2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1265136964 PA
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Kyle Wilson, PA

Adult Reconstructive Orthopaedic Surgery Physician in Charlottesville, 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 1,245 in Adult Reconstructive Orthopaedic 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
460
Medicare Part D claims · 267 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Kyle Wilson, PA filed 460 Medicare Part D claims in 2023 as a Adult Reconstructive Orthopaedic Surgery Physician in Charlottesville, Virginia, prescribing 97% generic.

460
Part D claims, 2023
97%
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.

Kyle Wilson, PA's Medicare Part D volume vs every U.S. prescriber

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

460 Top 38% higher than 62% 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%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. 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)

Kyle Wilson, PA practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — 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 Kyle Wilson, PA?

Quality data not reported

NPI registry status

Active

Issued 03/28/2023

NPI 1265136964

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

460 7% vs specialty avg

2023 prescription claims

Specialty avg: 493

Specialty distribution in Virginia

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Virginia providers

Virginia providers

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

Behavior Technician — 5.2%Behavior Technician5.2%Clinical Social Worker — 5.1%Clinical Social Worker5.1%Student in an Organized Health Care Education/Training Program — 4.7%Student in an Organized Health Care Education/Training Program4.7%Physical Therapist — 4.6%Physical Therapist4.6%Pharmacist — 4.5%Pharmacist4.5%Professional Counselor — 4%Professional Counselor4%Adult Reconstructive Orthopaedic Surgery Physician — 0%Adult Reconstructive Orthopaedic Surgery Physician0%
Largest specialties in Virginia (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — Adult Reconstructive Orthopaedic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Reconstructive Orthopaedic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Adult Reconstructive Orthopaedic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Reconstructive Orthopaedic Surgery 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).

Kyle Wilson, PA appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding PA credentials at 2280 IVY RD STE 1304, Charlottesville, VA, 22903, with a listed phone of (434) 243-5432. NPI 1265136964 was issued on 03/28/2023. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Wilson 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 460 prescription claims written by this provider, covering 267 Medicare beneficiaries and totaling roughly $8K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 39.1%. 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.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 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

2280 IVY RD STE 1304
Charlottesville, VA 22903

Provider Details

NPI 1265136964
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials PA
Gender Male
NPI Issued 03/28/2023

Hospital and facility affiliations

Facilities where Kyle Wilson, PA 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.

Select Physical Therapy Holdings Inc
Staunton, VA
University OF Virginia Physicians Group
Charlottesville, VA

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 · Generic-heavy

Kyle Wilson, PA — brand share 3.0%
Adult Reconstructive Orthopaedic Surgery Physician average

3% brand-name claims vs 97% generic, on 460 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.

460
Total Claims
$8K
Total Drug Cost
267
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
468
Total Day Supply
4,883
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$2K
Generic Drug Cost
$5K
Opioid Claims
180 (39.1% rate)
Antibiotic Claims
18

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
0.92
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

What Kyle Wilson, PA 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
Mupirocin
163
Oxycodone Hcl
128
Celecoxib
37
Ondansetron Hcl
32
Hydromorphone Hcl
31
Tramadol Hcl
17
Amoxicillin
11

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

Adult Reconstructive Orthopaedic Surgery Physician Overview

How Kyle Wilson, PA fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

Kyle Wilson, PA's 460 claims are below the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Virginia

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

Compare Adult Reconstructive Orthopaedic Surgery 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 Virginia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Adult Reconstructive Orthopaedic Surgery 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 Kyle Wilson, PA's specialty?
Kyle Wilson, PA specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in Charlottesville, Virginia. Credentials: PA.
How much does Kyle Wilson, PA prescribe under Medicare Part D?
In 2023, Kyle Wilson, PA wrote 460 Medicare Part D claims totaling $8K in drug costs for 267 beneficiaries.
Where is Kyle Wilson, PA located?
Kyle Wilson, PA is located at 2280 IVY RD STE 1304, Charlottesville, VA, 22903. Phone: (434) 243-5432.
What is Kyle Wilson, PA's NPI number?
Kyle Wilson, PA's National Provider Identifier (NPI) is 1265136964, issued on 03/28/2023.
Does Kyle Wilson, PA prescribe more brand-name or generic drugs?
Kyle Wilson, PA's prescribing is 3% brand-name and 97% generic drugs by claim count, with $2K in brand drug costs.
Does Kyle Wilson, PA prescribe opioids?
Yes, Kyle Wilson, PA had 180 opioid claims in 2023 with an opioid prescribing rate of 39.1%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US?
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does Kyle Wilson, PA prescribe most often?
Based on 2023 Medicare Part D data, Kyle Wilson, PA's most frequently prescribed drugs include Mupirocin, Oxycodone Hcl, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kyle Wilson, PA accept Medicare?
Kyle Wilson, PA appears in CMS Medicare data with 460 Part D claims and 267 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kyle Wilson, PA's credentials?
Kyle Wilson, PA's NPI is 1265136964 with credentials PA. 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

Compiled from official public sources by the PlainDoctor editorial team.