2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1104969708 MD
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ANTHONY KIRBY, MD

Pain Medicine (Physical Medicine & Rehabilitation) Physician in BENTLEYVILLE, 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
7K
Medicare Part D claims · 550 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$560.99
18 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ANTHONY KIRBY, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician ([object Object]) practicing in BENTLEYVILLE, Pennsylvania with a Medicare Part D prescribing footprint of 7K claims across 550 beneficiaries — 7% brand-name prescribing . Industry payments of $560.99 across 18 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ANTHONY KIRBY, MD filed 6,679 Medicare Part D claims in 2023 across BENTLEYVILLE, Pennsylvania. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

ANTHONY KIRBY, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

ANTHONY KIRBY, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 02/14/2007

NPI 1104969708

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

6,679 377% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

Specialty distribution in Pennsylvania

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Pennsylvania

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Pain Medicine (Physical Medicine & Rehabilitation) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pain Medicine (Physical Medicine & Rehabilitation) Physician ABMS/AOA estimate

Est. board-certified rate (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pain Medicine (Physical Medicine & Rehabilitation) 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).

ANTHONY KIRBY, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in BENTLEYVILLE, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1104969708. 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.

ANTHONY KIRBY, MD appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at 55 GOSAI DR, BENTLEYVILLE, PA, 15314, with a listed phone of (412) 226-6399. NPI 1104969708 was issued on 02/14/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KIRBY 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 6,679 prescription claims written by this provider, covering 550 Medicare beneficiaries and totaling roughly $536K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 42.3%. 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.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

55 GOSAI DR
BENTLEYVILLE, PA 15314

Provider Details

NPI 1104969708
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials MD
Gender Male
NPI Issued 02/14/2007

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 ANTHONY KIRBY, MD. Source: openpaymentsdata.cms.gov.

Total received

$561

Largest payer

Abbott Laboratories

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.

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 ANTHONY KIRBY, MD. To verify ANTHONY KIRBY, 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 · Generic-heavy

ANTHONY KIRBY, MD — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 6,679 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.

6,679
Total Claims
$536K
Total Drug Cost
550
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,044
Total Day Supply
229,145
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$281K
Generic Drug Cost
$255K
Opioid Claims
2,822 (42.3% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
68.1 years
Avg HCC Risk Score
1.73
Gender Split
57% female / 43% male
Age Distribution
<65: 177, 65-74: 219, 75-84: 124, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
962
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
911
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
466
Baclofen
457
Tramadol Hcl
423
Pregabalin
346
Duloxetine Hcl
325
Oxycodone Hcl
323
Morphine Sulfate Er
Morphine Sulfate
252
Nortriptyline Hcl
192

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How ANTHONY KIRBY, MD fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

ANTHONY KIRBY, MD's 6,679 claims are above the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Pennsylvania

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

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANTHONY KIRBY, MD's specialty?
ANTHONY KIRBY, MD specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in BENTLEYVILLE, Pennsylvania. Credentials: MD.
How much does ANTHONY KIRBY, MD prescribe under Medicare Part D?
In 2023, ANTHONY KIRBY, MD wrote 6,679 Medicare Part D claims totaling $536K in drug costs for 550 beneficiaries.
Where is ANTHONY KIRBY, MD located?
ANTHONY KIRBY, MD is located at 55 GOSAI DR, BENTLEYVILLE, PA, 15314. Phone: (412) 226-6399.
What is ANTHONY KIRBY, MD's NPI number?
ANTHONY KIRBY, MD's National Provider Identifier (NPI) is 1104969708, issued on 02/14/2007.
Does ANTHONY KIRBY, MD prescribe more brand-name or generic drugs?
ANTHONY KIRBY, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $281K in brand drug costs.
Does ANTHONY KIRBY, MD prescribe opioids?
Yes, ANTHONY KIRBY, MD had 2,822 opioid claims in 2023 with an opioid prescribing rate of 42.3%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does ANTHONY KIRBY, MD prescribe most often?
Based on 2023 Medicare Part D data, ANTHONY KIRBY, MD's most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANTHONY KIRBY, MD accept Medicare?
ANTHONY KIRBY, MD appears in CMS Medicare data with 6,679 Part D claims and 550 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANTHONY KIRBY, MD's credentials?
ANTHONY KIRBY, MD's NPI is 1104969708 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