2026 NPPES data Pain Medicine Physician NPI 1245907666 PA-C
Verify on CMS →

KEVIN TWOMBLY, PA-C

Pain Medicine Physician in PORTSMOUTH, New Hampshire. 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 · 211 beneficiaries · Pain Medicine Physician avg: 2K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$190.98
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KEVIN TWOMBLY, PA-C filed 3,439 Medicare Part D claims in 2023 as a Pain Medicine Physician in PORTSMOUTH, New Hampshire, prescribing 92% generic.

3K
Part D claims, 2023
92%
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.

KEVIN TWOMBLY, PA-C's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

3,439 Top 10% higher than 90% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

KEVIN TWOMBLY, PA-C practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 KEVIN TWOMBLY, PA-C?

Quality data not reported

NPI registry status

Active

Issued 08/24/2021

NPI 1245907666

Primary specialty

Pain Medicine Physician

Niche

951 US NPIs in this specialty

Medicare Part D claims

3,439 65% vs specialty avg

2023 prescription claims

Specialty avg: 2,078

Specialty distribution in New Hampshire

How Pain Medicine Physician compares to other specialties among New Hampshire providers

New Hampshire providers

Pain Medicine Physician share within New Hampshire

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

Specialty board-certification context

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

Quality data not reported
Est. board-certified rate
78%
Pain Medicine Physician ABMS/AOA estimate

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

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

KEVIN TWOMBLY, PA-C appears in the CMS NPPES registry as a Pain Medicine Physician provider holding PA-C credentials at 14 MANCHESTER SQ STE 290, PORTSMOUTH, NH, 03801, with a listed phone of (603) 766-8500. NPI 1245907666 was issued on 08/24/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TWOMBLY 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 3,439 prescription claims written by this provider, covering 211 Medicare beneficiaries and totaling roughly $301K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 60.9%. 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 Physician is a narrow specialty nationwide, with 951 enrolled providers across 49 states and an average of 2,078 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

14 MANCHESTER SQ STE 290
PORTSMOUTH, NH 03801

Provider Details

NPI 1245907666
Specialty Pain Medicine Physician
Credentials PA-C
Gender Male
NPI Issued 08/24/2021

Hospital and facility affiliations

Facilities where KEVIN TWOMBLY, PA-C 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.

PORTSMOUTH TRAUMA AND SURGICAL CARE, LLC
PORTSMOUTH, NH

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

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 KEVIN TWOMBLY, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$191

Largest payer

Becton, Dickinson and Company

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 · Generic-heavy

KEVIN TWOMBLY, PA-C — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 3,439 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.

3,439
Total Claims
$301K
Total Drug Cost
211
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,249
Total Day Supply
113,696
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$162K
Generic Drug Cost
$139K
Opioid Claims
2,095 (60.9% rate)

Patient Demographics

Average Patient Age
64.8 years
Avg HCC Risk Score
1.57
Gender Split
65% female / 35% male
Age Distribution
<65: 91, 65-74: 83, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What KEVIN TWOMBLY, PA-C 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
Oxycodone Hcl
935
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
300
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
206
Tramadol Hcl
157
Gabapentin
142
Buprenorphine Hcl
130
Hydromorphone Hcl
112
Morphine Sulfate Er
Morphine Sulfate
99
Tizanidine Hcl
98
Pregabalin
85

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

Pain Medicine Physician Overview

How KEVIN TWOMBLY, PA-C fits within the Pain Medicine Physician landscape nationally.

951
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,078
Avg Claims per Provider

KEVIN TWOMBLY, PA-C's 3,439 claims are above the specialty average of 2,078.

Nearby Pain Medicine Physician Providers in New Hampshire

Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as TWOMBLY.

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

Frequently Asked Questions

What is KEVIN TWOMBLY, PA-C's specialty?
KEVIN TWOMBLY, PA-C specializes in Pain Medicine Physician and practices in PORTSMOUTH, New Hampshire. Credentials: PA-C.
How much does KEVIN TWOMBLY, PA-C prescribe under Medicare Part D?
In 2023, KEVIN TWOMBLY, PA-C wrote 3,439 Medicare Part D claims totaling $301K in drug costs for 211 beneficiaries.
Where is KEVIN TWOMBLY, PA-C located?
KEVIN TWOMBLY, PA-C is located at 14 MANCHESTER SQ STE 290, PORTSMOUTH, NH, 03801. Phone: (603) 766-8500.
What is KEVIN TWOMBLY, PA-C's NPI number?
KEVIN TWOMBLY, PA-C's National Provider Identifier (NPI) is 1245907666, issued on 08/24/2021.
Does KEVIN TWOMBLY, PA-C prescribe more brand-name or generic drugs?
KEVIN TWOMBLY, PA-C's prescribing is 8% brand-name and 92% generic drugs by claim count, with $162K in brand drug costs.
Does KEVIN TWOMBLY, PA-C prescribe opioids?
Yes, KEVIN TWOMBLY, PA-C had 2,095 opioid claims in 2023 with an opioid prescribing rate of 60.9%.
How many Pain Medicine Physician providers are there in the US?
There are 951 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,078 Medicare Part D claims per year.
What drugs does KEVIN TWOMBLY, PA-C prescribe most often?
Based on 2023 Medicare Part D data, KEVIN TWOMBLY, PA-C's most frequently prescribed drugs include Oxycodone Hcl, Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KEVIN TWOMBLY, PA-C accept Medicare?
KEVIN TWOMBLY, PA-C appears in CMS Medicare data with 3,439 Part D claims and 211 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KEVIN TWOMBLY, PA-C's credentials?
KEVIN TWOMBLY, PA-C's NPI is 1245907666 with credentials PA-C. 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