Paul Henry Sumnicht, M.D.
Family Medicine Physician · Waupun, WI
Paul Henry Sumnicht, M.D. is a family medicine physician with a practice address in Waupun, Wisconsin, and NPI 1639214752, issued on Feb 20, 2007. Check the license (Wisconsin 25454, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Paul Henry Sumnicht
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 25454 WI
Self-reported in NPPES; status is on the state search - Practice location
- 1 W Lincoln St, Waupun, WI 53963
- Phone
- (920) 324-7259
- Enumerated
- Feb 20, 2007
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (920) 324-7254
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 3,765 in Wisconsin → Look up another NPI →
Also registered at 1 W Lincoln St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Tai Chan, O.D.Corneal and Contact Management Optometrist1508908872
- Jodi Fields, APNP-CFamily Nurse Practitioner1942653811
Verify Paul Henry Sumnicht in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 25454Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
97% fewer Medicare Part D claims than the average family medicine physician in 2024
122 Medicare Part D claims for 21 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D.
Most prescribed
- Lisinopril14 claims
- Metoprolol Succinate12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 93.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Paul Henry Sumnicht among 3,765 family medicine physician records in Wisconsin
Paul Henry Sumnicht, M.D. is one of 3,765 family medicine physician records with a practice address in Wisconsin. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 54% of them.
- NPI issued2007 · 54% of these records are older, 41% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileNo · 62% of these records are
- Record last updated2007 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 family medicine physician records list a practice address in Waupun
They are 13 of the 131 NPPES records with a practice address in Waupun, and 3,765 family medicine physician records in Wisconsin.
All 3,765 in Wisconsin → Every provider in Waupun → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Ahmed Dessouki, M.D.Waupun, WI 539631942424403
- Scott Hoftiezer, MDWaupun, WI 539631841344272
- Michael Jones, DOWaupun, WI 539631568533966
- Roman Kaplan, MDWaupun, WI 539631134254725
- Richard McMahon, DOWaupun, WI 539631437100807
- Robert Nagle, DOWaupun, WI 539631770565988
- Bre Anna Nagle, MDWaupun, WI 539631891112793
- Robert Newton, DOWaupun, WI 539631487636692
Common questions
What is Paul Henry Sumnicht, M.D.'s NPI number?
Paul Henry Sumnicht, M.D.'s National Provider Identifier (NPI) is 1639214752, issued on Feb 20, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Paul Henry Sumnicht, M.D. located?
The NPPES record lists a practice address at 1 W Lincoln St, Waupun, WI, 53963. Phone: (920) 324-7259. Providers update this record themselves, so call before visiting.
How can I verify Paul Henry Sumnicht, M.D.'s license?
NPPES lists Wisconsin license number 25454, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Paul Henry Sumnicht, M.D. prescribe under Medicare Part D?
In 2024, Paul Henry Sumnicht, M.D. had 122 Medicare Part D claims for 21 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Paul Henry Sumnicht, M.D.'s MIPS final score?
The 2023 MIPS final score is 93.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.