2026 NPPES data General Practice Physician NPI 1114947876 D.O.
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THOMAS MICHALSEN, D.O.

General Practice Physician in KIRKLAND, 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
49K
Medicare Part D claims · 2K beneficiaries · General Practice Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$381.87
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THOMAS MICHALSEN, D.O. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 48,530 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
49K
Part D claims, 2023
86%
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.

THOMAS MICHALSEN, D.O.'s MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

THOMAS MICHALSEN, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 THOMAS MICHALSEN, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 07/19/2006

NPI 1114947876

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

48,530 1590% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How General Practice Physician compares to other specialties among Illinois providers

Illinois providers

General Practice Physician share within Illinois

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Illinois

Medicare quality performance — MIPS

THOMAS MICHALSEN, D.O.'s 2023 MIPS final score plotted against the General Practice Physician national average

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

MIPS final score (General Practice Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (General Practice Physician) — 100/100 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 MICHALSEN, D.O. appears in the CMS NPPES registry as a General Practice Physician provider holding D.O. credentials at 406 S 5TH ST, KIRKLAND, IL, 60146, with a listed phone of (815) 522-3301. NPI 1114947876 was issued on 07/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MICHALSEN 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 48,530 prescription claims written by this provider, covering 1,734 Medicare beneficiaries and totaling roughly $4.3 million in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 1.1%. 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 100/100 for the 2023 performance year (Quality 88.3333), compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

406 S 5TH ST
KIRKLAND, IL 60146

Provider Details

NPI 1114947876
Specialty General Practice Physician
Credentials D.O.
Gender Male
NPI Issued 07/19/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
88.3333
Quality

Reporting: Individual

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 MICHALSEN, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$382

Largest payer

AstraZeneca Pharmaceuticals LP

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 MICHALSEN, D.O.. To verify THOMAS MICHALSEN, 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.

Brand vs generic prescribing mix · Typical

THOMAS MICHALSEN, D.O. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 48,530 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.

48,530
Total Claims
$4.3M
Total Drug Cost
1,734
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
62,330
Total Day Supply
1,505,852
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$3.4M
Generic Drug Cost
$933K
Opioid Claims
555 (1.1% rate)
Antibiotic Claims
1,169

Patient Demographics

Average Patient Age
76.8 years
Avg HCC Risk Score
2.05
Gender Split
56% female / 44% male
Age Distribution
<65: 157, 65-74: 600, 75-84: 538, 85+: 439

Top Prescribed Drugs (Medicare Part D)

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

What THOMAS MICHALSEN, 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
Furosemide
1,843
Levothyroxine Sodium
1,581
Atorvastatin Calcium
1,571
Gabapentin
1,473
Amlodipine Besylate
1,405
Potassium Chloride
1,310
Rosuvastatin Calcium
1,143
Quetiapine Fumarate
1,100
Tamsulosin Hcl
1,093
Metoprolol Tartrate
1,049

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

General Practice Physician Overview

How THOMAS MICHALSEN, D.O. fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

THOMAS MICHALSEN, D.O.'s 48,530 claims are above the specialty average of 2,872.

Nearby General Practice Physician Providers in Illinois

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

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS MICHALSEN, D.O.'s specialty?
THOMAS MICHALSEN, D.O. specializes in General Practice Physician and practices in KIRKLAND, Illinois. Credentials: D.O..
How much does THOMAS MICHALSEN, D.O. prescribe under Medicare Part D?
In 2023, THOMAS MICHALSEN, D.O. wrote 48,530 Medicare Part D claims totaling $4.3M in drug costs for 1,734 beneficiaries.
What is THOMAS MICHALSEN, D.O.'s Medicare quality score?
THOMAS MICHALSEN, D.O. has a CMS MIPS Final Score of 100/100 (Quality: 88.3333). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS MICHALSEN, D.O. located?
THOMAS MICHALSEN, D.O. is located at 406 S 5TH ST, KIRKLAND, IL, 60146. Phone: (815) 522-3301.
What is THOMAS MICHALSEN, D.O.'s NPI number?
THOMAS MICHALSEN, D.O.'s National Provider Identifier (NPI) is 1114947876, issued on 07/19/2006.
Does THOMAS MICHALSEN, D.O. prescribe more brand-name or generic drugs?
THOMAS MICHALSEN, D.O.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $3.4M in brand drug costs.
Does THOMAS MICHALSEN, D.O. prescribe opioids?
Yes, THOMAS MICHALSEN, D.O. had 555 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does THOMAS MICHALSEN, D.O. prescribe most often?
Based on 2023 Medicare Part D data, THOMAS MICHALSEN, D.O.'s most frequently prescribed drugs include Furosemide, Levothyroxine Sodium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS MICHALSEN, D.O. accept Medicare?
THOMAS MICHALSEN, D.O. appears in CMS Medicare data with 48,530 Part D claims and 1,734 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS MICHALSEN, D.O.'s credentials?
THOMAS MICHALSEN, D.O.'s NPI is 1114947876 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