2026 NPPES data Otolaryngology Physician NPI 1144225392 DO
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WILLIAM AVERY, DO

Otolaryngology Physician in SIOUX FALLS, South Dakota. 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
147
Medicare Part D claims · 85 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.3316/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

WILLIAM AVERY, DO reported a CMS MIPS final score of 84.3316/100 — above the 83.1 national average — and filed 147 Medicare Part D claims in 2023.

84.3316/100
MIPS score · +1 vs avg
147
Part D claims, 2023
93%
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.

WILLIAM AVERY, DO's MIPS score vs every scored U.S. clinician

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

84 45th percentile higher than 45% 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%). This entry sits in this band. 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)

WILLIAM AVERY, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 WILLIAM AVERY, DO?

Near national average

NPI registry status

Active

Issued 06/15/2005

NPI 1144225392

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

147 71% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

84.3316/100 1.2316000000000003% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Dakota

How Otolaryngology Physician compares to other specialties among South Dakota providers

South Dakota providers

Otolaryngology Physician share within South Dakota

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within South Dakota

Medicare quality performance — MIPS

WILLIAM AVERY, DO's 2023 MIPS final score plotted against the Otolaryngology Physician national average

Near national average
MIPS Final Score
84.3316/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 84.3316/100 vs national avg 83.1

0%100%National avg83%84.3%
MIPS final score (Otolaryngology Physician) — 84.3316/100 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).

WILLIAM AVERY, DO is a Otolaryngology Physician provider practicing in SIOUX FALLS, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1144225392. 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.

WILLIAM AVERY, DO appears in the CMS NPPES registry as a Otolaryngology Physician provider holding DO credentials at 1310 W 22ND ST, SIOUX FALLS, SD, 57105, with a listed phone of (605) 328-8200. NPI 1144225392 was issued on 06/15/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AVERY 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 147 prescription claims written by this provider, covering 85 Medicare beneficiaries and totaling roughly $6K in drug spend, split 7% brand-name and 93% 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 84.3316/100 for the 2023 performance year (Quality 68.8676, Cost 67.3953), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

1310 W 22ND ST
SIOUX FALLS, SD 57105

Provider Details

NPI 1144225392
Specialty Otolaryngology Physician
Credentials DO
Gender Male
NPI Issued 06/15/2005

CMS Quality Score (MIPS)

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

84.3316
Final Score
Avg: 83.1
68.8676
Quality
67.3953
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where WILLIAM AVERY, DO 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.

HUTCHINSON HEALTH
★★★☆☆ 3/5
HUTCHINSON, MN
Acute Care Hospitals
CMS CCN: 240187

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

WILLIAM AVERY, DO — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 147 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.

147
Total Claims
$6K
Total Drug Cost
85
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
176
Total Day Supply
3,686
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$2K
Generic Drug Cost
$4K
Antibiotic Claims
32

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.12
Gender Split
68% female / 32% 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-Clavulanate Potass
Amoxicillin/Potassium Clav
18
Ofloxacin
18
Azelastine Hcl
15
Fluticasone Propionate
14
Mupirocin
14
Methylprednisolone
11

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

Otolaryngology Physician Overview

How WILLIAM AVERY, DO fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

WILLIAM AVERY, DO's 147 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as AVERY.

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

Frequently Asked Questions

What is WILLIAM AVERY, DO's specialty?
WILLIAM AVERY, DO specializes in Otolaryngology Physician and practices in SIOUX FALLS, South Dakota. Credentials: DO.
How much does WILLIAM AVERY, DO prescribe under Medicare Part D?
In 2023, WILLIAM AVERY, DO wrote 147 Medicare Part D claims totaling $6K in drug costs for 85 beneficiaries.
What is WILLIAM AVERY, DO's Medicare quality score?
WILLIAM AVERY, DO has a CMS MIPS Final Score of 84.3316/100 (Quality: 68.8676, Cost: 67.3953). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WILLIAM AVERY, DO located?
WILLIAM AVERY, DO is located at 1310 W 22ND ST, SIOUX FALLS, SD, 57105. Phone: (605) 328-8200.
What is WILLIAM AVERY, DO's NPI number?
WILLIAM AVERY, DO's National Provider Identifier (NPI) is 1144225392, issued on 06/15/2005.
Does WILLIAM AVERY, DO prescribe more brand-name or generic drugs?
WILLIAM AVERY, DO's prescribing is 7% brand-name and 93% generic drugs by claim count, with $2K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does WILLIAM AVERY, DO prescribe most often?
Based on 2023 Medicare Part D data, WILLIAM AVERY, DO's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Ofloxacin, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILLIAM AVERY, DO accept Medicare?
WILLIAM AVERY, DO appears in CMS Medicare data with 147 Part D claims and 85 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM AVERY, DO's credentials?
WILLIAM AVERY, DO's NPI is 1144225392 with credentials DO. 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