NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1346201795 MD
Verify on CMS → Patrick Pfau, MD
Gastroenterology Physician in Madison, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 17,061 in Gastroenterology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
806
Medicare Part D claims · 216 beneficiaries · Gastroenterology Physician avg: 848
Generic prescribing
74%
generic claims · 26% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Patrick Pfau, MD filed 806 Medicare Part D claims in 2024 as a Gastroenterology Physician in Madison, Wisconsin, prescribing 74% generic.
- 806
- Part D claims, 2024
- 74%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥72nd
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Patrick Pfau, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1346201795), first enumerated 03/28/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 806 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1346201795 · Gastroenterology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1346201795
- ENUM-LEGACY 2006
- TAX-MID 17K Gastroenterology Physician
- RX-LIGHT 806
- BOOK-THIN 271 in Wisconsin
- PHOTO-ENUM Darren Schwartz · 2006
Patrick Pfau, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
806 ≥ 72nd percentile 72% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Patrick Pfau, 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 Patrick Pfau, MD?
Quality data not reportedPrimary specialty
Gastroenterology Physician
Medicare Part D claims
806 5% vs specialty avg
Specialty distribution in Wisconsin
How Gastroenterology Physician compares to other specialties among Wisconsin providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Gastroenterology Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1346201795 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/28/2006 |
Hospital and facility affiliations
Facilities where Patrick Pfau, 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.
University OF Wisconsin Medical Foundation Inc
Stoughton, 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 · Above average
Patrick Pfau, MD - brand share 26.0%
Gastroenterology Physician average
26% brand-name claims vs 74% generic, on 806 2024 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 2024.
806
Total Claims
$490K
Total Drug Cost
216
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,335.2
- Total Day Supply
- 35,572
- Brand vs Generic
- 26% brand / 74% generic
- Brand Drug Cost
- $459K
- Generic Drug Cost
- $31K
- Opioid Claims
- 37 (4.6% rate)
- Antibiotic Claims
- 44
Patient Demographics
- Average Patient Age
- 69.7 years
- Avg HCC Risk Score
- 1.85
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 46, 65-74: 97, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Patrick Pfau, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Creon
Creon
85 claims
- Pantoprazole Sodium
Pantoprazole Sodium
77 claims
- Omeprazole
Omeprazole
75 claims
- Famotidine
Famotidine
68 claims
- Zenpep
Zenpep
39 claims
- Nortriptyline Hcl
Nortriptyline Hcl
37 claims
- Gavilyte-C
Gavilyte-C
35 claims
- Ursodiol 32
Ursodiol
32 claims
| Drug | Claims |
|---|---|
| Creon Lipase/Protease/Amylase | 85 |
| Pantoprazole Sodium | 77 |
| Omeprazole | 75 |
| Famotidine | 68 |
| Zenpep Lipase/Protease/Amylase | 39 |
| Nortriptyline Hcl | 37 |
| Gavilyte-C Peg3350/Sod Sulf,bicarb,cl/Kcl | 35 |
| Ursodiol | 32 |
| Diphenoxylate-Atropine Diphenoxylate Hcl/Atropine | 24 |
| Trulance Plecanatide | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Patrick Pfau, MD fits within the Gastroenterology Physician landscape nationally.
17,061
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
848
Avg Claims per Provider
Patrick Pfau, MD's 806 claims are below the specialty average of 848.
Nationwide Gastroenterology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Pfau, both outside Wisconsin so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Gastroenterology Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Pfau.
One of 271 Gastroenterology Physician providers enrolled in Wisconsin, 5 are shown here.
Dr. Frank Aberger
MD
La Crosse, WI
Dr. Mohammad Abuassi
M.D.
Milwaukee, WI
Dr. Aboud Affi
M.D.
Milwaukee, WI
Dr. Parul Agarwal
M.D.
Madison, WI
Dr. Dilpesh Agrawal
M.D, MRCP
Milwaukee, WI
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Patrick Pfau, MD's specialty? ▼
Patrick Pfau, MD specializes in Gastroenterology Physician and practices in Madison, Wisconsin. Credentials: MD.
How much does Patrick Pfau, MD prescribe under Medicare Part D? ▼
In 2024, Patrick Pfau, MD wrote 806 Medicare Part D claims totaling $490K in drug costs for 216 beneficiaries.
Where is Patrick Pfau, MD located? ▼
Patrick Pfau, MD is located at 600 HIGHLAND AVE, Madison, WI, 53792. Phone: (608) 263-8094.
What is Patrick Pfau, MD's NPI number? ▼
Patrick Pfau, MD's National Provider Identifier (NPI) is 1346201795, issued on 03/28/2006.
Does Patrick Pfau, MD prescribe more brand-name or generic drugs? ▼
Patrick Pfau, MD's prescribing is 26% brand-name and 74% generic drugs by claim count, with $459K in brand drug costs.
Does Patrick Pfau, MD prescribe opioids? ▼
Yes, Patrick Pfau, MD had 37 opioid claims in 2024 with an opioid prescribing rate of 4.6%.
How many Gastroenterology Physician providers are there in the US? ▼
There are 17,061 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 848 Medicare Part D claims per year.
What drugs does Patrick Pfau, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Patrick Pfau, MD's most frequently prescribed drugs include Creon, Pantoprazole Sodium, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Patrick Pfau, MD accept Medicare? ▼
Patrick Pfau, MD appears in CMS Medicare data with 806 Part D claims and 216 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Patrick Pfau, MD's credentials? ▼
Patrick Pfau, MD's NPI is 1346201795 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.