2026 NPPES data Specialist NPI 1275694648 MD
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TERRENCE TUOMINEN, MD

Specialist in ASHLAND, 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
621
Medicare Part D claims · 217 beneficiaries · Specialist avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.6808/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

TERRENCE TUOMINEN, MD reported a CMS MIPS final score of 89.6808/100 — above the 83.1 national average — and filed 621 Medicare Part D claims in 2023.

89.6808/100
MIPS score · +7 vs avg
621
Part D claims, 2023
95%
generic prescribing

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.

TERRENCE TUOMINEN, MD's MIPS score vs every scored U.S. clinician

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

90 Top 42% higher than 58% 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

What does the federal data show about TERRENCE TUOMINEN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 12/12/2006

NPI 1275694648

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

621 58% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

89.6808/100 6.580800000000011% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Specialist compares to other specialties among Wisconsin providers

Wisconsin providers

Specialist share within Wisconsin

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Wisconsin

Medicare quality performance — MIPS

TERRENCE TUOMINEN, MD's 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
89.6808/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 89.6808/100 vs national avg 83.1

0%100%National avg83%89.7%
MIPS final score (Specialist) — 89.6808/100 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).

TERRENCE TUOMINEN, MD is a Specialist provider practicing in ASHLAND, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1275694648. 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.

TERRENCE TUOMINEN, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 1615 MAPLE LN, ASHLAND, WI, 54806, with a listed phone of (715) 685-6010. NPI 1275694648 was issued on 12/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TUOMINEN 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 621 prescription claims written by this provider, covering 217 Medicare beneficiaries and totaling roughly $84K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 3.7%. 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 89.6808/100 for the 2023 performance year (Quality 81.2378), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

1615 MAPLE LN
ASHLAND, WI 54806

Provider Details

NPI 1275694648
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 12/12/2006

CMS Quality Score (MIPS)

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

89.6808
Final Score
Avg: 83.1
81.2378
Quality
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Generic-heavy

TERRENCE TUOMINEN, MD — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 621 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.

621
Total Claims
$84K
Total Drug Cost
217
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
750
Total Day Supply
16,133
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$72K
Generic Drug Cost
$12K
Opioid Claims
23 (3.7% rate)
Antibiotic Claims
125

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.03
Gender Split
51% female / 49% male
Age Distribution
<65: 30, 65-74: 98, 75-84: 62, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Fluticasone Propionate
99
Prednisone
59
Omeprazole
38
Cephalexin
35
Ipratropium Bromide
31
Azelastine Hcl
29
Cefdinir
26
Montelukast Sodium
26
Levofloxacin
21
Dupixent Pen
Dupilumab
19

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

Specialist Overview

How TERRENCE TUOMINEN, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

TERRENCE TUOMINEN, MD's 621 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Wisconsin

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is TERRENCE TUOMINEN, MD's specialty?
TERRENCE TUOMINEN, MD specializes in Specialist and practices in ASHLAND, Wisconsin. Credentials: MD.
How much does TERRENCE TUOMINEN, MD prescribe under Medicare Part D?
In 2023, TERRENCE TUOMINEN, MD wrote 621 Medicare Part D claims totaling $84K in drug costs for 217 beneficiaries.
What is TERRENCE TUOMINEN, MD's Medicare quality score?
TERRENCE TUOMINEN, MD has a CMS MIPS Final Score of 89.6808/100 (Quality: 81.2378). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TERRENCE TUOMINEN, MD located?
TERRENCE TUOMINEN, MD is located at 1615 MAPLE LN, ASHLAND, WI, 54806. Phone: (715) 685-6010.
What is TERRENCE TUOMINEN, MD's NPI number?
TERRENCE TUOMINEN, MD's National Provider Identifier (NPI) is 1275694648, issued on 12/12/2006.
Does TERRENCE TUOMINEN, MD prescribe more brand-name or generic drugs?
TERRENCE TUOMINEN, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $72K in brand drug costs.
Does TERRENCE TUOMINEN, MD prescribe opioids?
Yes, TERRENCE TUOMINEN, MD had 23 opioid claims in 2023 with an opioid prescribing rate of 3.7%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does TERRENCE TUOMINEN, MD prescribe most often?
Based on 2023 Medicare Part D data, TERRENCE TUOMINEN, MD's most frequently prescribed drugs include Fluticasone Propionate, Prednisone, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TERRENCE TUOMINEN, MD accept Medicare?
TERRENCE TUOMINEN, MD appears in CMS Medicare data with 621 Part D claims and 217 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TERRENCE TUOMINEN, MD's credentials?
TERRENCE TUOMINEN, MD's NPI is 1275694648 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