2026 NPPES data Adolescent Medicine (Family Medicine) Physician NPI 1942357942 M.D.
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JILL WALLNER, M.D.

Adolescent Medicine (Family Medicine) Physician in CROSSVILLE, Tennessee. 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
5K
Medicare Part D claims · 423 beneficiaries · Adolescent Medicine (Family Medicine) Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
28.9149/100
▼ 54 pts below national avg 83.1 · [object Object]
Industry payments
$91.78
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JILL WALLNER, M.D. reported a CMS MIPS final score of 28.9149/100 — below the 83.1 national average — and filed 5,230 Medicare Part D claims in 2023.

28.9149/100
MIPS score · -54 vs avg
5K
Part D claims, 2023
85%
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.

JILL WALLNER, 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

29 3rd percentile higher than 3% 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%). This entry sits in this band. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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

Board certification likely (heuristic — not verified)

JILL WALLNER, M.D. 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 JILL WALLNER, M.D.?

Below national average

NPI registry status

Active

Issued 01/04/2007

NPI 1942357942

Primary specialty

Adolescent Medicine (Family Medicine) Physician

Rare

261 US NPIs in this specialty

Medicare Part D claims

5,230 82% vs specialty avg

2023 prescription claims

Specialty avg: 2,881

MIPS final score

28.9149/100 54.18509999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in Tennessee

How Adolescent Medicine (Family Medicine) Physician compares to other specialties among Tennessee providers

Tennessee providers

Adolescent Medicine (Family Medicine) Physician share within Tennessee

1. Adolescent Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adolescent Medicine (Family Medicine) Physician share within Tennessee

Medicare quality performance — MIPS

JILL WALLNER, M.D.'s 2023 MIPS final score plotted against the Adolescent Medicine (Family Medicine) Physician national average

Below national average
MIPS Final Score
28.9149/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adolescent Medicine (Family Medicine) Physician) — 28.9149/100 vs national avg 83.1

0%100%National avg83%28.9%
MIPS final score (Adolescent Medicine (Family Medicine) Physician) — 28.9149/100 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).

JILL WALLNER, M.D. appears in the CMS NPPES registry as a Adolescent Medicine (Family Medicine) Physician provider holding M.D. credentials at 58 W FIRST ST, CROSSVILLE, TN, 38555, with a listed phone of (931) 456-7992. NPI 1942357942 was issued on 01/04/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WALLNER 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 5,230 prescription claims written by this provider, covering 423 Medicare beneficiaries and totaling roughly $622K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 1.4%. 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 28.9149/100 for the 2023 performance year (Quality 0, Cost 96.3831), compared with the national average of 83.1.

Adolescent Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 261 enrolled providers across 44 states and an average of 2,881 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

58 W FIRST ST
CROSSVILLE, TN 38555

Provider Details

NPI 1942357942
Specialty Adolescent Medicine (Family Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 01/04/2007

CMS Quality Score (MIPS)

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

28.9149
Final Score
Avg: 83.1
0
Quality
96.3831
Cost

Reporting: Individual

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 JILL WALLNER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$92

Largest payer

Amgen 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

JILL WALLNER, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 5,230 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.

5,230
Total Claims
$622K
Total Drug Cost
423
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,123
Total Day Supply
352,916
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$515K
Generic Drug Cost
$102K
Opioid Claims
73 (1.4% rate)
Antibiotic Claims
232

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.00
Gender Split
64% female / 36% male
Age Distribution
<65: 51, 65-74: 194, 75-84: 148, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

What JILL WALLNER, 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
Levothyroxine Sodium
234
Lisinopril
211
Atorvastatin Calcium
205
Losartan Potassium
205
Amlodipine Besylate
175
Metformin Hcl
167
Omeprazole
139
Gabapentin
114
Fluticasone Propionate
110
Duloxetine Hcl
99

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

Adolescent Medicine (Family Medicine) Physician Overview

How JILL WALLNER, M.D. fits within the Adolescent Medicine (Family Medicine) Physician landscape nationally.

261
Adolescent Medicine (Family Medicine) Physician Providers in US
44
States with Adolescent Medicine (Family Medicine) Physician
2,881
Avg Claims per Provider

JILL WALLNER, M.D.'s 5,230 claims are above the specialty average of 2,881.

Nearby Adolescent Medicine (Family Medicine) Physician Providers in Tennessee

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

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

Frequently Asked Questions

What is JILL WALLNER, M.D.'s specialty?
JILL WALLNER, M.D. specializes in Adolescent Medicine (Family Medicine) Physician and practices in CROSSVILLE, Tennessee. Credentials: M.D..
How much does JILL WALLNER, M.D. prescribe under Medicare Part D?
In 2023, JILL WALLNER, M.D. wrote 5,230 Medicare Part D claims totaling $622K in drug costs for 423 beneficiaries.
What is JILL WALLNER, M.D.'s Medicare quality score?
JILL WALLNER, M.D. has a CMS MIPS Final Score of 28.9149/100 (Quality: 0, Cost: 96.3831). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JILL WALLNER, M.D. located?
JILL WALLNER, M.D. is located at 58 W FIRST ST, CROSSVILLE, TN, 38555. Phone: (931) 456-7992.
What is JILL WALLNER, M.D.'s NPI number?
JILL WALLNER, M.D.'s National Provider Identifier (NPI) is 1942357942, issued on 01/04/2007.
Does JILL WALLNER, M.D. prescribe more brand-name or generic drugs?
JILL WALLNER, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $515K in brand drug costs.
Does JILL WALLNER, M.D. prescribe opioids?
Yes, JILL WALLNER, M.D. had 73 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Adolescent Medicine (Family Medicine) Physician providers are there in the US?
There are 261 Adolescent Medicine (Family Medicine) Physician providers across 44 states in the US. The average Adolescent Medicine (Family Medicine) Physician provider writes 2,881 Medicare Part D claims per year.
What drugs does JILL WALLNER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JILL WALLNER, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Lisinopril, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JILL WALLNER, M.D. accept Medicare?
JILL WALLNER, M.D. appears in CMS Medicare data with 5,230 Part D claims and 423 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JILL WALLNER, M.D.'s credentials?
JILL WALLNER, M.D.'s NPI is 1942357942 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