2026 NPPES data Hospitalist Physician NPI 1639730765 MD
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VINOD KUMAR, MD

Hospitalist Physician in APPLETON, 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
466
Medicare Part D claims · 162 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.7756/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$26.49
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

VINOD KUMAR, MD reported a CMS MIPS final score of 77.7756/100 — below the 83.1 national average — and filed 466 Medicare Part D claims in 2023.

77.7756/100
MIPS score · -5 vs avg
466
Part D claims, 2023
83%
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.

VINOD KUMAR, MD's MIPS score vs every scored U.S. clinician

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

78 24th percentile higher than 24% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

VINOD KUMAR, MD 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).

What does the federal data show about VINOD KUMAR, MD?

Below national average

NPI registry status

Active

Issued 06/28/2019

NPI 1639730765

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

466 48% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

77.7756/100 5.324399999999997% pts

Above neutral 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

VINOD KUMAR, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average

Below national average
MIPS Final Score
77.7756/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 77.7756/100 vs national avg 83.1

0%100%National avg83%77.8%
MIPS final score (Hospitalist Physician) — 77.7756/100 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).

VINOD KUMAR, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 1506 S ONEIDA ST, APPLETON, WI, 54915, with a listed phone of (920) 738-2000. NPI 1639730765 was issued on 06/28/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KUMAR 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 466 prescription claims written by this provider, covering 162 Medicare beneficiaries and totaling roughly $33K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 3.6%. 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 77.7756/100 for the 2023 performance year (Quality 77.471, Cost 63.8013), 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

1506 S ONEIDA ST
APPLETON, WI 54915

Provider Details

NPI 1639730765
Specialty Hospitalist Physician
Credentials MD
Gender Male
NPI Issued 06/28/2019

CMS Quality Score (MIPS)

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

77.7756
Final Score
Avg: 83.1
77.471
Quality
63.8013
Cost
77
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where VINOD KUMAR, MD 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.

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC
APPLETON, WI
ASCENSION NE WISCONSIN, INC
OSHKOSH, 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 VINOD KUMAR, MD. Source: openpaymentsdata.cms.gov.

Total received

$26

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.

Brand vs generic prescribing mix · Typical

VINOD KUMAR, MD — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 466 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.

466
Total Claims
$33K
Total Drug Cost
162
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
473
Total Day Supply
10,958
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$28K
Generic Drug Cost
$5K
Opioid Claims
17 (3.6% rate)
Antibiotic Claims
37

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
2.01
Gender Split
52% female / 48% male
Age Distribution
<65: 20, 65-74: 41, 75-84: 65, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

What VINOD KUMAR, 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
Atorvastatin Calcium
26
Amlodipine Besylate
21
Eliquis
Apixaban
21
Furosemide
21
Carvedilol
20
Metoprolol Succinate
18
Clopidogrel
Clopidogrel Bisulfate
15
Ciprofloxacin Hcl
13
Metoprolol Tartrate
13
Prednisone
13

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

Hospitalist Physician Overview

How VINOD KUMAR, 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

VINOD KUMAR, MD's 466 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 KUMAR.

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

Frequently Asked Questions

What is VINOD KUMAR, MD's specialty?
VINOD KUMAR, MD specializes in Hospitalist Physician and practices in APPLETON, Wisconsin. Credentials: MD.
How much does VINOD KUMAR, MD prescribe under Medicare Part D?
In 2023, VINOD KUMAR, MD wrote 466 Medicare Part D claims totaling $33K in drug costs for 162 beneficiaries.
What is VINOD KUMAR, MD's Medicare quality score?
VINOD KUMAR, MD has a CMS MIPS Final Score of 77.7756/100 (Quality: 77.471, Cost: 63.8013). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VINOD KUMAR, MD located?
VINOD KUMAR, MD is located at 1506 S ONEIDA ST, APPLETON, WI, 54915. Phone: (920) 738-2000.
What is VINOD KUMAR, MD's NPI number?
VINOD KUMAR, MD's National Provider Identifier (NPI) is 1639730765, issued on 06/28/2019.
Does VINOD KUMAR, MD prescribe more brand-name or generic drugs?
VINOD KUMAR, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $28K in brand drug costs.
Does VINOD KUMAR, MD prescribe opioids?
Yes, VINOD KUMAR, MD had 17 opioid claims in 2023 with an opioid prescribing rate of 3.6%.
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 VINOD KUMAR, MD prescribe most often?
Based on 2023 Medicare Part D data, VINOD KUMAR, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VINOD KUMAR, MD accept Medicare?
VINOD KUMAR, MD appears in CMS Medicare data with 466 Part D claims and 162 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VINOD KUMAR, MD's credentials?
VINOD KUMAR, MD's NPI is 1639730765 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