Todd Schubkegel, M.D.
NPI 1225291453 · Orthopaedic Surgery Physician · Appleton, WI
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Todd Schubkegel, M.D. is a Orthopaedic Surgery Physician provider in Appleton, WI (NPI 1225291453).
Provider details
- NPI number
- 1225291453
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 56180 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
277 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 95 | $89 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 79 | $125 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 40 | $63 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 25 | $34 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 19 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 76 | 63 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 57 | 48 |
| Meloxicam | 57 | 42 |
| Celecoxib | 27 | 16 |
| Doxycycline Monohydrate | 15 | 12 |
| Diazepam | 11 | — |
| Methylprednisolone | 11 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$239 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-08
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Frequently asked questions
- What is Todd Schubkegel's NPI number?
- Todd Schubkegel's National Provider Identifier (NPI) is 1225291453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Todd Schubkegel's specialty?
- Todd Schubkegel is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Todd Schubkegel located?
- Todd Schubkegel's practice location on file with NPPES is 2105 E Enterprise Ave, Appleton, WI 54913-7862.
- What is Todd Schubkegel's phone number?
- The practice phone number listed in the NPPES registry for Todd Schubkegel is (920) 560-1000.
- Does Todd Schubkegel accept Medicare?
- Todd Schubkegel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Todd Schubkegel's NPI active?
- Yes — Todd Schubkegel's NPI (1225291453) is active in the NPPES registry as of the last update on 2025-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.