2026 NPPES data Family Medicine Physician NPI 1285976563 M.D.
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Nicole Mubanga, M.D.

Family Medicine 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
969
Medicare Part D claims · 125 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$33.43
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Nicole Mubanga, M.D. filed 969 Medicare Part D claims in 2023 as a Family Medicine Physician in Milwaukee, Wisconsin, prescribing 84% generic.

969
Part D claims, 2023
84%
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.

Nicole Mubanga, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

969 Top 25% higher than 75% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 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)

Nicole Mubanga, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — 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 Nicole Mubanga, M.D.?

Quality data not reported

NPI registry status

Active

Issued 03/25/2013

NPI 1285976563

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

969 72% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Family Medicine 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).

Nicole Mubanga, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 3003 W GOOD HOPE RD, Milwaukee, WI, 53209, with a listed phone of (414) 352-3100. NPI 1285976563 was issued on 03/25/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Mubanga 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 969 prescription claims written by this provider, covering 125 Medicare beneficiaries and totaling roughly $119K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 15.6%. 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.

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

3003 W GOOD HOPE RD
Milwaukee, WI 53209

Provider Details

NPI 1285976563
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 03/25/2013

Hospital and facility affiliations

Facilities where Nicole Mubanga, 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.

Aurora Advanced Healthcare, Inc.
Milwaukee, WI
Outreach Community Health Centers Inc
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).

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 Nicole Mubanga, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$33

Largest payer

Astellas Pharma US Inc

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

Nicole Mubanga, M.D. — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 969 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.

969
Total Claims
$119K
Total Drug Cost
125
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,414
Total Day Supply
37,675
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$98K
Generic Drug Cost
$20K
Opioid Claims
151 (15.6% rate)
Antibiotic Claims
39

Patient Demographics

Average Patient Age
65.8 years
Avg HCC Risk Score
1.49
Gender Split
73% female / 27% male
Age Distribution
<65: 43, 65-74: 58, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Nicole Mubanga, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Oxycodone Hcl
86
Albuterol Sulfate Hfa
Albuterol Sulfate
42
Prednisone
42
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
35
Fluticasone Propionate
33
Gabapentin
33
Zolpidem Tartrate
31
Tizanidine Hcl
29
Amlodipine Besylate
28
Ibuprofen
23

* 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 Nicole Mubanga, M.D. 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

Nicole Mubanga, M.D.'s 969 claims are below 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 Mubanga.

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Wisconsin medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Nicole Mubanga, M.D.'s specialty?
Nicole Mubanga, M.D. specializes in Family Medicine Physician and practices in Milwaukee, Wisconsin. Credentials: M.D..
How much does Nicole Mubanga, M.D. prescribe under Medicare Part D?
In 2023, Nicole Mubanga, M.D. wrote 969 Medicare Part D claims totaling $119K in drug costs for 125 beneficiaries.
Where is Nicole Mubanga, M.D. located?
Nicole Mubanga, M.D. is located at 3003 W GOOD HOPE RD, Milwaukee, WI, 53209. Phone: (414) 352-3100.
What is Nicole Mubanga, M.D.'s NPI number?
Nicole Mubanga, M.D.'s National Provider Identifier (NPI) is 1285976563, issued on 03/25/2013.
Does Nicole Mubanga, M.D. prescribe more brand-name or generic drugs?
Nicole Mubanga, M.D.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $98K in brand drug costs.
Does Nicole Mubanga, M.D. prescribe opioids?
Yes, Nicole Mubanga, M.D. had 151 opioid claims in 2023 with an opioid prescribing rate of 15.6%.
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 Nicole Mubanga, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Nicole Mubanga, M.D.'s most frequently prescribed drugs include Oxycodone Hcl, Albuterol Sulfate Hfa, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nicole Mubanga, M.D. accept Medicare?
Nicole Mubanga, M.D. appears in CMS Medicare data with 969 Part D claims and 125 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicole Mubanga, M.D.'s credentials?
Nicole Mubanga, M.D.'s NPI is 1285976563 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.
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