2026 NPPES data Addiction Medicine (Preventive Medicine) Physician NPI 1568496560 MD
Verify on CMS →

PAUL PYLES, MD

Addiction Medicine (Preventive Medicine) Physician in KNOXVILLE, Tennessee. 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
2K
Medicare Part D claims · 274 beneficiaries · Addiction Medicine (Preventive Medicine) Physician avg: 959
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$46.36
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PAUL PYLES, MD is a Addiction Medicine (Preventive Medicine) Physician ([object Object]) practicing in KNOXVILLE, Tennessee with a Medicare Part D prescribing footprint of 2K claims across 274 beneficiaries — 13% brand-name prescribing . Industry payments of $46.36 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PAUL PYLES, MD filed 1,655 Medicare Part D claims in 2023 across KNOXVILLE, Tennessee. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PAUL PYLES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PAUL PYLES, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 07/10/2006

NPI 1568496560

Primary specialty

Addiction Medicine (Preventive Medicine) Physician

Rare

321 US NPIs in this specialty

Medicare Part D claims

1,655 73% vs specialty avg

2023 prescription claims

Specialty avg: 959

Specialty distribution in Tennessee

How Addiction Medicine (Preventive Medicine) Physician compares to other specialties among Tennessee providers

Tennessee providers

Addiction Medicine (Preventive Medicine) Physician share within Tennessee

1. Addiction Medicine (Preventive Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Preventive Medicine) Physician share within Tennessee

Specialty board-certification context

Estimated specialty board-certified rate — Addiction Medicine (Preventive Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Addiction Medicine (Preventive Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Addiction Medicine (Preventive Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Addiction Medicine (Preventive Medicine) 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 PYLES, MD is a Addiction Medicine (Preventive Medicine) Physician provider practicing in KNOXVILLE, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1568496560. 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 PYLES, MD appears in the CMS NPPES registry as a Addiction Medicine (Preventive Medicine) Physician provider holding MD credentials at 1415 OLD WEISGARBER RD STE 360, KNOXVILLE, TN, 37909, with a listed phone of (865) 588-3173. NPI 1568496560 was issued on 07/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PYLES 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 1,655 prescription claims written by this provider, covering 274 Medicare beneficiaries and totaling roughly $350K in drug spend, split 13% brand-name and 87% 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.

Addiction Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 321 enrolled providers across 44 states and an average of 959 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

1415 OLD WEISGARBER RD STE 360
KNOXVILLE, TN 37909

Provider Details

NPI 1568496560
Specialty Addiction Medicine (Preventive Medicine) Physician
Credentials MD
Gender Male
NPI Issued 07/10/2006

Hospital and facility affiliations

Facilities where PAUL PYLES, 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.

CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
OAK RIDGE, TN

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 PAUL PYLES, MD. Source: openpaymentsdata.cms.gov.

Total received

$46

Largest payer

Braeburn 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.

Brand vs generic prescribing mix · Typical

PAUL PYLES, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 1,655 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.

1,655
Total Claims
$350K
Total Drug Cost
274
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,667
Total Day Supply
38,957
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$108K
Generic Drug Cost
$241K

Patient Demographics

Average Patient Age
56.3 years
Avg HCC Risk Score
1.46
Gender Split
45% female / 55% male
Age Distribution
<65: 201, 65-74: 60, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
1,240
Suboxone
Buprenorphine Hcl/Naloxone Hcl
188
Buprenorphine Hcl
53
Naloxone Hcl
37
Zubsolv
Buprenorphine Hcl/Naloxone Hcl
31
Aripiprazole
14
Sertraline Hcl
14
Duloxetine Hcl
12
Venlafaxine Hcl Er
Venlafaxine Hcl
12

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

Addiction Medicine (Preventive Medicine) Physician Overview

How PAUL PYLES, MD fits within the Addiction Medicine (Preventive Medicine) Physician landscape nationally.

321
Addiction Medicine (Preventive Medicine) Physician Providers in US
44
States with Addiction Medicine (Preventive Medicine) Physician
959
Avg Claims per Provider

PAUL PYLES, MD's 1,655 claims are above the specialty average of 959.

Nearby Addiction Medicine (Preventive Medicine) Physician Providers in Tennessee

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

Compare Addiction Medicine (Preventive Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL PYLES, MD's specialty?
PAUL PYLES, MD specializes in Addiction Medicine (Preventive Medicine) Physician and practices in KNOXVILLE, Tennessee. Credentials: MD.
How much does PAUL PYLES, MD prescribe under Medicare Part D?
In 2023, PAUL PYLES, MD wrote 1,655 Medicare Part D claims totaling $350K in drug costs for 274 beneficiaries.
Where is PAUL PYLES, MD located?
PAUL PYLES, MD is located at 1415 OLD WEISGARBER RD STE 360, KNOXVILLE, TN, 37909. Phone: (865) 588-3173.
What is PAUL PYLES, MD's NPI number?
PAUL PYLES, MD's National Provider Identifier (NPI) is 1568496560, issued on 07/10/2006.
Does PAUL PYLES, MD prescribe more brand-name or generic drugs?
PAUL PYLES, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $108K in brand drug costs.
How many Addiction Medicine (Preventive Medicine) Physician providers are there in the US?
There are 321 Addiction Medicine (Preventive Medicine) Physician providers across 44 states in the US. The average Addiction Medicine (Preventive Medicine) Physician provider writes 959 Medicare Part D claims per year.
What drugs does PAUL PYLES, MD prescribe most often?
Based on 2023 Medicare Part D data, PAUL PYLES, MD's most frequently prescribed drugs include Buprenorphine-Naloxone, Suboxone, Buprenorphine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL PYLES, MD accept Medicare?
PAUL PYLES, MD appears in CMS Medicare data with 1,655 Part D claims and 274 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL PYLES, MD's credentials?
PAUL PYLES, MD's NPI is 1568496560 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