Thomas Royce Silbernagel, CRNA
- Medicare patients, 2024
- 203
- MIPS score, 2024
- 100
- Hospital affiliations
- 3
- Industry payments
- $61
- Medical groups
- 12
- Practice address
- 1470 Rivers Edge Trl, Altoona, WI 54720
- Practice phone
- Call (715) 379-8718
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Defatta ENT & Plastics Surgery, SC
Altoona, Wisconsin
Find Thomas Silbernagel's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Thomas Royce Silbernagel is a nurse anesthetist in Altoona, Wisconsin
Thomas Silbernagel practices at Defatta ENT & Plastics Surgery, SC in Altoona, Wisconsin.
Thomas Silbernagel's NPI, 1922097351, was assigned on October 18, 2005. Thomas Silbernagel holds Wisconsin license 1866-33.
- NPI
- 1922097351NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8426098997
- NPI enumeration date
- October 18, 2005
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (715) 379-8718
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 59
- Medical school graduation
- 1993
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Thomas Royce Silbernagel practices at Defatta ENT & Plastics Surgery, SC in Altoona, Wisconsin
Thomas Silbernagel's primary practice is Defatta ENT & Plastics Surgery, SC, at 1470 Rivers Edge Trl, Altoona, WI 54720 in Eau Claire County. The practice phone is (715) 379-8718.
- Defatta ENT & Plastics Surgery, SC1470 Rivers Edge Trl, Altoona, WI 54720 · Eau Claire CountyPhone(715) 379-8718
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Thomas Royce Silbernagel is affiliated with 6 sites of care and 12 medical groups
Thomas Silbernagel's primary practice is Defatta ENT & Plastics Surgery, SC in Altoona, Wisconsin. Thomas Silbernagel is also affiliated with Aspirus Medford Hospital. The medical group on file is Marshfield Clinic Health System. Dmand AI also links Thomas Silbernagel to 2 more hospitals, 11 medical groups, 1 group practice or clinic and 1 ambulatory surgery center, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Thomas Royce Silbernagel's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Thomas Silbernagel practices, 5 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Defatta ENT & Plastics Surgery, SC | Available with a free account |
| +5 more sites and 11 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Thomas Royce Silbernagel is one of 1,016 nurse anesthetists in Wisconsin
Nurse anesthetist, certified registered is Thomas Silbernagel's primary specialty in the NPI Registry, under taxonomy code 367500000X. Thomas Silbernagel is licensed in Wisconsin.
Specialties and state licenses
- Certified registered nurse anesthetist, WisconsinPrimary
Nurse anesthetists near Thomas Silbernagel
Counts of nurse anesthetists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Thomas Royce Silbernagel treated 203 Medicare patients in 2024, average age 71
CMS counts 203 Medicare patients who saw Thomas Silbernagel in 2024. The largest group is 65 to 74, with 132 patients. 68% of them have high cholesterol, and 61% have high blood pressure. 10% are also on Medicaid. Their average risk score is 0.85, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Thomas Silbernagel's median patient age at 58, with 48% women.
Thomas Silbernagel's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Thomas Silbernagel's Medicare patients by sex, 2024
- Women12662%
- Men7738%
Chronic conditions among Thomas Silbernagel's Medicare patients, 2024
- High cholesterol68%
- High blood pressure61%
- Arthritis31%
- Diabetes28%
- Chronic kidney disease22%
- Anxiety18%
- Ischemic heart disease17%
- Depression15%
Share of Medicare patients with each condition. A patient can have several.
Thomas Silbernagel's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 58
Patient panel by sex, all payers
- Women48%
- Men52%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Thomas Royce Silbernagel scored 100 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Thomas Silbernagel for performance year 2024, reported as part of a group. Thomas Silbernagel accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Thomas Silbernagel's MIPS scores, performance year 2024
- 100of 100Final score
- 97.2of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
Thomas Royce Silbernagel received $61 in industry payments in 2025
CMS Open Payments shows 1 general payment to Thomas Silbernagel from 1 drug or device company in 2025. Food and beverage make up the largest share, 100% of the total. Pacira Pharmaceuticals Incorporated paid the most, $61.
Companies that paid Thomas Silbernagel the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Thomas Royce Silbernagel's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Thomas Royce Silbernagel
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Thomas Royce Silbernagel's NPI number?
Thomas Royce Silbernagel's NPI number is 1922097351. It was assigned on October 18, 2005, and it is active in the NPI Registry.
What does Thomas Royce Silbernagel specialize in?
Thomas Royce Silbernagel is a nurse anesthetist in Altoona, Wisconsin. The primary specialty in the NPI Registry is Certified Registered Nurse Anesthetist (taxonomy code 367500000X).
Where does Thomas Royce Silbernagel practice?
Thomas Silbernagel practices at 1470 Rivers Edge Trl, Altoona, WI 54720. Thomas Silbernagel's primary practice is Defatta ENT & Plastics Surgery, SC in Altoona, Wisconsin. Dmand AI also links Thomas Silbernagel to 2 hospitals, 11 medical groups, 1 group practice or clinic and 1 ambulatory surgery center.
What is Thomas Royce Silbernagel's office phone number?
The practice phone on file for Thomas Silbernagel is (715) 379-8718.
What is Thomas Royce Silbernagel's medical license number?
Thomas Silbernagel holds Wisconsin license 1866-33.
Which hospitals is Thomas Royce Silbernagel affiliated with?
Thomas Silbernagel is affiliated with Aspirus Medford Hospital. Dmand AI links Thomas Silbernagel to 2 more hospitals.
What medical group is Thomas Royce Silbernagel part of?
Thomas Silbernagel is linked to Marshfield Clinic Health System. Dmand AI links Thomas Silbernagel to 11 more medical groups.
Does Thomas Royce Silbernagel accept Medicare?
Yes. CMS lists Thomas Silbernagel as accepting Medicare assignment.
What is Thomas Royce Silbernagel's MIPS score?
Thomas Silbernagel's MIPS final score for performance year 2024 is 100 out of 100, reported as part of a group.
How many Medicare patients does Thomas Royce Silbernagel see?
CMS counts 203 Medicare patients who saw Thomas Silbernagel in 2024, with an average age of 71.
Has Thomas Royce Silbernagel received payments from drug or device companies?
CMS Open Payments shows $61 in general payments to Thomas Silbernagel from 1 company from 2025 to 2025. The largest total came from Pacira Pharmaceuticals Incorporated.
How long has Thomas Royce Silbernagel been practicing?
Thomas Silbernagel graduated from medical school in 1993, 33 years ago.
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