2026 NPPES data Pediatrics Physician NPI 1255467684 MD
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PAUL HYMAN, MD

Pediatrics Physician in BRUNSWICK, Maine. 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
4K
Medicare Part D claims · 326 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: PAUL HYMAN, MD is a Pediatrics Physician ([object Object]) practicing in BRUNSWICK, Maine with a Medicare Part D prescribing footprint of 4K claims across 326 beneficiaries — 12% brand-name prescribing .

What stands out: PAUL HYMAN, MD filed 4,037 Medicare Part D claims in 2023 across BRUNSWICK, Maine. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

PAUL HYMAN, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

PAUL HYMAN, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 02/27/2007

NPI 1255467684

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

4,037 430% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Maine

How Pediatrics Physician compares to other specialties among Maine providers

Maine providers

Pediatrics Physician share within Maine

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

Specialty board-certification context

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

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

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

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

PAUL HYMAN, MD is a Pediatrics Physician provider practicing in BRUNSWICK, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1255467684. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PAUL HYMAN, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 18 PLEASANT ST UNIT 204, BRUNSWICK, ME, 04011, with a listed phone of (207) 249-6959. NPI 1255467684 was issued on 02/27/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HYMAN 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 4,037 prescription claims written by this provider, covering 326 Medicare beneficiaries and totaling roughly $509K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 5.0%. 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

18 PLEASANT ST UNIT 204
BRUNSWICK, ME 04011

Provider Details

NPI 1255467684
Specialty Pediatrics Physician
Credentials MD
Gender Male
NPI Issued 02/27/2007

Brand vs generic prescribing mix · Typical

PAUL HYMAN, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 4,037 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.

4,037
Total Claims
$509K
Total Drug Cost
326
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,487
Total Day Supply
275,224
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$401K
Generic Drug Cost
$106K
Opioid Claims
200 (5.0% rate)
Antibiotic Claims
105

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.08
Gender Split
43% female / 57% male
Age Distribution
<65: 24, 65-74: 126, 75-84: 128, 85+: 48

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
378
Amlodipine Besylate
205
Lisinopril
169
Levothyroxine Sodium
145
Metoprolol Succinate
140
Simvastatin
140
Losartan Potassium
109
Omeprazole
100
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
80
Tamsulosin Hcl
80

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

Pediatrics Physician Overview

How PAUL HYMAN, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

PAUL HYMAN, MD's 4,037 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in Maine

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

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

Frequently Asked Questions

What is PAUL HYMAN, MD's specialty?
PAUL HYMAN, MD specializes in Pediatrics Physician and practices in BRUNSWICK, Maine. Credentials: MD.
How much does PAUL HYMAN, MD prescribe under Medicare Part D?
In 2023, PAUL HYMAN, MD wrote 4,037 Medicare Part D claims totaling $509K in drug costs for 326 beneficiaries.
Where is PAUL HYMAN, MD located?
PAUL HYMAN, MD is located at 18 PLEASANT ST UNIT 204, BRUNSWICK, ME, 04011. Phone: (207) 249-6959.
What is PAUL HYMAN, MD's NPI number?
PAUL HYMAN, MD's National Provider Identifier (NPI) is 1255467684, issued on 02/27/2007.
Does PAUL HYMAN, MD prescribe more brand-name or generic drugs?
PAUL HYMAN, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $401K in brand drug costs.
Does PAUL HYMAN, MD prescribe opioids?
Yes, PAUL HYMAN, MD had 200 opioid claims in 2023 with an opioid prescribing rate of 5.0%.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does PAUL HYMAN, MD prescribe most often?
Based on 2023 Medicare Part D data, PAUL HYMAN, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL HYMAN, MD accept Medicare?
PAUL HYMAN, MD appears in CMS Medicare data with 4,037 Part D claims and 326 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL HYMAN, MD's credentials?
PAUL HYMAN, MD's NPI is 1255467684 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

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