2026 NPPES data Family Medicine Physician NPI 1386615185 M.D.
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KENNETH SIBILA, M.D.

Family Medicine Physician in TOWSON, Maryland. 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
3K
Medicare Part D claims · 266 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.2543/100
▲ 6 pts above national avg 83.1 · [object Object]

What the federal data shows

KENNETH SIBILA, M.D. reported a CMS MIPS final score of 89.2543/100 — above the 83.1 national average — and filed 2,886 Medicare Part D claims in 2023.

89.2543/100
MIPS score · +6 vs avg
3K
Part D claims, 2023
88%
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.

KENNETH SIBILA, 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

89 Top 42% higher than 58% 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%). This entry sits in this band. 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)

KENNETH SIBILA, M.D. 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).

What does the federal data show about KENNETH SIBILA, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 01/30/2006

NPI 1386615185

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

2,886 16% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

89.2543/100 6.154300000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Maryland

How Family Medicine Physician compares to other specialties among Maryland providers

Maryland providers

Family Medicine Physician share within Maryland

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

Medicare quality performance — MIPS

KENNETH SIBILA, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
89.2543/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 89.2543/100 vs national avg 83.1

0%100%National avg83%89.3%
MIPS final score (Family Medicine Physician) — 89.2543/100 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).

KENNETH SIBILA, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 7801 YORK RD, TOWSON, MD, 21204, with a listed phone of (410) 769-4920. NPI 1386615185 was issued on 01/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIBILA 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 2,886 prescription claims written by this provider, covering 266 Medicare beneficiaries and totaling roughly $322K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.2%. 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 89.2543/100 for the 2023 performance year (Quality 86.8728, Cost 77.3081), 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

7801 YORK RD
TOWSON, MD 21204

Provider Details

NPI 1386615185
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 01/30/2006

CMS Quality Score (MIPS)

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

89.2543
Final Score
Avg: 83.1
86.8728
Quality
77.3081
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KENNETH SIBILA, M.D. 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.

AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP
FOREST HILL, MD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

KENNETH SIBILA, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 2,886 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.

2,886
Total Claims
$322K
Total Drug Cost
266
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,058
Total Day Supply
206,430
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$258K
Generic Drug Cost
$63K
Opioid Claims
35 (1.2% rate)
Antibiotic Claims
49

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
0.82
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

What KENNETH SIBILA, 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
Rosuvastatin Calcium
233
Levothyroxine Sodium
184
Atorvastatin Calcium
139
Amlodipine Besylate
117
Pravastatin Sodium
86
Metformin Hcl
76
Losartan Potassium
64
Trulicity
Dulaglutide
58
Sertraline Hcl
54
Hydrochlorothiazide
51

* 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 KENNETH SIBILA, M.D. 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

KENNETH SIBILA, M.D.'s 2,886 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Maryland

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

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

Frequently Asked Questions

What is KENNETH SIBILA, M.D.'s specialty?
KENNETH SIBILA, M.D. specializes in Family Medicine Physician and practices in TOWSON, Maryland. Credentials: M.D..
How much does KENNETH SIBILA, M.D. prescribe under Medicare Part D?
In 2023, KENNETH SIBILA, M.D. wrote 2,886 Medicare Part D claims totaling $322K in drug costs for 266 beneficiaries.
What is KENNETH SIBILA, M.D.'s Medicare quality score?
KENNETH SIBILA, M.D. has a CMS MIPS Final Score of 89.2543/100 (Quality: 86.8728, Cost: 77.3081). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KENNETH SIBILA, M.D. located?
KENNETH SIBILA, M.D. is located at 7801 YORK RD, TOWSON, MD, 21204. Phone: (410) 769-4920.
What is KENNETH SIBILA, M.D.'s NPI number?
KENNETH SIBILA, M.D.'s National Provider Identifier (NPI) is 1386615185, issued on 01/30/2006.
Does KENNETH SIBILA, M.D. prescribe more brand-name or generic drugs?
KENNETH SIBILA, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $258K in brand drug costs.
Does KENNETH SIBILA, M.D. prescribe opioids?
Yes, KENNETH SIBILA, M.D. had 35 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
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 KENNETH SIBILA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KENNETH SIBILA, M.D.'s most frequently prescribed drugs include Rosuvastatin Calcium, Levothyroxine Sodium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KENNETH SIBILA, M.D. accept Medicare?
KENNETH SIBILA, M.D. appears in CMS Medicare data with 2,886 Part D claims and 266 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KENNETH SIBILA, M.D.'s credentials?
KENNETH SIBILA, M.D.'s NPI is 1386615185 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