2026 NPPES data Orthopaedic Surgery Physician NPI 1659330793 MD
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MICHAEL GORDON, MD

Orthopaedic Surgery Physician in MILWAUKEE, 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
194
Medicare Part D claims · 71 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
19.419/100
▼ 64 pts below national avg 83.1 · [object Object]
What the federal data reveals: MICHAEL GORDON, MD is a Orthopaedic Surgery Physician ([object Object]) practicing in MILWAUKEE, Wisconsin with a Medicare Part D prescribing footprint of 194 claims across 71 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 19.419/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MICHAEL GORDON, MD reported a CMS MIPS final score of 19.419 out of 100, below the 83.1 national average, and filed 194 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)

MICHAEL GORDON, 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).

MICHAEL GORDON, MD at a glance

Below national average

NPI registry status

Active

Issued 03/18/2006

NPI 1659330793

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

194 40% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

19.419/100 63.681% pts

Below average band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Orthopaedic Surgery Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Orthopaedic Surgery Physician share within Wisconsin

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

Medicare quality performance — MIPS

MICHAEL GORDON, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
19.419/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 19.419/100 vs national avg 83.1

0%100%National avg83%19.4%
MIPS final score (Orthopaedic Surgery Physician) — 19.419/100 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).

MICHAEL GORDON, MD is a Orthopaedic Surgery Physician provider practicing in MILWAUKEE, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1659330793. 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.

MICHAEL GORDON, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 1218 W KILBOURN AVE, MILWAUKEE, WI, 53233, with a listed phone of (414) 276-6000. NPI 1659330793 was issued on 03/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GORDON 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 194 prescription claims written by this provider, covering 71 Medicare beneficiaries and totaling roughly $9K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 28.4%. 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 19.419/100 for the 2023 performance year (Quality 0, Cost 64.73), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

1218 W KILBOURN AVE
MILWAUKEE, WI 53233

Provider Details

NPI 1659330793
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 03/18/2006

CMS Quality Score (MIPS)

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

19.419
Final Score
Avg: 83.1
0
Quality
64.73
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where MICHAEL GORDON, 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.

MILWAUKEE ORTHOPAEDIC GROUP LTD
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).

Brand vs generic prescribing mix · Generic-heavy

MICHAEL GORDON, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 194 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.

194
Total Claims
$9K
Total Drug Cost
71
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
251
Total Day Supply
4,744
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$5K
Generic Drug Cost
$4K
Opioid Claims
55 (28.4% rate)
Antibiotic Claims
21

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
0.65
Gender Split
58% female / 42% 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
Celecoxib
40
Ondansetron Odt
Ondansetron
28
Oxycodone Hcl
27
Meloxicam
21
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
14
Cephalexin
13
Tramadol Hcl
13

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

Orthopaedic Surgery Physician Overview

How MICHAEL GORDON, MD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

MICHAEL GORDON, MD's 194 claims are below the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Wisconsin

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

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

Frequently Asked Questions

What is MICHAEL GORDON, MD's specialty?
MICHAEL GORDON, MD specializes in Orthopaedic Surgery Physician and practices in MILWAUKEE, Wisconsin. Credentials: MD.
How much does MICHAEL GORDON, MD prescribe under Medicare Part D?
In 2023, MICHAEL GORDON, MD wrote 194 Medicare Part D claims totaling $9K in drug costs for 71 beneficiaries.
What is MICHAEL GORDON, MD's Medicare quality score?
MICHAEL GORDON, MD has a CMS MIPS Final Score of 19.419/100 (Quality: 0, Cost: 64.73). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL GORDON, MD located?
MICHAEL GORDON, MD is located at 1218 W KILBOURN AVE, MILWAUKEE, WI, 53233. Phone: (414) 276-6000.
What is MICHAEL GORDON, MD's NPI number?
MICHAEL GORDON, MD's National Provider Identifier (NPI) is 1659330793, issued on 03/18/2006.
Does MICHAEL GORDON, MD prescribe more brand-name or generic drugs?
MICHAEL GORDON, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $5K in brand drug costs.
Does MICHAEL GORDON, MD prescribe opioids?
Yes, MICHAEL GORDON, MD had 55 opioid claims in 2023 with an opioid prescribing rate of 28.4%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does MICHAEL GORDON, MD prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL GORDON, MD's most frequently prescribed drugs include Celecoxib, Ondansetron Odt, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL GORDON, MD accept Medicare?
MICHAEL GORDON, MD appears in CMS Medicare data with 194 Part D claims and 71 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL GORDON, MD's credentials?
MICHAEL GORDON, MD's NPI is 1659330793 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