2026 NPPES data Hospitalist Physician NPI 1528084498 MD
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TODD GALLION, MD

Hospitalist Physician in GREEN BAY, 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
107
Medicare Part D claims · 11 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.6154/100
▲ 12 pts above national avg 83.1 · [object Object]

What the federal data shows

TODD GALLION, MD reported a CMS MIPS final score of 94.6154/100 — above the 83.1 national average — and filed 107 Medicare Part D claims in 2023.

94.6154/100
MIPS score · +12 vs avg
107
Part D claims, 2023
88%
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.

TODD GALLION, MD's MIPS score vs every scored U.S. clinician

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

95 Top 25% higher than 75% 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)

TODD GALLION, MD 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 TODD GALLION, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/14/2006

NPI 1528084498

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

107 88% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

94.6154/100 11.5154% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Hospitalist Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Hospitalist Physician share within Wisconsin

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Wisconsin

Medicare quality performance — MIPS

TODD GALLION, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average

High performer (top quartile)
MIPS Final Score
94.6154/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 94.6154/100 vs national avg 83.1

0%100%National avg83%94.6%
MIPS final score (Hospitalist Physician) — 94.6154/100 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).

TODD GALLION, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 835 S VAN BUREN ST, GREEN BAY, WI, 54301, with a listed phone of (920) 496-4700. NPI 1528084498 was issued on 07/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GALLION 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 107 prescription claims written by this provider, covering 11 Medicare beneficiaries and totaling roughly $8K in drug spend, split 12% brand-name and 88% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.6154/100 for the 2023 performance year (Quality 85.1795), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

835 S VAN BUREN ST
GREEN BAY, WI 54301

Provider Details

NPI 1528084498
Specialty Hospitalist Physician
Credentials MD
Gender Male
NPI Issued 07/14/2006

CMS Quality Score (MIPS)

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

94.6154
Final Score
Avg: 83.1
85.1795
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Typical

TODD GALLION, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 107 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.

107
Total Claims
$8K
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
111
Total Day Supply
2,493
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$6K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
84.3 years
Avg HCC Risk Score
2.06
Age Distribution
<65: 0, 65-74: N/A, 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.

What TODD GALLION, MD 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
Simvastatin
25
Citalopram Hbr
Citalopram Hydrobromide
14
Metoprolol Succinate
12

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

Hospitalist Physician Overview

How TODD GALLION, MD fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

TODD GALLION, MD's 107 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Wisconsin

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

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TODD GALLION, MD's specialty?
TODD GALLION, MD specializes in Hospitalist Physician and practices in GREEN BAY, Wisconsin. Credentials: MD.
How much does TODD GALLION, MD prescribe under Medicare Part D?
In 2023, TODD GALLION, MD wrote 107 Medicare Part D claims totaling $8K in drug costs for 11 beneficiaries.
What is TODD GALLION, MD's Medicare quality score?
TODD GALLION, MD has a CMS MIPS Final Score of 94.6154/100 (Quality: 85.1795). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TODD GALLION, MD located?
TODD GALLION, MD is located at 835 S VAN BUREN ST, GREEN BAY, WI, 54301. Phone: (920) 496-4700.
What is TODD GALLION, MD's NPI number?
TODD GALLION, MD's National Provider Identifier (NPI) is 1528084498, issued on 07/14/2006.
Does TODD GALLION, MD prescribe more brand-name or generic drugs?
TODD GALLION, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $6K in brand drug costs.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does TODD GALLION, MD prescribe most often?
Based on 2023 Medicare Part D data, TODD GALLION, MD's most frequently prescribed drugs include Simvastatin, Citalopram Hbr, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TODD GALLION, MD accept Medicare?
TODD GALLION, MD appears in CMS Medicare data with 107 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TODD GALLION, MD's credentials?
TODD GALLION, MD's NPI is 1528084498 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