2026 NPPES data Gastroenterology Physician NPI 1174821540 D.O.
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NATHAN PYLE, D.O.

Gastroenterology Physician in DECATUR, Illinois. 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
652
Medicare Part D claims · 280 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
67.1858/100
▼ 16 pts below national avg 83.1 · [object Object]
Industry payments
$122.82
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NATHAN PYLE, D.O. reported a CMS MIPS final score of 67.1858/100 — below the 83.1 national average — and filed 652 Medicare Part D claims in 2023.

67.1858/100
MIPS score · -16 vs avg
652
Part D claims, 2023
71%
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.

NATHAN PYLE, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

67 7th percentile higher than 7% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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)

NATHAN PYLE, D.O. 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 NATHAN PYLE, D.O.?

Below national average

NPI registry status

Active

Issued 03/08/2011

NPI 1174821540

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

652 22% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

67.1858/100 15.914199999999994% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Illinois

How Gastroenterology Physician compares to other specialties among Illinois providers

Illinois providers

Gastroenterology Physician share within Illinois

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

Medicare quality performance — MIPS

NATHAN PYLE, D.O.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

Below national average
MIPS Final Score
67.1858/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 67.1858/100 vs national avg 83.1

0%100%National avg83%67.2%
MIPS final score (Gastroenterology Physician) — 67.1858/100 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).

NATHAN PYLE, D.O. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding D.O. credentials at 2 MEMORIAL DR STE 101, DECATUR, IL, 62526, with a listed phone of (217) 876-2756. NPI 1174821540 was issued on 03/08/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PYLE 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 652 prescription claims written by this provider, covering 280 Medicare beneficiaries and totaling roughly $592K in drug spend, split 29% brand-name and 71% generic by claim count. 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 67.1858/100 for the 2023 performance year (Quality 63.8613, Cost 56.8734), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

2 MEMORIAL DR STE 101
DECATUR, IL 62526

Provider Details

NPI 1174821540
Specialty Gastroenterology Physician
Credentials D.O.
Gender Male
NPI Issued 03/08/2011

CMS Quality Score (MIPS)

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

67.1858
Final Score
Avg: 83.1
63.8613
Quality
56.8734
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where NATHAN PYLE, D.O. 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.

DECATUR MEMORIAL HOSPITAL
★★★☆☆ 3/5
DECATUR, IL
Acute Care Hospitals
CMS CCN: 140135

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 NATHAN PYLE, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$123

Largest payer

Janssen Biotech, Inc.

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.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to NATHAN PYLE, D.O.. To verify NATHAN PYLE, D.O.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

NATHAN PYLE, D.O. — brand share 29.0%
Specialty average (est.)

29% brand-name claims vs 71% generic, on 652 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.

652
Total Claims
$592K
Total Drug Cost
280
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,136
Total Day Supply
27,921
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$545K
Generic Drug Cost
$47K
Antibiotic Claims
32

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.41
Gender Split
57% female / 43% male
Age Distribution
<65: 39, 65-74: 144, 75-84: 85, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What NATHAN PYLE, D.O. 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
Pantoprazole Sodium
78
Omeprazole
65
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
46
Linzess
Linaclotide
26
Mesalamine
26
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
26
Dicyclomine Hcl
23
Colestipol Hcl
19
Azathioprine
18
Ondansetron Hcl
16

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

Gastroenterology Physician Overview

How NATHAN PYLE, D.O. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

NATHAN PYLE, D.O.'s 652 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Illinois

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

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NATHAN PYLE, D.O.'s specialty?
NATHAN PYLE, D.O. specializes in Gastroenterology Physician and practices in DECATUR, Illinois. Credentials: D.O..
How much does NATHAN PYLE, D.O. prescribe under Medicare Part D?
In 2023, NATHAN PYLE, D.O. wrote 652 Medicare Part D claims totaling $592K in drug costs for 280 beneficiaries.
What is NATHAN PYLE, D.O.'s Medicare quality score?
NATHAN PYLE, D.O. has a CMS MIPS Final Score of 67.1858/100 (Quality: 63.8613, Cost: 56.8734). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NATHAN PYLE, D.O. located?
NATHAN PYLE, D.O. is located at 2 MEMORIAL DR STE 101, DECATUR, IL, 62526. Phone: (217) 876-2756.
What is NATHAN PYLE, D.O.'s NPI number?
NATHAN PYLE, D.O.'s National Provider Identifier (NPI) is 1174821540, issued on 03/08/2011.
Does NATHAN PYLE, D.O. prescribe more brand-name or generic drugs?
NATHAN PYLE, D.O.'s prescribing is 29% brand-name and 71% generic drugs by claim count, with $545K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does NATHAN PYLE, D.O. prescribe most often?
Based on 2023 Medicare Part D data, NATHAN PYLE, D.O.'s most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Sutab. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATHAN PYLE, D.O. accept Medicare?
NATHAN PYLE, D.O. appears in CMS Medicare data with 652 Part D claims and 280 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATHAN PYLE, D.O.'s credentials?
NATHAN PYLE, D.O.'s NPI is 1174821540 with credentials D.O.. 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