2026 NPPES data Family Medicine Physician NPI 1154684074 MD
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ANDREW WILCOX, MD

Family Medicine Physician in ROMNEY, West Virginia. 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
7K
Medicare Part D claims · 285 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$24.08
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANDREW WILCOX, MD filed 6,918 Medicare Part D claims in 2023 as a Family Medicine Physician in ROMNEY, West Virginia, prescribing 89% generic.

7K
Part D claims, 2023
89%
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.

ANDREW WILCOX, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

6,918 Top 4% higher than 96% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

ANDREW WILCOX, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 ANDREW WILCOX, MD?

Quality data not reported

NPI registry status

Active

Issued 06/18/2012

NPI 1154684074

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

6,918 102% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in West Virginia

How Family Medicine Physician compares to other specialties among West Virginia providers

West Virginia providers

Family Medicine Physician share within West Virginia

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

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

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).

ANDREW WILCOX, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 329 SUNRISE BLVD, ROMNEY, WV, 26757, with a listed phone of (304) 822-4932. NPI 1154684074 was issued on 06/18/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WILCOX 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 6,918 prescription claims written by this provider, covering 285 Medicare beneficiaries and totaling roughly $774K in drug spend, split 11% brand-name and 89% 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.

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

329 SUNRISE BLVD
ROMNEY, WV 26757

Provider Details

NPI 1154684074
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/18/2012

Hospital and facility affiliations

Facilities where ANDREW WILCOX, 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.

HAMPSHIRE MEMORIAL HOSPITAL, INC
ROMNEY, 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 ANDREW WILCOX, MD. Source: openpaymentsdata.cms.gov.

Total received

$24

Largest payer

Organon Llc

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

ANDREW WILCOX, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 6,918 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.

6,918
Total Claims
$774K
Total Drug Cost
285
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,166
Total Day Supply
376,561
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$658K
Generic Drug Cost
$111K
Opioid Claims
135 (2.0% rate)
Antibiotic Claims
171

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.26
Gender Split
52% female / 48% male
Age Distribution
<65: 51, 65-74: 132, 75-84: 78, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

What ANDREW WILCOX, MD 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
Atorvastatin Calcium
360
Lisinopril
206
Gabapentin
186
Levothyroxine Sodium
180
Omeprazole
174
Amlodipine Besylate
172
Pantoprazole Sodium
146
Ipratropium Bromide
144
Losartan Potassium
140
Metformin Hcl
140

* 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 ANDREW WILCOX, 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

ANDREW WILCOX, MD's 6,918 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in West Virginia

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

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

Frequently Asked Questions

What is ANDREW WILCOX, MD's specialty?
ANDREW WILCOX, MD specializes in Family Medicine Physician and practices in ROMNEY, West Virginia. Credentials: MD.
How much does ANDREW WILCOX, MD prescribe under Medicare Part D?
In 2023, ANDREW WILCOX, MD wrote 6,918 Medicare Part D claims totaling $774K in drug costs for 285 beneficiaries.
Where is ANDREW WILCOX, MD located?
ANDREW WILCOX, MD is located at 329 SUNRISE BLVD, ROMNEY, WV, 26757. Phone: (304) 822-4932.
What is ANDREW WILCOX, MD's NPI number?
ANDREW WILCOX, MD's National Provider Identifier (NPI) is 1154684074, issued on 06/18/2012.
Does ANDREW WILCOX, MD prescribe more brand-name or generic drugs?
ANDREW WILCOX, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $658K in brand drug costs.
Does ANDREW WILCOX, MD prescribe opioids?
Yes, ANDREW WILCOX, MD had 135 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 ANDREW WILCOX, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDREW WILCOX, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW WILCOX, MD accept Medicare?
ANDREW WILCOX, MD appears in CMS Medicare data with 6,918 Part D claims and 285 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW WILCOX, MD's credentials?
ANDREW WILCOX, MD's NPI is 1154684074 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.
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