2026 NPPES data Addiction Medicine (Preventive Medicine) Physician NPI 1902432685 PA
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THERESE ROWE, PA

Addiction Medicine (Preventive Medicine) Physician in MADISON, 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
283
Medicare Part D claims · 95 beneficiaries · Addiction Medicine (Preventive Medicine) Physician avg: 959
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.3K
49 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: THERESE ROWE, PA is a Addiction Medicine (Preventive Medicine) Physician ([object Object]) practicing in MADISON, Wisconsin with a Medicare Part D prescribing footprint of 283 claims across 95 beneficiaries — 20% brand-name prescribing . Industry payments of $1.3K across 49 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: THERESE ROWE, PA filed 283 Medicare Part D claims in 2023 across MADISON, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

THERESE ROWE, PA 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).

THERESE ROWE, PA at a glance

Quality data not reported

NPI registry status

Active

Issued 03/13/2020

NPI 1902432685

Primary specialty

Addiction Medicine (Preventive Medicine) Physician

Rare

321 US NPIs in this specialty

Medicare Part D claims

283 70% vs specialty avg

2023 prescription claims

Specialty avg: 959

Specialty distribution in Wisconsin

How Addiction Medicine (Preventive Medicine) Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Addiction Medicine (Preventive Medicine) Physician share within Wisconsin

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

Specialty board-certification context

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

Quality data not reported
Est. board-certified rate
78%
Addiction Medicine (Preventive Medicine) Physician ABMS/AOA estimate

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

0%100%78%
Est. board-certified rate (Addiction Medicine (Preventive 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).

THERESE ROWE, PA is a Addiction Medicine (Preventive Medicine) Physician provider practicing in MADISON, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA. NPI: 1902432685. 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.

THERESE ROWE, PA appears in the CMS NPPES registry as a Addiction Medicine (Preventive Medicine) Physician provider holding PA credentials at 1 POINT PL STE 200, MADISON, WI, 53719, with a listed phone of (608) 820-2381. NPI 1902432685 was issued on 03/13/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROWE 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 283 prescription claims written by this provider, covering 95 Medicare beneficiaries and totaling roughly $34K in drug spend, split 20% brand-name and 80% 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.

Addiction Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 321 enrolled providers across 44 states and an average of 959 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

1 POINT PL STE 200
MADISON, WI 53719

Provider Details

NPI 1902432685
Specialty Addiction Medicine (Preventive Medicine) Physician
Credentials PA
Gender Female
NPI Issued 03/13/2020

Hospital and facility affiliations

Facilities where THERESE ROWE, PA 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.

COLLABORATIVE SOLUTIONS IN PSYCHIATRY, SC
MADISON, 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 THERESE ROWE, PA. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

ABBVIE INC.

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

THERESE ROWE, PA — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 283 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.

283
Total Claims
$34K
Total Drug Cost
95
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
284
Total Day Supply
3,384
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$17K
Generic Drug Cost
$18K

Patient Demographics

Average Patient Age
53.0 years
Avg HCC Risk Score
1.55
Gender Split
56% female / 44% male
Age Distribution
<65: 73, 65-74: 20, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
201
Suboxone
Buprenorphine Hcl/Naloxone Hcl
45
Naltrexone Hcl
11

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

Addiction Medicine (Preventive Medicine) Physician Overview

How THERESE ROWE, PA fits within the Addiction Medicine (Preventive Medicine) Physician landscape nationally.

321
Addiction Medicine (Preventive Medicine) Physician Providers in US
44
States with Addiction Medicine (Preventive Medicine) Physician
959
Avg Claims per Provider

THERESE ROWE, PA's 283 claims are below the specialty average of 959.

Nearby Addiction Medicine (Preventive Medicine) Physician Providers in Wisconsin

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

Compare Addiction Medicine (Preventive Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THERESE ROWE, PA's specialty?
THERESE ROWE, PA specializes in Addiction Medicine (Preventive Medicine) Physician and practices in MADISON, Wisconsin. Credentials: PA.
How much does THERESE ROWE, PA prescribe under Medicare Part D?
In 2023, THERESE ROWE, PA wrote 283 Medicare Part D claims totaling $34K in drug costs for 95 beneficiaries.
Where is THERESE ROWE, PA located?
THERESE ROWE, PA is located at 1 POINT PL STE 200, MADISON, WI, 53719. Phone: (608) 820-2381.
What is THERESE ROWE, PA's NPI number?
THERESE ROWE, PA's National Provider Identifier (NPI) is 1902432685, issued on 03/13/2020.
Does THERESE ROWE, PA prescribe more brand-name or generic drugs?
THERESE ROWE, PA's prescribing is 20% brand-name and 80% generic drugs by claim count, with $17K in brand drug costs.
How many Addiction Medicine (Preventive Medicine) Physician providers are there in the US?
There are 321 Addiction Medicine (Preventive Medicine) Physician providers across 44 states in the US. The average Addiction Medicine (Preventive Medicine) Physician provider writes 959 Medicare Part D claims per year.
What drugs does THERESE ROWE, PA prescribe most often?
Based on 2023 Medicare Part D data, THERESE ROWE, PA's most frequently prescribed drugs include Buprenorphine-Naloxone, Suboxone, Naltrexone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THERESE ROWE, PA accept Medicare?
THERESE ROWE, PA appears in CMS Medicare data with 283 Part D claims and 95 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THERESE ROWE, PA's credentials?
THERESE ROWE, PA's NPI is 1902432685 with credentials PA. 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