75-84: 99, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Shingrix
Varicella-Zoster Ge/As01b/Pf
209
Arexvy
Rsvpref3 Antigen/As01e/Pf
104

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

Pediatrics Physician Overview

How MARK GOELZER, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

MARK GOELZER, MD's 370 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Wisconsin

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

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK GOELZER, MD's specialty?
MARK GOELZER, MD specializes in Pediatrics Physician and practices in JANESVILLE, Wisconsin. Credentials: MD.
How much does MARK GOELZER, MD prescribe under Medicare Part D?
In 2023, MARK GOELZER, MD wrote 370 Medicare Part D claims totaling $78K in drug costs for 258 beneficiaries.
Where is MARK GOELZER, MD located?
MARK GOELZER, MD is located at 3524 E MILWAUKEE ST, JANESVILLE, WI, 53546. Phone: (608) 756-7100.
What is MARK GOELZER, MD's NPI number?
MARK GOELZER, MD's National Provider Identifier (NPI) is 1619902111, issued on 07/12/2006.
Does MARK GOELZER, MD prescribe more brand-name or generic drugs?
MARK GOELZER, MD's prescribing is 95% brand-name and 5% generic drugs by claim count, with $77K in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does MARK GOELZER, MD prescribe most often?
Based on 2023 Medicare Part D data, MARK GOELZER, MD's most frequently prescribed drugs include Shingrix, Arexvy. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK GOELZER, MD accept Medicare?
MARK GOELZER, MD appears in CMS Medicare data with 370 Part D claims and 258 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK GOELZER, MD's credentials?
MARK GOELZER, MD's NPI is 1619902111 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.
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