2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1518362623
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Silby George

Psychiatric/Mental Health Nurse Practitioner in Dallas, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 39,953 in Psychiatric/Mental Health Nurse Practitioner, 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
264
Medicare Part D claims · 66 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.2/100
▼ 2 pts below national avg 83.1 · Above neutral
Industry payments
$19.6
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Silby George reported a CMS MIPS final score of 81.2/100 - below the 83.1 national average - and filed 264 Medicare Part D claims in 2023.

81.2/100
MIPS score · -2 vs avg
264
Part D claims, 2023
94%
generic prescribing
$19.6
industry payments (Sunshine Act)

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.

Silby George's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

81 36th percentile higher than 36% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Where Silby George sits

This provider among psychiatric/mental health nurse practitioner peers

Across the 1,917 psychiatric/mental health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Silby George writes more Part D claims than 35% of them and scores higher on MIPS quality than 31% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 45Silby George-Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 31
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one psychiatric/mental health nurse practitioner peer from a representative sample of 60; the gold marker is Silby George. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Silby George?

Near national average

NPI registry status

Active

Issued 10/31/2014

NPI 1518362623

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

39,953 US NPIs in this specialty

Medicare Part D claims

264 72% vs specialty avg

2023 prescription claims

Specialty avg: 927

MIPS final score

81.2/100 1.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Psychiatric/Mental Health Nurse Practitioner - 0.8%Psychiatric/Mental Health Nurse Practitioner0.8%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Silby George's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average

Near national average
MIPS Final Score
81.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatric/Mental Health Nurse Practitioner) - 81.2/100 vs national avg 83.1

0%100%National avg83%81.2%
MIPS final score (Psychiatric/Mental Health Nurse Practitioner) - 81.2/100 vs national avg 83.1
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).

Silby George appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider at 9708 SKILLMAN ST, Dallas, TX, 75243, with a listed phone of (214) 743-6146. NPI 1518362623 was issued on 10/31/2014.

Medicare Part D records for calendar year 2023 show 264 prescription claims written by this provider, covering 66 Medicare beneficiaries and totaling roughly $44K in drug spend, split 6% brand-name and 94% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.2/100 for the 2023 performance year (Quality 63.1, Cost 100), compared with the national average of 83.1.

Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 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

9708 SKILLMAN ST
Dallas, TX 75243

Provider Details

NPI 1518362623
Specialty Psychiatric/Mental Health Nurse Practitioner
Gender Female
NPI Issued 10/31/2014

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

81.1666
Final Score
Avg: 83.1
63.0554
Quality
100
Cost
49
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Silby George 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.

Behavioral Health OF North Texas LLP
Frisco, 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 Silby George. Source: openpaymentsdata.cms.gov.

Total received

$20

Largest payer

Medtronic, 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 Silby George. To verify Silby George'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

Silby George - brand share 6.0%
Psychiatric/Mental Health Nurse Practitioner average

6% brand-name claims vs 94% generic, on 264 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.

264
Total Claims
$44K
Total Drug Cost
66
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
293
Total Day Supply
8,703
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$35K
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
54.4 years
Avg HCC Risk Score
1.39
Gender Split
50% female / 50% male
Age Distribution
<65: 47, 65-74: 14, 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 Silby George 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
Quetiapine Fumarate
24
Sertraline Hcl
19
Buspirone Hcl
16
Risperidone
15
Trazodone Hcl
14
Benztropine Mesylate
12
Fluoxetine Hcl
11

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

Psychiatric/Mental Health Nurse Practitioner Overview

How Silby George fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.

39,953
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider

Silby George's 264 claims are below the specialty average of 927.

Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Texas

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

Compare Psychiatric/Mental Health Nurse Practitioner 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 Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Psychiatric/Mental Health Nurse Practitioner 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.

Frequently Asked Questions

What is Silby George's specialty?
Silby George specializes in Psychiatric/Mental Health Nurse Practitioner and practices in Dallas, Texas.
How much does Silby George prescribe under Medicare Part D?
In 2023, Silby George wrote 264 Medicare Part D claims totaling $44K in drug costs for 66 beneficiaries.
What is Silby George's Medicare quality score?
Silby George has a CMS MIPS Final Score of 81.2/100 (Quality: 63.1, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Silby George located?
Silby George is located at 9708 SKILLMAN ST, Dallas, TX, 75243. Phone: (214) 743-6146.
What is Silby George's NPI number?
Silby George's National Provider Identifier (NPI) is 1518362623, issued on 10/31/2014.
Does Silby George prescribe more brand-name or generic drugs?
Silby George's prescribing is 6% brand-name and 94% generic drugs by claim count, with $35K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US?
There are 39,953 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does Silby George prescribe most often?
Based on 2023 Medicare Part D data, Silby George's most frequently prescribed drugs include Quetiapine Fumarate, Sertraline Hcl, Buspirone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Silby George accept Medicare?
Silby George appears in CMS Medicare data with 264 Part D claims and 66 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Silby George's credentials?
Silby George's NPI is 1518362623. 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
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.