NPI registry status
Active
2026 NPPES data Colon & Rectal Surgery Physician NPI 1780735464 MD
Verify on CMS → Kim Wiley, MD
Colon & Rectal Surgery Physician in Wheeling, West Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,642 in Colon & Rectal Surgery 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
670
Medicare Part D claims · 363 beneficiaries · Colon & Rectal Surgery Physician avg: 210
Generic prescribing
63%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1/100
▲ 11 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Kim Wiley, MD reported a CMS MIPS final score of 94.1/100 - above the 83.5 national average - and filed 670 Medicare Part D claims in 2024.
- 94.1/100
- MIPS score · +11 vs avg
- 670
- Part D claims, 2024
- 63%
- 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.
Federal trust snapshot
What official records show about Kim Wiley, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1780735464), first enumerated 01/16/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 670 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 94.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1780735464 · Colon & Rectal Surgery Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1780735464
- ENUM-MID 2007
- TAX-NARROW 1,642
- MIPS-ELITE 94.1/100
- RX-LIGHT 670
- BOOK-THIN 7 in West Virginia
- PHOTO-FINISH John Andrews · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Wiley · this pro…
Wiley · this provider
94.1 MIPS pts
- Scott Strong · h…
Scott Strong
94.1 MIPS pts
- Douglas Murken ·…
Douglas Murken
94.1 MIPS pts
- John Andrews · n…
John Andrews
94.1 MIPS pts
- James Gianfranci…
James Gianfrancisco
94.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Kim Wiley, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
94 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Kim Wiley, MD sits
This provider among colon & rectal surgery physician peers
Across the 511 colon & rectal surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kim Wiley, MD writes more Part D claims than 96% of them and scores higher on MIPS quality than 76% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one colon & rectal surgery physician peer from a representative sample of 60; the gold marker is Kim Wiley, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Kim Wiley, 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).
What does the federal data show about Kim Wiley, MD?
High performer (top quartile)Primary specialty
Colon & Rectal Surgery Physician
Medicare Part D claims
670 219% vs specialty avg
MIPS final score
94.1/100 10.6 pts vs avg
Specialty distribution in West Virginia
How Colon & Rectal Surgery Physician compares to other specialties among West Virginia providers
Medicare quality performance, MIPS
Kim Wiley, MD's 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average
- MIPS Final Score
- 94.1/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1780735464 |
|---|---|
| Specialty | Colon & Rectal Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 01/16/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.1061
Final Score
Measured-score avg: 83.5
78.4655
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Kim Wiley, 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.
Wheeling Hospital Inc
Wheeling, WV
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 · Above average
Kim Wiley, MD - brand share 37.0%
Colon & Rectal Surgery Physician average
37% brand-name claims vs 63% generic, on 670 2024 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 2024.
670
Total Claims
$55K
Total Drug Cost
363
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 700.833
- Total Day Supply
- 5,868
- Brand vs Generic
- 37% brand / 63% generic
- Brand Drug Cost
- $43K
- Generic Drug Cost
- $12K
- Opioid Claims
- 58 (8.7% rate)
- Antibiotic Claims
- 71
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.27
- Gender Split
- 52% female / 48% male
- Age Distribution
- <65: 41, 65-74: 199, 75-84: 102, 85+: 21
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Kim Wiley, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Clenpiq
Clenpiq
128 claims
- Sod Sulf-Potass Su…
Sod Sulf-Potass Sulf-Mag Sulf
85 claims
- Metronidazole
Metronidazole
54 claims
- Hydrocodone-Acetam… 51
Hydrocodone-Acetaminophen
51 claims
- Ondansetron Hcl 49
Ondansetron Hcl
49 claims
- Potassium Chloride 41
Potassium Chloride
41 claims
- Plenvu 40
Plenvu
40 claims
- Enoxaparin Sodium 33
Enoxaparin Sodium
33 claims
| Drug | Claims |
|---|---|
| Clenpiq Sod Picosulf/Mag Ox/Citric Ac | 128 |
| Sod Sulf-Potass Sulf-Mag Sulf Sodium, Potassium,mag Sulfates | 85 |
| Metronidazole | 54 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 51 |
| Ondansetron Hcl | 49 |
| Potassium Chloride | 41 |
| Plenvu Peg3350/Sod Sul/Nacl/Kcl/Asb/C | 40 |
| Enoxaparin Sodium | 33 |
| Ibuprofen | 33 |
| Sutab Sod Sulf/Pot Chloride/Mag Sulf | 32 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Colon & Rectal Surgery Physician in WV →
All providers in West Virginia →
Compare specialties →
Colon & Rectal Surgery Physician Overview
How Kim Wiley, MD fits within the Colon & Rectal Surgery Physician landscape nationally.
1,642
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
210
Avg Claims per Provider
Kim Wiley, MD's 670 claims are above the specialty average of 210.
Nationwide Colon & Rectal Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Wiley, both outside West Virginia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (94.1 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Colon & Rectal Surgery Physician Providers in West Virginia
Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Wiley.
One of 7 Colon & Rectal Surgery Physician providers enrolled in West Virginia, 5 are shown here.
Dr. Michael Adelman
D.O.
Lewisburg, WV
Dr. Riaz Cassim
M. D.
Morgantown, WV
Dr. Stephen Cohen
M.D.
Lewisburg, WV
Dr. Benjamin Dyer
MD
Charleston, WV
Dr. Ahmed Kalla
M.D.
Wheeling, WV
Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Kim Wiley, MD's specialty? ▼
Kim Wiley, MD specializes in Colon & Rectal Surgery Physician and practices in Wheeling, West Virginia. Credentials: MD.
How much does Kim Wiley, MD prescribe under Medicare Part D? ▼
In 2024, Kim Wiley, MD wrote 670 Medicare Part D claims totaling $55K in drug costs for 363 beneficiaries.
What is Kim Wiley, MD's Medicare quality score? ▼
Kim Wiley, MD has a CMS MIPS Final Score of 94.1/100 (Quality: 78.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kim Wiley, MD located? ▼
Kim Wiley, MD is located at 76 16TH ST, Wheeling, WV, 26003. Phone: (304) 242-7106.
What is Kim Wiley, MD's NPI number? ▼
Kim Wiley, MD's National Provider Identifier (NPI) is 1780735464, issued on 01/16/2007.
Does Kim Wiley, MD prescribe more brand-name or generic drugs? ▼
Kim Wiley, MD's prescribing is 37% brand-name and 63% generic drugs by claim count, with $43K in brand drug costs.
Does Kim Wiley, MD prescribe opioids? ▼
Yes, Kim Wiley, MD had 58 opioid claims in 2024 with an opioid prescribing rate of 8.7%.
How many Colon & Rectal Surgery Physician providers are there in the US? ▼
There are 1,642 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 210 Medicare Part D claims per year.
What drugs does Kim Wiley, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Kim Wiley, MD's most frequently prescribed drugs include Clenpiq, Sod Sulf-Potass Sulf-Mag Sulf, Metronidazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kim Wiley, MD accept Medicare? ▼
Kim Wiley, MD appears in CMS Medicare data with 670 Part D claims and 363 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kim Wiley, MD's credentials? ▼
Kim Wiley, MD's NPI is 1780735464 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.