NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1902884463 M.D.
Verify on CMS → Philliph Bialecki, M.D.
Emergency Medicine Physician in Dover, Delaware.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,398 in Emergency 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
389
Medicare Part D claims · 291 beneficiaries · Emergency Medicine Physician avg: 352
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Philliph Bialecki, M.D. filed 389 Medicare Part D claims in 2023 as a Emergency Medicine Physician in Dover, Delaware.
- 389
- Part D claims, 2023
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.
Philliph Bialecki, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
389 Top 43% higher than 57% 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-eligible specialty (heuristic, not verified)
Philliph Bialecki, M.D. 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).
What does the federal data show about Philliph Bialecki, M.D.?
Quality data not reportedPrimary specialty
Emergency Medicine Physician
Medicare Part D claims
389 11% vs specialty avg
Specialty distribution in Delaware
How Emergency Medicine Physician compares to other specialties among Delaware 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 Emergency 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).
Philliph Bialecki, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 640 S STATE ST, Dover, DE, 19901, with a listed phone of (302) 744-6156. NPI 1902884463 was issued on 01/05/2006.
Medicare Part D records for calendar year 2023 show 389 prescription claims written by this provider, covering 291 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 38.3%.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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 | 1902884463 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 01/05/2006 |
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
389
Total Claims
$3K
Total Drug Cost
291
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 392
- Total Day Supply
- 2,198
- Generic Drug Cost
- $2K
- Opioid Claims
- 149 (38.3% rate)
- Antibiotic Claims
- 70
Patient Demographics
- Average Patient Age
- 70.7 years
- Avg HCC Risk Score
- 1.81
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 62, 65-74: 121, 75-84: 70, 85+: 38
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Philliph Bialecki, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tramadol Hcl
Tramadol Hcl
118 claims
- Ondansetron Hcl 47
Ondansetron Hcl
47 claims
- Prednisone 24
Prednisone
24 claims
- Cephalexin 21
Cephalexin
21 claims
- Naproxen 20
Naproxen
20 claims
- Oxycodone-Acetamin… 19
Oxycodone-Acetaminophen
19 claims
- Azithromycin 15
Azithromycin
15 claims
- Dicyclomine Hcl 15
Dicyclomine Hcl
15 claims
| Drug | Claims |
|---|---|
| Tramadol Hcl | 118 |
| Ondansetron Hcl | 47 |
| Prednisone | 24 |
| Cephalexin | 21 |
| Naproxen | 20 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 19 |
| Azithromycin | 15 |
| Dicyclomine Hcl | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Philliph Bialecki, M.D. fits within the Emergency Medicine Physician landscape nationally.
64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Philliph Bialecki, M.D.'s 389 claims are above the specialty average of 352.
Nearby Emergency Medicine Physician Providers in Delaware
Other clinicians with the same primary specialty enrolled in Delaware, drawn from the same CMS NPPES roster as Bialecki.
Dr. Kelly Abbrescia
DO
Dover, DE
Dr. Ketaki Abhyankar
M.D.
Newark, DE
Dr. Kokou Ahama
MD
Dover, DE
Dr. Lindsay Albanese
M.D.
Lewes, DE
Dr. Douglas Allen
DO
Lewes, DE
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
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 Delaware medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency 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.
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Frequently Asked Questions
What is Philliph Bialecki, M.D.'s specialty? ▼
Philliph Bialecki, M.D. specializes in Emergency Medicine Physician and practices in Dover, Delaware. Credentials: M.D..
How much does Philliph Bialecki, M.D. prescribe under Medicare Part D? ▼
In 2023, Philliph Bialecki, M.D. wrote 389 Medicare Part D claims totaling $3K in drug costs for 291 beneficiaries.
Where is Philliph Bialecki, M.D. located? ▼
Philliph Bialecki, M.D. is located at 640 S STATE ST, Dover, DE, 19901. Phone: (302) 744-6156.
What is Philliph Bialecki, M.D.'s NPI number? ▼
Philliph Bialecki, M.D.'s National Provider Identifier (NPI) is 1902884463, issued on 01/05/2006.
Does Philliph Bialecki, M.D. prescribe opioids? ▼
Yes, Philliph Bialecki, M.D. had 149 opioid claims in 2023 with an opioid prescribing rate of 38.3%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Philliph Bialecki, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Philliph Bialecki, M.D.'s most frequently prescribed drugs include Tramadol Hcl, Ondansetron Hcl, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Philliph Bialecki, M.D. accept Medicare? ▼
Philliph Bialecki, M.D. appears in CMS Medicare data with 389 Part D claims and 291 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Philliph Bialecki, M.D.'s credentials? ▼
Philliph Bialecki, M.D.'s NPI is 1902884463 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
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.