2026 NPPES data Urology Physician NPI 1124464565 M.D.
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PRESTON MILBURN, M.D.

Urology Physician in WACO, Texas. 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
781
Medicare Part D claims · 295 beneficiaries · Urology Physician avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$446.73
18 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PRESTON MILBURN, M.D. filed 781 Medicare Part D claims in 2023 as a Urology Physician in WACO, Texas, prescribing 91% generic.

781
Part D claims, 2023
91%
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.

PRESTON MILBURN, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

781 Top 29% higher than 71% 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%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 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)

PRESTON MILBURN, 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 PRESTON MILBURN, M.D.?

Quality data not reported

NPI registry status

Active

Issued 05/13/2013

NPI 1124464565

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

781 39% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

Specialty distribution in Texas

How Urology Physician compares to other specialties among Texas providers

Texas providers

Urology Physician share within Texas

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

Specialty board-certification context

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

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

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

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

PRESTON MILBURN, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 50 HILLCREST MEDICAL BLVD STE 102, WACO, TX, 76712, with a listed phone of (254) 215-9481. NPI 1124464565 was issued on 05/13/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MILBURN 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 781 prescription claims written by this provider, covering 295 Medicare beneficiaries and totaling roughly $69K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 6.7%. 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.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

50 HILLCREST MEDICAL BLVD STE 102
WACO, TX 76712

Provider Details

NPI 1124464565
Specialty Urology Physician
Credentials M.D.
Gender Male
NPI Issued 05/13/2013

Hospital and facility affiliations

Facilities where PRESTON MILBURN, 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.

HILLCREST PHYSICIAN SERVICES
WACO, TX

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 PRESTON MILBURN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$447

Largest payer

Axonics, 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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to PRESTON MILBURN, M.D.. To verify PRESTON MILBURN, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

PRESTON MILBURN, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 781 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.

781
Total Claims
$69K
Total Drug Cost
295
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,459
Total Day Supply
36,239
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$48K
Generic Drug Cost
$21K
Opioid Claims
52 (6.7% rate)
Antibiotic Claims
229

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.28
Gender Split
20% female / 80% male
Age Distribution
<65: 23, 65-74: 153, 75-84: 97, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

What PRESTON MILBURN, 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
Tamsulosin Hcl
170
Ciprofloxacin Hcl
87
Finasteride
74
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
59
Myrbetriq
Mirabegron
55
Cephalexin
32
Testosterone Cypionate
30
Acetaminophen-Codeine
Acetaminophen With Codeine
23
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
19
Oxybutynin Chloride
17

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

Urology Physician Overview

How PRESTON MILBURN, M.D. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

PRESTON MILBURN, M.D.'s 781 claims are below the specialty average of 1,280.

Nearby Urology Physician Providers in Texas

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

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

Frequently Asked Questions

What is PRESTON MILBURN, M.D.'s specialty?
PRESTON MILBURN, M.D. specializes in Urology Physician and practices in WACO, Texas. Credentials: M.D..
How much does PRESTON MILBURN, M.D. prescribe under Medicare Part D?
In 2023, PRESTON MILBURN, M.D. wrote 781 Medicare Part D claims totaling $69K in drug costs for 295 beneficiaries.
Where is PRESTON MILBURN, M.D. located?
PRESTON MILBURN, M.D. is located at 50 HILLCREST MEDICAL BLVD STE 102, WACO, TX, 76712. Phone: (254) 215-9481.
What is PRESTON MILBURN, M.D.'s NPI number?
PRESTON MILBURN, M.D.'s National Provider Identifier (NPI) is 1124464565, issued on 05/13/2013.
Does PRESTON MILBURN, M.D. prescribe more brand-name or generic drugs?
PRESTON MILBURN, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $48K in brand drug costs.
Does PRESTON MILBURN, M.D. prescribe opioids?
Yes, PRESTON MILBURN, M.D. had 52 opioid claims in 2023 with an opioid prescribing rate of 6.7%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does PRESTON MILBURN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PRESTON MILBURN, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Ciprofloxacin Hcl, Finasteride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRESTON MILBURN, M.D. accept Medicare?
PRESTON MILBURN, M.D. appears in CMS Medicare data with 781 Part D claims and 295 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRESTON MILBURN, M.D.'s credentials?
PRESTON MILBURN, M.D.'s NPI is 1124464565 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