2026 NPPES data Family Medicine Physician NPI 1558301697 MD
Verify on CMS →

Helen Thornton, MD

Family Medicine Physician in Gibsonia, Pennsylvania. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 147,640 in Family Medicine Physician, 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
7K
Medicare Part D claims · 567 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.6/100
▲ 8 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Helen Thornton, MD reported a CMS MIPS final score of 90.6/100 — above the 83.1 national average — and filed 6,755 Medicare Part D claims in 2023.

90.6/100
MIPS score · +8 vs avg
7K
Part D claims, 2023
91%
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.

Helen Thornton, MD's MIPS score vs every scored U.S. clinician

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

91 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. 90–100: 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

Where Helen Thornton, MD sits

This provider among family medicine physician peers

Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Helen Thornton, MD writes more Part D claims than 76% of them and scores higher on MIPS quality than 61% — placing this provider in the high-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 quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 92Helen Thornton, MD — Part D claim volume — percentile in specialty: 76 · MIPS quality — percentile: 61
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Helen Thornton, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Helen Thornton, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 Helen Thornton, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/07/2006

NPI 1558301697

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

6,755 98% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

90.6/100 7.5 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Family Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Largest specialties in Pennsylvania (% of in-state providers)

Student in an Organized Health Care Education/Training Program — 5.6%Student in an Organized Health Care Education/Training Program5.6%Pharmacist — 5%Pharmacist5%Physical Therapist — 4.9%Physical Therapist4.9%Mental Health Counselor — 3.9%Mental Health Counselor3.9%Internal Medicine Physician — 3.3%Internal Medicine Physician3.3%Professional Counselor — 3.2%Professional Counselor3.2%Family Medicine Physician — 2.8%Family Medicine Physician2.8%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
90.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 90.6/100 vs national avg 83.1

0%100%National avg83%90.6%
MIPS final score (Family Medicine Physician) — 90.6/100 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).

Helen Thornton, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 5548 WILLIAM FLYNN HWY, Gibsonia, PA, 15044, with a listed phone of (724) 444-6330. NPI 1558301697 was issued on 06/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Thornton 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 6,755 prescription claims written by this provider, covering 567 Medicare beneficiaries and totaling roughly $540K in drug spend, split 8% brand-name and 91% generic by claim count, with an opioid prescribing rate of 3.2%. 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 90.6/100 for the 2023 performance year (Quality 87.3, Cost 81.5), 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

5548 WILLIAM FLYNN HWY
Gibsonia, PA 15044

Provider Details

NPI 1558301697
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 06/07/2006

CMS Quality Score (MIPS)

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

90.6373
Final Score
Avg: 83.1
87.3355
Quality
81.4556
Cost
100
Promoting Interoperability

Reporting: Group practice

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 Helen Thornton, MD. To verify Helen Thornton, 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

Helen Thornton, MD — brand share 8.0%
Family Medicine Physician average

8% brand-name claims vs 91% generic, on 6,755 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.

6,755
Total Claims
$540K
Total Drug Cost
567
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,869
Total Day Supply
463,560
Brand vs Generic
8% brand / 91% generic
Brand Drug Cost
$398K
Generic Drug Cost
$138K
Opioid Claims
216 (3.2% rate)
Antibiotic Claims
106

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
0.97
Gender Split
78% female / 22% male
Age Distribution
<65: 44, 65-74: 243, 75-84: 221, 85+: 59

Top Prescribed Drugs (Medicare Part D)

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

What Helen Thornton, 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
371
Losartan Potassium
343
Levothyroxine Sodium
305
Lisinopril
263
Omeprazole
226
Hydrochlorothiazide
199
Simvastatin
183
Gabapentin
161
Sertraline Hcl
132
Amlodipine Besylate
129

* 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 Helen Thornton, 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

Helen Thornton, MD's 6,755 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 Thornton.

Compare Family Medicine Physician 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 Pennsylvania medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician 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 Helen Thornton, MD's specialty?
Helen Thornton, MD specializes in Family Medicine Physician and practices in Gibsonia, Pennsylvania. Credentials: MD.
How much does Helen Thornton, MD prescribe under Medicare Part D?
In 2023, Helen Thornton, MD wrote 6,755 Medicare Part D claims totaling $540K in drug costs for 567 beneficiaries.
What is Helen Thornton, MD's Medicare quality score?
Helen Thornton, MD has a CMS MIPS Final Score of 90.6/100 (Quality: 87.3, Cost: 81.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Helen Thornton, MD located?
Helen Thornton, MD is located at 5548 WILLIAM FLYNN HWY, Gibsonia, PA, 15044. Phone: (724) 444-6330.
What is Helen Thornton, MD's NPI number?
Helen Thornton, MD's National Provider Identifier (NPI) is 1558301697, issued on 06/07/2006.
Does Helen Thornton, MD prescribe more brand-name or generic drugs?
Helen Thornton, MD's prescribing is 8% brand-name and 91% generic drugs by claim count, with $398K in brand drug costs.
Does Helen Thornton, MD prescribe opioids?
Yes, Helen Thornton, MD had 216 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
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 Helen Thornton, MD prescribe most often?
Based on 2023 Medicare Part D data, Helen Thornton, MD's most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Helen Thornton, MD accept Medicare?
Helen Thornton, MD appears in CMS Medicare data with 6,755 Part D claims and 567 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Helen Thornton, MD's credentials?
Helen Thornton, MD's NPI is 1558301697 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

Compiled from official public sources by the PlainDoctor editorial team.