2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1164486155 MD
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GREGORY BILLY, MD

Pain Medicine (Physical Medicine & Rehabilitation) Physician in STATE COLLEGE, 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
1K
Medicare Part D claims · 179 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
71.7884/100
▼ 11 pts below national avg 83.1 · [object Object]
What the federal data reveals: GREGORY BILLY, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician ([object Object]) practicing in STATE COLLEGE, Pennsylvania with a Medicare Part D prescribing footprint of 1K claims across 179 beneficiaries — 4% brand-name prescribing . Their CMS MIPS Final Score of 71.7884/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: GREGORY BILLY, MD reported a CMS MIPS final score of 71.7884 out of 100, below the 83.1 national average, and filed 1,050 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

GREGORY BILLY, 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).

GREGORY BILLY, MD at a glance

Below national average

NPI registry status

Active

Issued 04/14/2006

NPI 1164486155

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

1,050 25% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

71.7884/100 11.311599999999999% pts

Mid-tier band

vs 83.1 national avg

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

Medicare quality performance — MIPS

GREGORY BILLY, MD's 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

Below national average
MIPS Final Score
71.7884/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 71.7884/100 vs national avg 83.1

0%100%National avg83%71.8%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 71.7884/100 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).

GREGORY BILLY, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in STATE COLLEGE, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1164486155. 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.

GREGORY BILLY, MD appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at 143 HOSPITAL DRIVE, STATE COLLEGE, PA, 16803, with a listed phone of (800) 233-4082. NPI 1164486155 was issued on 04/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BILLY 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 1,050 prescription claims written by this provider, covering 179 Medicare beneficiaries and totaling roughly $72K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 4.7%. 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 71.7884/100 for the 2023 performance year (Quality 48.3237, Cost 57.6377), compared with the national average of 83.1.

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

143 HOSPITAL DRIVE
STATE COLLEGE, PA 16803

Provider Details

NPI 1164486155
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials MD
Gender Male
NPI Issued 04/14/2006

CMS Quality Score (MIPS)

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

71.7884
Final Score
Avg: 83.1
48.3237
Quality
57.6377
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GREGORY BILLY, 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.

THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP
HERSHEY, 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 GREGORY BILLY, MD. To verify GREGORY BILLY, 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

GREGORY BILLY, MD — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 1,050 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.

1,050
Total Claims
$72K
Total Drug Cost
179
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,419
Total Day Supply
40,448
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$45K
Generic Drug Cost
$27K
Opioid Claims
49 (4.7% rate)

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
1.28
Gender Split
64% female / 36% male
Age Distribution
<65: 41, 65-74: 77, 75-84: 44, 85+: 17

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
526
Methocarbamol
100
Baclofen
58
Amitriptyline Hcl
57
Cyclobenzaprine Hcl
38
Diclofenac Sodium
38
Botox
Onabotulinumtoxina
27
Diazepam
25
Duloxetine Hcl
25
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
21

* 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 GREGORY BILLY, 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

GREGORY BILLY, MD's 1,050 claims are below 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 BILLY.

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

Frequently Asked Questions

What is GREGORY BILLY, MD's specialty?
GREGORY BILLY, MD specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in STATE COLLEGE, Pennsylvania. Credentials: MD.
How much does GREGORY BILLY, MD prescribe under Medicare Part D?
In 2023, GREGORY BILLY, MD wrote 1,050 Medicare Part D claims totaling $72K in drug costs for 179 beneficiaries.
What is GREGORY BILLY, MD's Medicare quality score?
GREGORY BILLY, MD has a CMS MIPS Final Score of 71.7884/100 (Quality: 48.3237, Cost: 57.6377). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GREGORY BILLY, MD located?
GREGORY BILLY, MD is located at 143 HOSPITAL DRIVE, STATE COLLEGE, PA, 16803. Phone: (800) 233-4082.
What is GREGORY BILLY, MD's NPI number?
GREGORY BILLY, MD's National Provider Identifier (NPI) is 1164486155, issued on 04/14/2006.
Does GREGORY BILLY, MD prescribe more brand-name or generic drugs?
GREGORY BILLY, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $45K in brand drug costs.
Does GREGORY BILLY, MD prescribe opioids?
Yes, GREGORY BILLY, MD had 49 opioid claims in 2023 with an opioid prescribing rate of 4.7%.
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 GREGORY BILLY, MD prescribe most often?
Based on 2023 Medicare Part D data, GREGORY BILLY, MD's most frequently prescribed drugs include Gabapentin, Methocarbamol, Baclofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GREGORY BILLY, MD accept Medicare?
GREGORY BILLY, MD appears in CMS Medicare data with 1,050 Part D claims and 179 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GREGORY BILLY, MD's credentials?
GREGORY BILLY, MD's NPI is 1164486155 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