2026 NPPES data Orthopaedic Hand Surgery Physician NPI 1356344261 M.D.
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PHILIP DEFFER, M.D.

Orthopaedic Hand Surgery Physician in SPENCER, Iowa. 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
69
Medicare Part D claims · 37 beneficiaries · Orthopaedic Hand Surgery Physician avg: 180
MIPS score
84.5367/100
▲ 1 pts above national avg 83.1 · [object Object]
What the federal data reveals: PHILIP DEFFER, M.D. is a Orthopaedic Hand Surgery Physician ([object Object]) practicing in SPENCER, Iowa with a Medicare Part D prescribing footprint of 69 claims across 37 beneficiaries . Their CMS MIPS Final Score of 84.5367/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: PHILIP DEFFER, M.D. reported a CMS MIPS final score of 84.5367 out of 100, above the 83.1 national average, and filed 69 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)

PHILIP DEFFER, M.D. 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).

PHILIP DEFFER, M.D. at a glance

Near national average

NPI registry status

Active

Issued 05/24/2005

NPI 1356344261

Primary specialty

Orthopaedic Hand Surgery Physician

Niche

1,962 US NPIs in this specialty

Medicare Part D claims

69 62% vs specialty avg

2023 prescription claims

Specialty avg: 180

MIPS final score

84.5367/100 1.4367000000000019% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Iowa

How Orthopaedic Hand Surgery Physician compares to other specialties among Iowa providers

Iowa providers

Orthopaedic Hand Surgery Physician share within Iowa

1. Orthopaedic Hand Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Hand Surgery Physician share within Iowa

Medicare quality performance — MIPS

PHILIP DEFFER, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Hand Surgery Physician national average

Near national average
MIPS Final Score
84.5367/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Hand Surgery Physician) — 84.5367/100 vs national avg 83.1

0%100%National avg83%84.5%
MIPS final score (Orthopaedic Hand Surgery Physician) — 84.5367/100 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).

PHILIP DEFFER, M.D. is a Orthopaedic Hand Surgery Physician provider practicing in SPENCER, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1356344261. 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.

PHILIP DEFFER, M.D. appears in the CMS NPPES registry as a Orthopaedic Hand Surgery Physician provider holding M.D. credentials at 1200 1ST AVE E, SPENCER, IA, 51301, with a listed phone of (712) 262-7511. NPI 1356344261 was issued on 05/24/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DEFFER 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 69 prescription claims written by this provider, covering 37 Medicare beneficiaries and totaling roughly $284 in drug spend, with an opioid prescribing rate of 65.2%. 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 84.5367/100 for the 2023 performance year (Quality 92.3652, Cost 61.0904), compared with the national average of 83.1.

Orthopaedic Hand Surgery Physician is a narrow specialty nationwide, with 1,962 enrolled providers across 52 states and an average of 180 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

1200 1ST AVE E
SPENCER, IA 51301

Provider Details

NPI 1356344261
Specialty Orthopaedic Hand Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 05/24/2005

CMS Quality Score (MIPS)

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

84.5367
Final Score
Avg: 83.1
92.3652
Quality
61.0904
Cost
94
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

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

69
Total Claims
$284
Total Drug Cost
37
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
75
Total Day Supply
1,050
Brand Drug Cost
$0
Generic Drug Cost
$284
Opioid Claims
45 (65.2% rate)

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
0.67
Gender Split
57% female / 43% 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
Tramadol Hcl
36
Meloxicam
21

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

Orthopaedic Hand Surgery Physician Overview

How PHILIP DEFFER, M.D. fits within the Orthopaedic Hand Surgery Physician landscape nationally.

1,962
Orthopaedic Hand Surgery Physician Providers in US
52
States with Orthopaedic Hand Surgery Physician
180
Avg Claims per Provider

PHILIP DEFFER, M.D.'s 69 claims are below the specialty average of 180.

Nearby Orthopaedic Hand Surgery Physician Providers in Iowa

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

Compare Orthopaedic Hand Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PHILIP DEFFER, M.D.'s specialty?
PHILIP DEFFER, M.D. specializes in Orthopaedic Hand Surgery Physician and practices in SPENCER, Iowa. Credentials: M.D..
How much does PHILIP DEFFER, M.D. prescribe under Medicare Part D?
In 2023, PHILIP DEFFER, M.D. wrote 69 Medicare Part D claims totaling $284 in drug costs for 37 beneficiaries.
What is PHILIP DEFFER, M.D.'s Medicare quality score?
PHILIP DEFFER, M.D. has a CMS MIPS Final Score of 84.5367/100 (Quality: 92.3652, Cost: 61.0904). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PHILIP DEFFER, M.D. located?
PHILIP DEFFER, M.D. is located at 1200 1ST AVE E, SPENCER, IA, 51301. Phone: (712) 262-7511.
What is PHILIP DEFFER, M.D.'s NPI number?
PHILIP DEFFER, M.D.'s National Provider Identifier (NPI) is 1356344261, issued on 05/24/2005.
Does PHILIP DEFFER, M.D. prescribe opioids?
Yes, PHILIP DEFFER, M.D. had 45 opioid claims in 2023 with an opioid prescribing rate of 65.2%.
How many Orthopaedic Hand Surgery Physician providers are there in the US?
There are 1,962 Orthopaedic Hand Surgery Physician providers across 52 states in the US. The average Orthopaedic Hand Surgery Physician provider writes 180 Medicare Part D claims per year.
What drugs does PHILIP DEFFER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PHILIP DEFFER, M.D.'s most frequently prescribed drugs include Tramadol Hcl, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PHILIP DEFFER, M.D. accept Medicare?
PHILIP DEFFER, M.D. appears in CMS Medicare data with 69 Part D claims and 37 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PHILIP DEFFER, M.D.'s credentials?
PHILIP DEFFER, M.D.'s NPI is 1356344261 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