NPI registry status
Active
2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1265136964 PA
Verify on CMS → 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 1,286 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
874
Medicare Part D claims · 405 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 537
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Kyle Wilson, PA filed 874 Medicare Part D claims in 2024 as an Adult Reconstructive Orthopaedic Surgery Physician in Charlottesville, Virginia, prescribing 98% generic.
- 874
- Part D claims, 2024
- 98%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥72nd
- pct by Part D claim volume (lower-bound band)
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 Kyle Wilson, PA
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1265136964), first enumerated 03/28/2023.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 874 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- 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
3 CMS Care Compare hospital affiliations 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 1265136964 · Adult Reconstructive Orthopaedic Surgery Physician
NPI-10 · ENUM-RECENT · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1265136964
- ENUM-RECENT 2023
- TAX-NARROW 1,286
- RX-LIGHT 874
- BOOK-THIN 66 in Virginia
- PHOTO-ENUM Bardia Barimani · 2023
Kyle Wilson, PA's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
874 ≥ 72nd percentile 72% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Kyle Wilson, PA practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 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 reportedPrimary specialty
Adult Reconstructive Orthopaedic Surgery Physician
Medicare Part D claims
874 63% vs specialty avg
Specialty distribution in Virginia
How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Virginia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Adult Reconstructive Orthopaedic Surgery Physician. Verify directly:
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 | 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.
According to CMS billing records, Kyle Wilson, PA is affiliated with 3 Medicare-billing facilities across 2 states.
Select Physical Therapy Holdings Inc
Staunton, VA
Select Rehabilitation, LLC
Glenview, IL
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 2.0%
Adult Reconstructive Orthopaedic Surgery Physician average
2% brand-name claims vs 98% generic, on 874 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.
874
Total Claims
$15K
Total Drug Cost
405
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 922.5
- Total Day Supply
- 12,513
- Brand vs Generic
- 2% brand / 98% generic
- Brand Drug Cost
- $7K
- Generic Drug Cost
- $8K
- Opioid Claims
- 329 (37.6% rate)
- Antibiotic Claims
- 65
Patient Demographics
- Average Patient Age
- 71.5 years
- Avg HCC Risk Score
- 1.03
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 45, 65-74: 225, 75-84: 123, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Kyle Wilson, PA prescribes most
Top Medicare Part D drugs by claim count, 2024
- Oxycodone Hcl
Oxycodone Hcl
266 claims
- Mupirocin
Mupirocin
182 claims
- Celecoxib 97
Celecoxib
97 claims
- Ondansetron Hcl 95
Ondansetron Hcl
95 claims
- Amoxicillin 37
Amoxicillin
37 claims
- Hydromorphone Hcl 32
Hydromorphone Hcl
32 claims
- Methocarbamol 30
Methocarbamol
30 claims
- Tramadol Hcl 21
Tramadol Hcl
21 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 266 |
| Mupirocin | 182 |
| Celecoxib | 97 |
| Ondansetron Hcl | 95 |
| Amoxicillin | 37 |
| Hydromorphone Hcl | 32 |
| Methocarbamol | 30 |
| Tramadol Hcl | 21 |
| Meloxicam | 17 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Adult Reconstructive Orthopaedic Surgery Physician in VA →
All providers in Virginia →
Compare specialties →
Adult Reconstructive Orthopaedic Surgery Physician Overview
How Kyle Wilson, PA fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.
1,286
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
537
Avg Claims per Provider
Kyle Wilson, PA's 874 claims are above the specialty average of 537.
Nationwide Adult Reconstructive Orthopaedic Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Wilson, both outside Virginia so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2023)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 66 Adult Reconstructive Orthopaedic Surgery Physician providers enrolled in Virginia, 5 are shown here.
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 2024, Kyle Wilson, PA wrote 874 Medicare Part D claims totaling $15K in drug costs for 405 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 2% brand-name and 98% generic drugs by claim count, with $7K in brand drug costs.
Does Kyle Wilson, PA prescribe opioids? ▼
Yes, Kyle Wilson, PA had 329 opioid claims in 2024 with an opioid prescribing rate of 37.6%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US? ▼
There are 1,286 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 537 Medicare Part D claims per year.
What drugs does Kyle Wilson, PA prescribe most often? ▼
Based on 2024 Medicare Part D data, Kyle Wilson, PA's most frequently prescribed drugs include Oxycodone Hcl, Mupirocin, 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 874 Part D claims and 405 Medicare beneficiaries in 2024. 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
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.
- 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.