2026 NPPES data Surgery of the Hand (Plastic Surgery) Physician NPI 1508034596 M.D. FACS
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THEODORE FIFER, M.D. FACS

Surgery of the Hand (Plastic Surgery) Physician in EFFINGHAM, Illinois. 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
173
Medicare Part D claims · 28 beneficiaries · Surgery of the Hand (Plastic Surgery) Physician avg: 106
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

THEODORE FIFER, M.D. FACS filed 173 Medicare Part D claims in 2023 as a Surgery of the Hand (Plastic Surgery) Physician in EFFINGHAM, Illinois, prescribing 89% generic.

173
Part D claims, 2023
89%
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.

THEODORE FIFER, M.D. FACS's Medicare Part D volume vs every U.S. prescriber

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

173 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 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-eligible specialty (heuristic — not verified)

THEODORE FIFER, M.D. FACS practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about THEODORE FIFER, M.D. FACS?

Quality data not reported

NPI registry status

Active

Issued 02/13/2008

NPI 1508034596

Primary specialty

Surgery of the Hand (Plastic Surgery) Physician

Rare

370 US NPIs in this specialty

Medicare Part D claims

173 63% vs specialty avg

2023 prescription claims

Specialty avg: 106

Specialty distribution in Illinois

How Surgery of the Hand (Plastic Surgery) Physician compares to other specialties among Illinois providers

Illinois providers

Surgery of the Hand (Plastic Surgery) Physician share within Illinois

1. Surgery of the Hand (Plastic Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery of the Hand (Plastic Surgery) Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Surgery of the Hand (Plastic Surgery) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Surgery of the Hand (Plastic Surgery) Physician ABMS/AOA estimate

Est. board-certified rate (Surgery of the Hand (Plastic Surgery) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Surgery of the Hand (Plastic Surgery) 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).

THEODORE FIFER, M.D. FACS appears in the CMS NPPES registry as a Surgery of the Hand (Plastic Surgery) Physician provider holding M.D. FACS credentials at 14900 N COURT 9, EFFINGHAM, IL, 62401, with a listed phone of (217) 994-6162. NPI 1508034596 was issued on 02/13/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FIFER 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 173 prescription claims written by this provider, covering 28 Medicare beneficiaries and totaling roughly $24K in drug spend, split 11% brand-name and 89% generic by claim count. 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.

Surgery of the Hand (Plastic Surgery) Physician is a narrow specialty nationwide, with 370 enrolled providers across 43 states and an average of 106 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

14900 N COURT 9
EFFINGHAM, IL 62401

Provider Details

NPI 1508034596
Specialty Surgery of the Hand (Plastic Surgery) Physician
Credentials M.D. FACS
Gender Male
NPI Issued 02/13/2008

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to THEODORE FIFER, M.D. FACS. To verify THEODORE FIFER, M.D. FACS's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

THEODORE FIFER, M.D. FACS — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 173 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.

173
Total Claims
$24K
Total Drug Cost
28
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
177
Total Day Supply
4,057
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$8K
Generic Drug Cost
$16K

Patient Demographics

Average Patient Age
49.4 years
Avg HCC Risk Score
0.85

Top Prescribed Drugs (Medicare Part D)

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

What THEODORE FIFER, M.D. FACS 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
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
67
Buprenorphine Hcl
48
Zubsolv
Buprenorphine Hcl/Naloxone Hcl
15
Lorazepam
12

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

Surgery of the Hand (Plastic Surgery) Physician Overview

How THEODORE FIFER, M.D. FACS fits within the Surgery of the Hand (Plastic Surgery) Physician landscape nationally.

370
Surgery of the Hand (Plastic Surgery) Physician Providers in US
43
States with Surgery of the Hand (Plastic Surgery) Physician
106
Avg Claims per Provider

THEODORE FIFER, M.D. FACS's 173 claims are above the specialty average of 106.

Nearby Surgery of the Hand (Plastic Surgery) Physician Providers in Illinois

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

Compare Surgery of the Hand (Plastic Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THEODORE FIFER, M.D. FACS's specialty?
THEODORE FIFER, M.D. FACS specializes in Surgery of the Hand (Plastic Surgery) Physician and practices in EFFINGHAM, Illinois. Credentials: M.D. FACS.
How much does THEODORE FIFER, M.D. FACS prescribe under Medicare Part D?
In 2023, THEODORE FIFER, M.D. FACS wrote 173 Medicare Part D claims totaling $24K in drug costs for 28 beneficiaries.
Where is THEODORE FIFER, M.D. FACS located?
THEODORE FIFER, M.D. FACS is located at 14900 N COURT 9, EFFINGHAM, IL, 62401. Phone: (217) 994-6162.
What is THEODORE FIFER, M.D. FACS's NPI number?
THEODORE FIFER, M.D. FACS's National Provider Identifier (NPI) is 1508034596, issued on 02/13/2008.
Does THEODORE FIFER, M.D. FACS prescribe more brand-name or generic drugs?
THEODORE FIFER, M.D. FACS's prescribing is 11% brand-name and 89% generic drugs by claim count, with $8K in brand drug costs.
How many Surgery of the Hand (Plastic Surgery) Physician providers are there in the US?
There are 370 Surgery of the Hand (Plastic Surgery) Physician providers across 43 states in the US. The average Surgery of the Hand (Plastic Surgery) Physician provider writes 106 Medicare Part D claims per year.
What drugs does THEODORE FIFER, M.D. FACS prescribe most often?
Based on 2023 Medicare Part D data, THEODORE FIFER, M.D. FACS's most frequently prescribed drugs include Buprenorphine-Naloxone, Buprenorphine Hcl, Zubsolv. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THEODORE FIFER, M.D. FACS accept Medicare?
THEODORE FIFER, M.D. FACS appears in CMS Medicare data with 173 Part D claims and 28 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THEODORE FIFER, M.D. FACS's credentials?
THEODORE FIFER, M.D. FACS's NPI is 1508034596 with credentials M.D. FACS. 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