2026 NPPES data Family Medicine Physician NPI 1356351084 M.D.
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POLLY BILLIPS, M.D.

Family Medicine Physician in BRISTOL, 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
868
Medicare Part D claims · 516 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$32.8
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

POLLY BILLIPS, M.D. filed 868 Medicare Part D claims in 2023 as a Family Medicine Physician in BRISTOL, Tennessee, prescribing 95% generic.

868
Part D claims, 2023
95%
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.

POLLY BILLIPS, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

868 Top 27% higher than 73% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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)

POLLY BILLIPS, 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).

What does the federal data show about POLLY BILLIPS, M.D.?

Quality data not reported

NPI registry status

Active

Issued 08/08/2006

NPI 1356351084

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

868 75% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Tennessee

How Family Medicine Physician compares to other specialties among Tennessee providers

Tennessee providers

Family Medicine Physician share within Tennessee

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

Specialty board-certification context

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

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

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

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

POLLY BILLIPS, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 240 MEDICAL PARK BLVD, BRISTOL, TN, 37620, with a listed phone of (423) 990-2466. NPI 1356351084 was issued on 08/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BILLIPS 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 868 prescription claims written by this provider, covering 516 Medicare beneficiaries and totaling roughly $14K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 2.2%. 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

240 MEDICAL PARK BLVD
BRISTOL, TN 37620

Provider Details

NPI 1356351084
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 08/08/2006

Hospital and facility affiliations

Facilities where POLLY BILLIPS, 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.

HOLSTON MEDICAL GROUP PC
KINGSPORT, 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 POLLY BILLIPS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$33

Largest payer

PFIZER 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 · Generic-heavy

POLLY BILLIPS, M.D. — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 868 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.

868
Total Claims
$14K
Total Drug Cost
516
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
887
Total Day Supply
9,485
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$2K
Generic Drug Cost
$9K
Opioid Claims
19 (2.2% rate)
Antibiotic Claims
402

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
1.32
Gender Split
66% female / 34% male
Age Distribution
<65: 68, 65-74: 232, 75-84: 162, 85+: 54

Top Prescribed Drugs (Medicare Part D)

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

What POLLY BILLIPS, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Doxycycline Hyclate
147
Prednisone
111
Albuterol Sulfate Hfa
Albuterol Sulfate
84
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
57
Azithromycin
46
Cephalexin
40
Lagevrio (Eua)
Molnupiravir
36
Cefdinir
28
Fluconazole
26
Triamcinolone Acetonide
26

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

Family Medicine Physician Overview

How POLLY BILLIPS, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

POLLY BILLIPS, M.D.'s 868 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Tennessee

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is POLLY BILLIPS, M.D.'s specialty?
POLLY BILLIPS, M.D. specializes in Family Medicine Physician and practices in BRISTOL, Tennessee. Credentials: M.D..
How much does POLLY BILLIPS, M.D. prescribe under Medicare Part D?
In 2023, POLLY BILLIPS, M.D. wrote 868 Medicare Part D claims totaling $14K in drug costs for 516 beneficiaries.
Where is POLLY BILLIPS, M.D. located?
POLLY BILLIPS, M.D. is located at 240 MEDICAL PARK BLVD, BRISTOL, TN, 37620. Phone: (423) 990-2466.
What is POLLY BILLIPS, M.D.'s NPI number?
POLLY BILLIPS, M.D.'s National Provider Identifier (NPI) is 1356351084, issued on 08/08/2006.
Does POLLY BILLIPS, M.D. prescribe more brand-name or generic drugs?
POLLY BILLIPS, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $2K in brand drug costs.
Does POLLY BILLIPS, M.D. prescribe opioids?
Yes, POLLY BILLIPS, M.D. had 19 opioid claims in 2023 with an opioid prescribing rate of 2.2%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does POLLY BILLIPS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, POLLY BILLIPS, M.D.'s most frequently prescribed drugs include Doxycycline Hyclate, Prednisone, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does POLLY BILLIPS, M.D. accept Medicare?
POLLY BILLIPS, M.D. appears in CMS Medicare data with 868 Part D claims and 516 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify POLLY BILLIPS, M.D.'s credentials?
POLLY BILLIPS, M.D.'s NPI is 1356351084 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