NPI registry status
Active
2026 NPPES data General Practice Physician NPI 1801466735 MD
Verify on CMS → Riley Burgon, MD
General Practice Physician in Milwaukee, 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 16,725 in General Practice 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
33
Medicare Part D claims · 20 beneficiaries · General Practice Physician avg: 3K
MIPS score
87.4/100
▲ 4 pts above national avg 83.1 · Above neutral
Industry payments
$340.4
4 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Riley Burgon, MD reported a CMS MIPS final score of 87.4/100 - above the 83.1 national average - and filed 33 Medicare Part D claims in 2023.
- 87.4/100
- MIPS score · +4 vs avg
- 33
- 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.
Riley Burgon, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
87 Top 46% higher than 54% of 477,587 scored providers
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
Where Riley Burgon, MD sits
This provider among general practice physician peers
Across the 783 general practice physician providers who report both Medicare Part D prescribing and a MIPS quality score, Riley Burgon, MD writes more Part D claims than 7% of them and scores higher on MIPS quality than 61% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one general practice physician peer from a representative sample of 60; the gold marker is Riley Burgon, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Riley Burgon, 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 Riley Burgon, MD?
High performer (top quartile)Primary specialty
General Practice Physician
Medicare Part D claims
33 99% vs specialty avg
MIPS final score
87.4/100 4.3 pts vs avg
Specialty distribution in Wisconsin
How General Practice Physician compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
Riley Burgon, MD's 2023 MIPS final score plotted against the General Practice Physician national average
- MIPS Final Score
- 87.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (General Practice Physician) - 87.4/100 vs national avg 83.1
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).
Riley Burgon, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 1924 N PROSPECT AVE UNIT 8, Milwaukee, WI, 53202, with a listed phone of (806) 382-0737. NPI 1801466735 was issued on 07/01/2021.
Medicare Part D records for calendar year 2023 show 33 prescription claims written by this provider, covering 20 Medicare beneficiaries and totaling roughly $3K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.4/100 for the 2023 performance year (Quality 86.6, Cost 38), compared with the national average of 83.1.
General Practice Physician is a mid-sized specialty nationwide, with 16,725 enrolled providers across 56 states and an average of 2,872 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
Provider Details
| NPI | 1801466735 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/01/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
87.3707
Final Score
Avg: 83.1
86.555
Quality
38.014
Cost
100
Promoting Interoperability
Reporting: Group practice
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 Riley Burgon, MD. Source: openpaymentsdata.cms.gov.
Total received
$340
Largest payer
Solventum Corporation
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
33
Total Claims
$3K
Total Drug Cost
20
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 36
- Total Day Supply
- 666
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 75.3 years
- Avg HCC Risk Score
- 1.92
General Practice Physician Overview
How Riley Burgon, MD fits within the General Practice Physician landscape nationally.
16,725
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider
Riley Burgon, MD's 33 claims are below the specialty average of 2,872.
Nearby General Practice Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Burgon.
Dr. Amin Afrazi
MD,PH.D
Madison, WI
Dr. Jerico Alvaran
M.D.
Milwaukee, WI
Dr. Joshua Arehart
MD
Milwaukee, WI
Dr. Sanjay Asthana
MD
Madison, WI
Dr. Sabrina Azavedo
MD
Elkhorn, WI
Compare General Practice 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 General Practice 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.
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Frequently Asked Questions
What is Riley Burgon, MD's specialty? ▼
Riley Burgon, MD specializes in General Practice Physician and practices in Milwaukee, Wisconsin. Credentials: MD.
How much does Riley Burgon, MD prescribe under Medicare Part D? ▼
In 2023, Riley Burgon, MD wrote 33 Medicare Part D claims totaling $3K in drug costs for 20 beneficiaries.
What is Riley Burgon, MD's Medicare quality score? ▼
Riley Burgon, MD has a CMS MIPS Final Score of 87.4/100 (Quality: 86.6, Cost: 38). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Riley Burgon, MD located? ▼
Riley Burgon, MD is located at 1924 N PROSPECT AVE UNIT 8, Milwaukee, WI, 53202. Phone: (806) 382-0737.
What is Riley Burgon, MD's NPI number? ▼
Riley Burgon, MD's National Provider Identifier (NPI) is 1801466735, issued on 07/01/2021.
How many General Practice Physician providers are there in the US? ▼
There are 16,725 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
Does Riley Burgon, MD accept Medicare? ▼
Riley Burgon, MD appears in CMS Medicare data with 33 Part D claims and 20 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Riley Burgon, MD's credentials? ▼
Riley Burgon, MD's NPI is 1801466735 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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.