2026 NPPES data Surgery Physician NPI 1386968329 M.D.
Verify on CMS →

PHILLIP BILDERBACK, M.D.

Surgery Physician in SHELTON, Washington. 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
184
Medicare Part D claims · 58 beneficiaries · Surgery Physician avg: 169
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$464.32
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PHILLIP BILDERBACK, M.D. is a Surgery Physician ([object Object]) practicing in SHELTON, Washington with a Medicare Part D prescribing footprint of 184 claims across 58 beneficiaries — 11% brand-name prescribing . Industry payments of $464.32 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PHILLIP BILDERBACK, M.D. filed 184 Medicare Part D claims in 2023 across SHELTON, Washington. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PHILLIP BILDERBACK, M.D. 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).

PHILLIP BILDERBACK, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 03/19/2010

NPI 1386968329

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

184 9% vs specialty avg

2023 prescription claims

Specialty avg: 169

Specialty distribution in Washington

How Surgery Physician compares to other specialties among Washington providers

Washington providers

Surgery Physician share within Washington

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

Specialty board-certification context

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

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

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

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

PHILLIP BILDERBACK, M.D. is a Surgery Physician provider practicing in SHELTON, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1386968329. 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.

PHILLIP BILDERBACK, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 1710 N 13TH LOOP RD, SHELTON, WA, 98584, with a listed phone of (360) 427-9549. NPI 1386968329 was issued on 03/19/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BILDERBACK 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 184 prescription claims written by this provider, covering 58 Medicare beneficiaries and totaling roughly $15K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 10.9%. 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.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

1710 N 13TH LOOP RD
SHELTON, WA 98584

Provider Details

NPI 1386968329
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 03/19/2010

Hospital and facility affiliations

Facilities where PHILLIP BILDERBACK, M.D. 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.

GRINNELL REGIONAL MEDICAL CENTER
★★☆☆☆ 2/5
GRINNELL, IA
Acute Care Hospitals
CMS CCN: 160147

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 PHILLIP BILDERBACK, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$464

Largest payer

INTUITIVE SURGICAL, 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 — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to PHILLIP BILDERBACK, M.D.. To verify PHILLIP BILDERBACK, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PHILLIP BILDERBACK, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 184 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.

184
Total Claims
$15K
Total Drug Cost
58
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
217
Total Day Supply
5,170
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$11K
Generic Drug Cost
$4K
Opioid Claims
20 (10.9% rate)
Antibiotic Claims
13

Patient Demographics

Average Patient Age
63.6 years
Avg HCC Risk Score
1.17
Gender Split
62% female / 38% male
Age Distribution
<65: 21, 65-74: 22, 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
Omeprazole
78
Sucralfate
25
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
15
Ondansetron Odt
Ondansetron
11

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

Surgery Physician Overview

How PHILLIP BILDERBACK, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

PHILLIP BILDERBACK, M.D.'s 184 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Washington

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

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

Frequently Asked Questions

What is PHILLIP BILDERBACK, M.D.'s specialty?
PHILLIP BILDERBACK, M.D. specializes in Surgery Physician and practices in SHELTON, Washington. Credentials: M.D..
How much does PHILLIP BILDERBACK, M.D. prescribe under Medicare Part D?
In 2023, PHILLIP BILDERBACK, M.D. wrote 184 Medicare Part D claims totaling $15K in drug costs for 58 beneficiaries.
Where is PHILLIP BILDERBACK, M.D. located?
PHILLIP BILDERBACK, M.D. is located at 1710 N 13TH LOOP RD, SHELTON, WA, 98584. Phone: (360) 427-9549.
What is PHILLIP BILDERBACK, M.D.'s NPI number?
PHILLIP BILDERBACK, M.D.'s National Provider Identifier (NPI) is 1386968329, issued on 03/19/2010.
Does PHILLIP BILDERBACK, M.D. prescribe more brand-name or generic drugs?
PHILLIP BILDERBACK, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $11K in brand drug costs.
Does PHILLIP BILDERBACK, M.D. prescribe opioids?
Yes, PHILLIP BILDERBACK, M.D. had 20 opioid claims in 2023 with an opioid prescribing rate of 10.9%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does PHILLIP BILDERBACK, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PHILLIP BILDERBACK, M.D.'s most frequently prescribed drugs include Omeprazole, Sucralfate, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PHILLIP BILDERBACK, M.D. accept Medicare?
PHILLIP BILDERBACK, M.D. appears in CMS Medicare data with 184 Part D claims and 58 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PHILLIP BILDERBACK, M.D.'s credentials?
PHILLIP BILDERBACK, M.D.'s NPI is 1386968329 with credentials M.D.. 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