2026 NPPES data Family Medicine Physician NPI 1548246242 D.O.
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Scott Paxton, D.O.

Family Medicine Physician in Sheboygan Falls, Wisconsin. 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
1K
Medicare Part D claims · 216 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$378.33
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Scott Paxton, D.O. filed 1,065 Medicare Part D claims in 2023 as a Family Medicine Physician in Sheboygan Falls, Wisconsin, prescribing 88% generic.

1K
Part D claims, 2023
88%
generic prescribing
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.

Scott Paxton, D.O.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,065 Top 24% higher than 76% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

Scott Paxton, D.O. 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 Scott Paxton, D.O.?

Quality data not reported

NPI registry status

Active

Issued 12/15/2005

NPI 1548246242

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

1,065 69% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Wisconsin

How Family Medicine Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Family Medicine Physician share within Wisconsin

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

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).

Scott Paxton, D.O. appears in the CMS NPPES registry as a Family Medicine Physician provider holding D.O. credentials at W2850 STATE ROAD 28, Sheboygan Falls, WI, 53085, with a listed phone of (920) 467-1800. NPI 1548246242 was issued on 12/15/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Paxton 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 1,065 prescription claims written by this provider, covering 216 Medicare beneficiaries and totaling roughly $37K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 5.2%. 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

W2850 STATE ROAD 28
Sheboygan Falls, WI 53085

Provider Details

NPI 1548246242
Specialty Family Medicine Physician
Credentials D.O.
Gender Male
NPI Issued 12/15/2005

Hospital and facility affiliations

Facilities where Scott Paxton, D.O. 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.

Sharon S Richardson Hospice Home Inc
Sheboygan Falls, 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).

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 Scott Paxton, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$378

Largest payer

Stryker 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.

Brand vs generic prescribing mix · Typical

Scott Paxton, D.O. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 1,065 2023 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 2023.

1,065
Total Claims
$37K
Total Drug Cost
216
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,130
Total Day Supply
24,368
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$20K
Generic Drug Cost
$17K
Opioid Claims
55 (5.2% rate)
Antibiotic Claims
59

Patient Demographics

Average Patient Age
82.4 years
Avg HCC Risk Score
2.68
Gender Split
61% female / 39% male
Age Distribution
<65: 18, 65-74: 26, 75-84: 75, 85+: 97

Top Prescribed Drugs (Medicare Part D)

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

What Scott Paxton, D.O. 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
Escitalopram Oxalate
46
Furosemide
42
Gabapentin
39
Sertraline Hcl
39
Levothyroxine Sodium
38
Warfarin Sodium
36
Prednisone
34
Trazodone Hcl
34
Lorazepam
29
Morphine Sulfate
27

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

Family Medicine Physician Overview

How Scott Paxton, D.O. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Scott Paxton, D.O.'s 1,065 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Wisconsin

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

Compare Family Medicine 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 Family Medicine 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.

Frequently Asked Questions

What is Scott Paxton, D.O.'s specialty?
Scott Paxton, D.O. specializes in Family Medicine Physician and practices in Sheboygan Falls, Wisconsin. Credentials: D.O..
How much does Scott Paxton, D.O. prescribe under Medicare Part D?
In 2023, Scott Paxton, D.O. wrote 1,065 Medicare Part D claims totaling $37K in drug costs for 216 beneficiaries.
Where is Scott Paxton, D.O. located?
Scott Paxton, D.O. is located at W2850 STATE ROAD 28, Sheboygan Falls, WI, 53085. Phone: (920) 467-1800.
What is Scott Paxton, D.O.'s NPI number?
Scott Paxton, D.O.'s National Provider Identifier (NPI) is 1548246242, issued on 12/15/2005.
Does Scott Paxton, D.O. prescribe more brand-name or generic drugs?
Scott Paxton, D.O.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $20K in brand drug costs.
Does Scott Paxton, D.O. prescribe opioids?
Yes, Scott Paxton, D.O. had 55 opioid claims in 2023 with an opioid prescribing rate of 5.2%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Scott Paxton, D.O. prescribe most often?
Based on 2023 Medicare Part D data, Scott Paxton, D.O.'s most frequently prescribed drugs include Escitalopram Oxalate, Furosemide, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Scott Paxton, D.O. accept Medicare?
Scott Paxton, D.O. appears in CMS Medicare data with 1,065 Part D claims and 216 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Scott Paxton, D.O.'s credentials?
Scott Paxton, D.O.'s NPI is 1548246242 with credentials D.O.. 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.
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