2026 NPPES data Specialist NPI 1174552590 M.D.
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Andrea Hill, M.D.

Specialist in South Charleston, West Virginia. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,658 in Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
313
Medicare Part D claims · 79 beneficiaries · Specialist avg: 1K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$108.41
6 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Andrea Hill, M.D. reported a CMS MIPS final score of 90.1/100 - above the 83.1 national average - and filed 313 Medicare Part D claims in 2023.

90.1/100
MIPS score · +7 vs avg
313
Part D claims, 2023
81%
generic prescribing
$108.41
industry payments (Sunshine Act)

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.

Andrea Hill, M.D.'s MIPS score vs every scored U.S. clinician

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

90 Top 40% higher than 60% 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+: 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

Where Andrea Hill, M.D. sits

This provider among specialist peers

Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Andrea Hill, M.D. writes more Part D claims than 29% of them and scores higher on MIPS quality than 68% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 60Andrea Hill, M.D.-Part D claim volume, percentile in specialty: 29 · MIPS quality, percentile: 68
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is Andrea Hill, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Andrea Hill, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/30/2006

NPI 1174552590

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

313 79% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

90.1/100 7 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Specialist compares to other specialties among West Virginia providers

West Virginia providers

Largest specialties in West Virginia (% of in-state providers)

Personal Care Attendant - 38.4%Personal Care Attendant38.4%Home Health Aide - 8.2%Home Health Aide8.2%Community Health Worker - 5.2%Community Health Worker5.2%Homemaker - 3.1%Homemaker3.1%Pharmacist - 3%Pharmacist3%Student in an Organized Health Care Education/Training Program - 2.9%Student in an Organized Health Care Education/Training Program2.9%Specialist - 0.4%Specialist0.4%
Largest specialties in West Virginia (% of in-state providers)

Medicare quality performance, MIPS

Andrea Hill, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
90.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) - 90.1/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Specialist) - 90.1/100 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).

Andrea Hill, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 4607 MACCORKLE AVE SW, South Charleston, WV, 25309, with a listed phone of (304) 768-7228. NPI 1174552590 was issued on 06/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Hill 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 313 prescription claims written by this provider, covering 79 Medicare beneficiaries and totaling roughly $49K in drug spend, split 19% brand-name and 81% 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 90.1/100 for the 2023 performance year (Quality 67), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

4607 MACCORKLE AVE SW
South Charleston, WV 25309

Provider Details

NPI 1174552590
Specialty Specialist
Credentials M.D.
Gender Female
NPI Issued 06/30/2006

CMS Quality Score (MIPS)

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

90.1191
Final Score
Avg: 83.1
66.9698
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Andrea Hill, M.D. 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.

Ths Physician Partners Inc
South Charleston, WV

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 Andrea Hill, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$108

Largest payer

Sage Therapeutics, Inc.

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

Andrea Hill, M.D. - brand share 19.0%
Specialist average

19% brand-name claims vs 81% generic, on 313 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.

313
Total Claims
$49K
Total Drug Cost
79
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
542
Total Day Supply
14,264
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$38K
Generic Drug Cost
$11K
Antibiotic Claims
22

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
1.10

Top Prescribed Drugs (Medicare Part D)

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

What Andrea Hill, M.D. 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
Estradiol
60
Oxybutynin Chloride Er
Oxybutynin Chloride
27
Fluconazole
25
Metformin Hcl Er
Metformin Hcl
18
Mounjaro
Tirzepatide
17
Clobetasol Propionate
11
Premarin
"Estrogens
N/A

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

Specialist Overview

How Andrea Hill, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

Andrea Hill, M.D.'s 313 claims are below the specialty average of 1,474.

Nearby Specialist Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Hill.

Compare Specialist nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the West Virginia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Specialist peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Andrea Hill, M.D.'s specialty?
Andrea Hill, M.D. specializes in Specialist and practices in South Charleston, West Virginia. Credentials: M.D..
How much does Andrea Hill, M.D. prescribe under Medicare Part D?
In 2023, Andrea Hill, M.D. wrote 313 Medicare Part D claims totaling $49K in drug costs for 79 beneficiaries.
What is Andrea Hill, M.D.'s Medicare quality score?
Andrea Hill, M.D. has a CMS MIPS Final Score of 90.1/100 (Quality: 67). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrea Hill, M.D. located?
Andrea Hill, M.D. is located at 4607 MACCORKLE AVE SW, South Charleston, WV, 25309. Phone: (304) 768-7228.
What is Andrea Hill, M.D.'s NPI number?
Andrea Hill, M.D.'s National Provider Identifier (NPI) is 1174552590, issued on 06/30/2006.
Does Andrea Hill, M.D. prescribe more brand-name or generic drugs?
Andrea Hill, M.D.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $38K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Andrea Hill, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Andrea Hill, M.D.'s most frequently prescribed drugs include Estradiol, Oxybutynin Chloride Er, Fluconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Andrea Hill, M.D. accept Medicare?
Andrea Hill, M.D. appears in CMS Medicare data with 313 Part D claims and 79 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrea Hill, M.D.'s credentials?
Andrea Hill, M.D.'s NPI is 1174552590 with credentials M.D.. 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

Compiled from official public sources by the PlainDoctor editorial team.