NPI registry status
Active
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.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 325 in Addiction Medicine (Preventive Medicine) 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
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)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Paul Pyles, MD filed 1,655 Medicare Part D claims in 2023 as a Addiction Medicine (Preventive Medicine) Physician in Knoxville, Tennessee, prescribing 87% generic.
- 2K
- Part D claims, 2023
- 87%
- 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.
Paul Pyles, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,655 Top 18% higher than 82% of 1,370,886 prescribers
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)
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).
What does the federal data show about Paul Pyles, MD?
Quality data not reportedPrimary specialty
Addiction Medicine (Preventive Medicine) Physician
Medicare Part D claims
1,655 73% vs specialty avg
Specialty distribution in Tennessee
How Addiction Medicine (Preventive Medicine) Physician compares to other specialties among Tennessee 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 Addiction Medicine (Preventive Medicine) 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).
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.
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.
Addiction Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 325 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
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%
Addiction Medicine (Preventive Medicine) Physician average
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.
What Paul Pyles, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Buprenorphine-Nalo…
Buprenorphine-Naloxone
1,240 claims
- Suboxone 188
Suboxone
188 claims
- Buprenorphine Hcl 53
Buprenorphine Hcl
53 claims
- Naloxone Hcl 37
Naloxone Hcl
37 claims
- Zubsolv 31
Zubsolv
31 claims
- Aripiprazole 14
Aripiprazole
14 claims
- Sertraline Hcl 14
Sertraline Hcl
14 claims
- Duloxetine Hcl 12
Duloxetine Hcl
12 claims
| 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.
More Addiction Medicine (Preventive Medicine) Physician in TN →
All providers in Tennessee →
Compare specialties →
Addiction Medicine (Preventive Medicine) Physician Overview
How Paul Pyles, MD fits within the Addiction Medicine (Preventive Medicine) Physician landscape nationally.
325
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.
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 Tennessee medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Addiction Medicine (Preventive Medicine) 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Explore Tennessee
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 325 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
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 (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.