2026 NPPES data Geriatric Medicine (Family Medicine) Physician NPI 1922493576 M.D.
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MONICA STOUT, M.D.

Geriatric Medicine (Family Medicine) Physician in HARTFORD, 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 · 236 beneficiaries · Geriatric Medicine (Family Medicine) Physician avg: 5K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.1279/100
▲ 14 pts above national avg 83.1 · [object Object]
What the federal data reveals: MONICA STOUT, M.D. is a Geriatric Medicine (Family Medicine) Physician ([object Object]) practicing in HARTFORD, Wisconsin with a Medicare Part D prescribing footprint of 4K claims across 236 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 97.1279/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MONICA STOUT, M.D. reported a CMS MIPS final score of 97.1279 out of 100, above the 83.1 national average, and filed 4,349 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)

MONICA STOUT, M.D. 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).

MONICA STOUT, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/31/2015

NPI 1922493576

Primary specialty

Geriatric Medicine (Family Medicine) Physician

Niche

1,779 US NPIs in this specialty

Medicare Part D claims

4,349 10% vs specialty avg

2023 prescription claims

Specialty avg: 4,854

MIPS final score

97.1279/100 14.027900000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Geriatric Medicine (Family Medicine) Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Geriatric Medicine (Family Medicine) Physician share within Wisconsin

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

Medicare quality performance — MIPS

MONICA STOUT, M.D.'s 2023 MIPS final score plotted against the Geriatric Medicine (Family Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
97.1279/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Geriatric Medicine (Family Medicine) Physician) — 97.1279/100 vs national avg 83.1

0%100%National avg83%97.1%
MIPS final score (Geriatric Medicine (Family Medicine) Physician) — 97.1279/100 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).

MONICA STOUT, M.D. is a Geriatric Medicine (Family Medicine) Physician provider practicing in HARTFORD, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1922493576. 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.

MONICA STOUT, M.D. appears in the CMS NPPES registry as a Geriatric Medicine (Family Medicine) Physician provider holding M.D. credentials at 1366 E SUMNER ST # 1002, HARTFORD, WI, 53027, with a listed phone of (877) 279-5960. NPI 1922493576 was issued on 03/31/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what STOUT 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 4,349 prescription claims written by this provider, covering 236 Medicare beneficiaries and totaling roughly $358K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 0.6%. 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 97.1279/100 for the 2023 performance year (Quality 85.6458), compared with the national average of 83.1.

Geriatric Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 1,779 enrolled providers across 52 states and an average of 4,854 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

1366 E SUMNER ST # 1002
HARTFORD, WI 53027

Provider Details

NPI 1922493576
Specialty Geriatric Medicine (Family Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 03/31/2015

CMS Quality Score (MIPS)

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

97.1279
Final Score
Avg: 83.1
85.6458
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MONICA STOUT, M.D. 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.

CURANA HEALTH OF WISCONSIN INC
HARTFORD, 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 · Typical

MONICA STOUT, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 4,349 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.

4,349
Total Claims
$358K
Total Drug Cost
236
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,915
Total Day Supply
225,725
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$250K
Generic Drug Cost
$107K
Opioid Claims
27 (0.6% rate)
Antibiotic Claims
79

Patient Demographics

Average Patient Age
80.8 years
Avg HCC Risk Score
2.00
Gender Split
67% female / 33% 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
Atorvastatin Calcium
247
Losartan Potassium
190
Levothyroxine Sodium
188
Amlodipine Besylate
178
Sertraline Hcl
126
Gabapentin
111
Eliquis
Apixaban
104
Rosuvastatin Calcium
99
Donepezil Hcl
96
Memantine Hcl Er
Memantine Hcl
86

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

Geriatric Medicine (Family Medicine) Physician Overview

How MONICA STOUT, M.D. fits within the Geriatric Medicine (Family Medicine) Physician landscape nationally.

1,779
Geriatric Medicine (Family Medicine) Physician Providers in US
52
States with Geriatric Medicine (Family Medicine) Physician
4,854
Avg Claims per Provider

MONICA STOUT, M.D.'s 4,349 claims are below the specialty average of 4,854.

Nearby Geriatric Medicine (Family Medicine) Physician Providers in Wisconsin

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

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

Frequently Asked Questions

What is MONICA STOUT, M.D.'s specialty?
MONICA STOUT, M.D. specializes in Geriatric Medicine (Family Medicine) Physician and practices in HARTFORD, Wisconsin. Credentials: M.D..
How much does MONICA STOUT, M.D. prescribe under Medicare Part D?
In 2023, MONICA STOUT, M.D. wrote 4,349 Medicare Part D claims totaling $358K in drug costs for 236 beneficiaries.
What is MONICA STOUT, M.D.'s Medicare quality score?
MONICA STOUT, M.D. has a CMS MIPS Final Score of 97.1279/100 (Quality: 85.6458). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MONICA STOUT, M.D. located?
MONICA STOUT, M.D. is located at 1366 E SUMNER ST # 1002, HARTFORD, WI, 53027. Phone: (877) 279-5960.
What is MONICA STOUT, M.D.'s NPI number?
MONICA STOUT, M.D.'s National Provider Identifier (NPI) is 1922493576, issued on 03/31/2015.
Does MONICA STOUT, M.D. prescribe more brand-name or generic drugs?
MONICA STOUT, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $250K in brand drug costs.
Does MONICA STOUT, M.D. prescribe opioids?
Yes, MONICA STOUT, M.D. had 27 opioid claims in 2023 with an opioid prescribing rate of 0.6%.
How many Geriatric Medicine (Family Medicine) Physician providers are there in the US?
There are 1,779 Geriatric Medicine (Family Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Family Medicine) Physician provider writes 4,854 Medicare Part D claims per year.
What drugs does MONICA STOUT, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MONICA STOUT, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MONICA STOUT, M.D. accept Medicare?
MONICA STOUT, M.D. appears in CMS Medicare data with 4,349 Part D claims and 236 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MONICA STOUT, M.D.'s credentials?
MONICA STOUT, M.D.'s NPI is 1922493576 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