2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1861703233 D.O.
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THOMAS EHMKE, D.O.

Adult Reconstructive Orthopaedic Surgery Physician in WESTERN SPRINGS, 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
96
Medicare Part D claims · 66 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
MIPS score
72.6842/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$1.4K
24 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: THOMAS EHMKE, D.O. is a Adult Reconstructive Orthopaedic Surgery Physician ([object Object]) practicing in WESTERN SPRINGS, Illinois with a Medicare Part D prescribing footprint of 96 claims across 66 beneficiaries . Their CMS MIPS Final Score of 72.6842/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.4K across 24 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: THOMAS EHMKE, D.O. reported a CMS MIPS final score of 72.6842 out of 100, below the 83.1 national average, and filed 96 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

THOMAS EHMKE, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

THOMAS EHMKE, D.O. at a glance

Below national average

NPI registry status

Active

Issued 06/30/2010

NPI 1861703233

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

96 81% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

72.6842/100 10.41579999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Illinois

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Illinois providers

Illinois providers

Adult Reconstructive Orthopaedic Surgery Physician share within Illinois

1. Adult Reconstructive Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Reconstructive Orthopaedic Surgery Physician share within Illinois

Medicare quality performance — MIPS

THOMAS EHMKE, D.O.'s 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
72.6842/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 72.6842/100 vs national avg 83.1

0%100%National avg83%72.7%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 72.6842/100 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).

THOMAS EHMKE, D.O. is a Adult Reconstructive Orthopaedic Surgery Physician provider practicing in WESTERN SPRINGS, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1861703233. 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.

THOMAS EHMKE, D.O. appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding D.O. credentials at 4700 GILBERT AVE STE 51, WESTERN SPRINGS, IL, 60558, with a listed phone of (708) 387-1737. NPI 1861703233 was issued on 06/30/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EHMKE 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 96 prescription claims written by this provider, covering 66 Medicare beneficiaries and totaling roughly $468 in drug spend, with an opioid prescribing rate of 14.6%. 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 72.6842/100 for the 2023 performance year (Quality 71.8158, Cost 52.965), compared with the national average of 83.1.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 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

4700 GILBERT AVE STE 51
WESTERN SPRINGS, IL 60558

Provider Details

NPI 1861703233
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials D.O.
Gender Male
NPI Issued 06/30/2010

CMS Quality Score (MIPS)

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

72.6842
Final Score
Avg: 83.1
71.8158
Quality
52.965
Cost
81
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where THOMAS EHMKE, 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.

ILLINOIS BONE AND JOINT INSTITUTE, LLC
DOWNERS GROVE, IL
RCI (WRS) LLC
PORTAGE, IN

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 THOMAS EHMKE, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$1.4K

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.

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 THOMAS EHMKE, D.O.. To verify THOMAS EHMKE, D.O.'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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

96
Total Claims
$468
Total Drug Cost
66
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
96
Total Day Supply
978
Brand Drug Cost
$0
Generic Drug Cost
$468
Opioid Claims
14 (14.6% rate)
Antibiotic Claims
47

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
0.84
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amoxicillin
40
Meloxicam
22

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

Adult Reconstructive Orthopaedic Surgery Physician Overview

How THOMAS EHMKE, D.O. fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

THOMAS EHMKE, D.O.'s 96 claims are below the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Illinois

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

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS EHMKE, D.O.'s specialty?
THOMAS EHMKE, D.O. specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in WESTERN SPRINGS, Illinois. Credentials: D.O..
How much does THOMAS EHMKE, D.O. prescribe under Medicare Part D?
In 2023, THOMAS EHMKE, D.O. wrote 96 Medicare Part D claims totaling $468 in drug costs for 66 beneficiaries.
What is THOMAS EHMKE, D.O.'s Medicare quality score?
THOMAS EHMKE, D.O. has a CMS MIPS Final Score of 72.6842/100 (Quality: 71.8158, Cost: 52.965). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS EHMKE, D.O. located?
THOMAS EHMKE, D.O. is located at 4700 GILBERT AVE STE 51, WESTERN SPRINGS, IL, 60558. Phone: (708) 387-1737.
What is THOMAS EHMKE, D.O.'s NPI number?
THOMAS EHMKE, D.O.'s National Provider Identifier (NPI) is 1861703233, issued on 06/30/2010.
Does THOMAS EHMKE, D.O. prescribe opioids?
Yes, THOMAS EHMKE, D.O. had 14 opioid claims in 2023 with an opioid prescribing rate of 14.6%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US?
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does THOMAS EHMKE, D.O. prescribe most often?
Based on 2023 Medicare Part D data, THOMAS EHMKE, D.O.'s most frequently prescribed drugs include Amoxicillin, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS EHMKE, D.O. accept Medicare?
THOMAS EHMKE, D.O. appears in CMS Medicare data with 96 Part D claims and 66 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS EHMKE, D.O.'s credentials?
THOMAS EHMKE, D.O.'s NPI is 1861703233 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.
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