2026 NPPES data Family Medicine Physician NPI 1659359875 MD
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THOMAS ABBOTT, MD

Family Medicine Physician in WINSTON-SALEM, North Carolina. 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
3K
Medicare Part D claims · 499 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: THOMAS ABBOTT, MD is a Family Medicine Physician ([object Object]) practicing in WINSTON-SALEM, North Carolina with a Medicare Part D prescribing footprint of 3K claims across 499 beneficiaries — 15% brand-name prescribing .

What stands out: THOMAS ABBOTT, MD filed 3,246 Medicare Part D claims in 2023 across WINSTON-SALEM, North Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

THOMAS ABBOTT, MD 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).

THOMAS ABBOTT, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 01/06/2006

NPI 1659359875

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

3,246 5% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in North Carolina

How Family Medicine Physician compares to other specialties among North Carolina providers

North Carolina providers

Family Medicine Physician share within North Carolina

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

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).

THOMAS ABBOTT, MD is a Family Medicine Physician provider practicing in WINSTON-SALEM, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1659359875. 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.

THOMAS ABBOTT, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 12208 HWY 150 N, WINSTON-SALEM, NC, 27127, with a listed phone of (336) 764-2324. NPI 1659359875 was issued on 01/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABBOTT 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 3,246 prescription claims written by this provider, covering 499 Medicare beneficiaries and totaling roughly $340K in drug spend, split 15% brand-name and 85% generic by claim count. 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

12208 HWY 150 N
WINSTON-SALEM, NC 27127

Provider Details

NPI 1659359875
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 01/06/2006

Brand vs generic prescribing mix · Typical

THOMAS ABBOTT, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 3,246 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.

3,246
Total Claims
$340K
Total Drug Cost
499
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,737
Total Day Supply
199,824
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$286K
Generic Drug Cost
$52K

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.34
Gender Split
56% female / 44% male
Age Distribution
<65: 49, 65-74: 219, 75-84: 167, 85+: 64

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
126
Atorvastatin Calcium
118
Amlodipine Besylate
93
Hydrochlorothiazide
92
Metformin Hcl Er
Metformin Hcl
82
Omeprazole
78
Pravastatin Sodium
75
Simvastatin
75
Losartan Potassium
74
Pantoprazole Sodium
63

* 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 THOMAS ABBOTT, MD 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

THOMAS ABBOTT, MD's 3,246 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as ABBOTT.

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

Frequently Asked Questions

What is THOMAS ABBOTT, MD's specialty?
THOMAS ABBOTT, MD specializes in Family Medicine Physician and practices in WINSTON-SALEM, North Carolina. Credentials: MD.
How much does THOMAS ABBOTT, MD prescribe under Medicare Part D?
In 2023, THOMAS ABBOTT, MD wrote 3,246 Medicare Part D claims totaling $340K in drug costs for 499 beneficiaries.
Where is THOMAS ABBOTT, MD located?
THOMAS ABBOTT, MD is located at 12208 HWY 150 N, WINSTON-SALEM, NC, 27127. Phone: (336) 764-2324.
What is THOMAS ABBOTT, MD's NPI number?
THOMAS ABBOTT, MD's National Provider Identifier (NPI) is 1659359875, issued on 01/06/2006.
Does THOMAS ABBOTT, MD prescribe more brand-name or generic drugs?
THOMAS ABBOTT, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $286K in brand drug costs.
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 THOMAS ABBOTT, MD prescribe most often?
Based on 2023 Medicare Part D data, THOMAS ABBOTT, MD's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS ABBOTT, MD accept Medicare?
THOMAS ABBOTT, MD appears in CMS Medicare data with 3,246 Part D claims and 499 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS ABBOTT, MD's credentials?
THOMAS ABBOTT, MD's NPI is 1659359875 with credentials MD. 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