2026 NPPES data Medical Toxicology (Emergency Medicine) Physician NPI 1033136031 MD
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PAUL BILSTAD, MD

Medical Toxicology (Emergency Medicine) Physician in FARGO, North Dakota. 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
217
Medicare Part D claims · 155 beneficiaries · Medical Toxicology (Emergency Medicine) Physician avg: 329
MIPS score
82.9973/100
▼ 0 pts below national avg 83.1 · [object Object]

What the federal data shows

PAUL BILSTAD, MD reported a CMS MIPS final score of 82.9973/100 — below the 83.1 national average — and filed 217 Medicare Part D claims in 2023.

82.9973/100
MIPS score · 0 vs avg
217
Part D claims, 2023
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.

PAUL BILSTAD, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

83 39th percentile higher than 39% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

PAUL BILSTAD, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 PAUL BILSTAD, MD?

Near national average

NPI registry status

Active

Issued 07/16/2006

NPI 1033136031

Primary specialty

Medical Toxicology (Emergency Medicine) Physician

Rare

226 US NPIs in this specialty

Medicare Part D claims

217 34% vs specialty avg

2023 prescription claims

Specialty avg: 329

MIPS final score

82.9973/100 0.10269999999999868% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Dakota

How Medical Toxicology (Emergency Medicine) Physician compares to other specialties among North Dakota providers

North Dakota providers

Medical Toxicology (Emergency Medicine) Physician share within North Dakota

1. Medical Toxicology (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical Toxicology (Emergency Medicine) Physician share within North Dakota

Medicare quality performance — MIPS

PAUL BILSTAD, MD's 2023 MIPS final score plotted against the Medical Toxicology (Emergency Medicine) Physician national average

Near national average
MIPS Final Score
82.9973/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Toxicology (Emergency Medicine) Physician) — 82.9973/100 vs national avg 83.1

0%100%National avg83%83%
MIPS final score (Medical Toxicology (Emergency Medicine) Physician) — 82.9973/100 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).

PAUL BILSTAD, MD appears in the CMS NPPES registry as a Medical Toxicology (Emergency Medicine) Physician provider holding MD credentials at 801 BROADWAY N, FARGO, ND, 58102, with a listed phone of (701) 234-5121. NPI 1033136031 was issued on 07/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BILSTAD 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 217 prescription claims written by this provider, covering 155 Medicare beneficiaries and totaling roughly $7K in drug spend, with an opioid prescribing rate of 24.9%. 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 82.9973/100 for the 2023 performance year (Quality 87.0681, Cost 57.0897), compared with the national average of 83.1.

Medical Toxicology (Emergency Medicine) Physician is a narrow specialty nationwide, with 226 enrolled providers across 39 states and an average of 329 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

801 BROADWAY N
FARGO, ND 58102

Provider Details

NPI 1033136031
Specialty Medical Toxicology (Emergency Medicine) Physician
Credentials MD
Gender Male
NPI Issued 07/16/2006

CMS Quality Score (MIPS)

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

82.9973
Final Score
Avg: 83.1
87.0681
Quality
57.0897
Cost
99
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

217
Total Claims
$7K
Total Drug Cost
155
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
226
Total Day Supply
1,773
Generic Drug Cost
$2K
Opioid Claims
54 (24.9% rate)
Antibiotic Claims
66

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
1.71
Gender Split
57% female / 43% male
Age Distribution
<65: 40, 65-74: 53, 75-84: 40, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

What PAUL BILSTAD, MD 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
41
Cephalexin
20
Methylprednisolone
12

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

Medical Toxicology (Emergency Medicine) Physician Overview

How PAUL BILSTAD, MD fits within the Medical Toxicology (Emergency Medicine) Physician landscape nationally.

226
Medical Toxicology (Emergency Medicine) Physician Providers in US
39
States with Medical Toxicology (Emergency Medicine) Physician
329
Avg Claims per Provider

PAUL BILSTAD, MD's 217 claims are below the specialty average of 329.

Nearby Medical Toxicology (Emergency Medicine) Physician Providers in North Dakota

Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as BILSTAD.

Compare Medical Toxicology (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL BILSTAD, MD's specialty?
PAUL BILSTAD, MD specializes in Medical Toxicology (Emergency Medicine) Physician and practices in FARGO, North Dakota. Credentials: MD.
How much does PAUL BILSTAD, MD prescribe under Medicare Part D?
In 2023, PAUL BILSTAD, MD wrote 217 Medicare Part D claims totaling $7K in drug costs for 155 beneficiaries.
What is PAUL BILSTAD, MD's Medicare quality score?
PAUL BILSTAD, MD has a CMS MIPS Final Score of 82.9973/100 (Quality: 87.0681, Cost: 57.0897). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL BILSTAD, MD located?
PAUL BILSTAD, MD is located at 801 BROADWAY N, FARGO, ND, 58102. Phone: (701) 234-5121.
What is PAUL BILSTAD, MD's NPI number?
PAUL BILSTAD, MD's National Provider Identifier (NPI) is 1033136031, issued on 07/16/2006.
Does PAUL BILSTAD, MD prescribe opioids?
Yes, PAUL BILSTAD, MD had 54 opioid claims in 2023 with an opioid prescribing rate of 24.9%.
How many Medical Toxicology (Emergency Medicine) Physician providers are there in the US?
There are 226 Medical Toxicology (Emergency Medicine) Physician providers across 39 states in the US. The average Medical Toxicology (Emergency Medicine) Physician provider writes 329 Medicare Part D claims per year.
What drugs does PAUL BILSTAD, MD prescribe most often?
Based on 2023 Medicare Part D data, PAUL BILSTAD, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Cephalexin, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL BILSTAD, MD accept Medicare?
PAUL BILSTAD, MD appears in CMS Medicare data with 217 Part D claims and 155 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL BILSTAD, MD's credentials?
PAUL BILSTAD, MD's NPI is 1033136031 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