2026 NPPES data Family Medicine Physician NPI 1023031986 MD
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A ALICEA, MD

Family Medicine Physician in HELLERTOWN, Pennsylvania. 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
11K
Medicare Part D claims · 787 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.6426/100
▲ 13 pts above national avg 83.1 · [object Object]

What the federal data shows

A ALICEA, MD reported a CMS MIPS final score of 95.6426/100 — above the 83.1 national average — and filed 11,204 Medicare Part D claims in 2023.

95.6426/100
MIPS score · +13 vs avg
11K
Part D claims, 2023
90%
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.

A ALICEA, MD's MIPS score vs every scored U.S. clinician

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

96 Top 21% higher than 79% 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)

A ALICEA, MD 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 A ALICEA, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/25/2006

NPI 1023031986

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

11,204 228% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

95.6426/100 12.542600000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Family Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Family Medicine Physician share within Pennsylvania

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

Medicare quality performance — MIPS

A ALICEA, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
95.6426/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 95.6426/100 vs national avg 83.1

0%100%National avg83%95.6%
MIPS final score (Family Medicine Physician) — 95.6426/100 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).

A ALICEA, MD is a Family Medicine Physician provider practicing in HELLERTOWN, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1023031986. 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.

A ALICEA, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 255 FRONT ST, HELLERTOWN, PA, 18055, with a listed phone of (610) 838-1010. NPI 1023031986 was issued on 07/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALICEA 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 11,204 prescription claims written by this provider, covering 787 Medicare beneficiaries and totaling roughly $804K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 2.0%. 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 95.6426/100 for the 2023 performance year (Quality 80.5735), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

255 FRONT ST
HELLERTOWN, PA 18055

Provider Details

NPI 1023031986
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/25/2006

CMS Quality Score (MIPS)

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

95.6426
Final Score
Avg: 83.1
80.5735
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where A ALICEA, 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.

ST LUKES PHYSICIAN GROUP INC
HELLERTOWN, PA

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

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to A ALICEA, MD. To verify A ALICEA, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

A ALICEA, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 11,204 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.

11,204
Total Claims
$804K
Total Drug Cost
787
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
22,241
Total Day Supply
646,393
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$609K
Generic Drug Cost
$191K
Opioid Claims
221 (2.0% rate)
Antibiotic Claims
273

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.19
Gender Split
50% female / 50% male
Age Distribution
<65: 69, 65-74: 356, 75-84: 259, 85+: 103

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
640
Atorvastatin Calcium
587
Amlodipine Besylate
495
Gabapentin
357
Omeprazole
320
Metformin Hcl
309
Alprazolam
286
Simvastatin
282
Metoprolol Succinate
273
Pantoprazole Sodium
273

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

Family Medicine Physician Overview

How A ALICEA, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

A ALICEA, MD's 11,204 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Pennsylvania

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is A ALICEA, MD's specialty?
A ALICEA, MD specializes in Family Medicine Physician and practices in HELLERTOWN, Pennsylvania. Credentials: MD.
How much does A ALICEA, MD prescribe under Medicare Part D?
In 2023, A ALICEA, MD wrote 11,204 Medicare Part D claims totaling $804K in drug costs for 787 beneficiaries.
What is A ALICEA, MD's Medicare quality score?
A ALICEA, MD has a CMS MIPS Final Score of 95.6426/100 (Quality: 80.5735). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is A ALICEA, MD located?
A ALICEA, MD is located at 255 FRONT ST, HELLERTOWN, PA, 18055. Phone: (610) 838-1010.
What is A ALICEA, MD's NPI number?
A ALICEA, MD's National Provider Identifier (NPI) is 1023031986, issued on 07/25/2006.
Does A ALICEA, MD prescribe more brand-name or generic drugs?
A ALICEA, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $609K in brand drug costs.
Does A ALICEA, MD prescribe opioids?
Yes, A ALICEA, MD had 221 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does A ALICEA, MD prescribe most often?
Based on 2023 Medicare Part D data, A ALICEA, MD's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does A ALICEA, MD accept Medicare?
A ALICEA, MD appears in CMS Medicare data with 11,204 Part D claims and 787 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify A ALICEA, MD's credentials?
A ALICEA, MD's NPI is 1023031986 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