NPI registry status
Active
2026 NPPES data Surgical Physician Assistant NPI 1255409264 PA
Verify on CMS → Thomas Bily, PA
Surgical Physician Assistant in New Hyde Park, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,119 in Surgical Physician Assistant, 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
772
Medicare Part D claims · 187 beneficiaries · Surgical Physician Assistant avg: 316
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Thomas Bily, PA filed 772 Medicare Part D claims in 2023 as a Surgical Physician Assistant in New Hyde Park, New York, prescribing 88% generic.
- 772
- Part D claims, 2023
- 88%
- generic prescribing
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.
Thomas Bily, PA's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
772 Top 29% higher than 71% 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
What does the federal data show about Thomas Bily, PA?
Quality data not reportedPrimary specialty
Surgical Physician Assistant
Medicare Part D claims
772 144% vs specialty avg
Specialty distribution in New York
How Surgical Physician Assistant compares to other specialties among New York 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 Surgical Physician Assistant. 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).
Thomas Bily, PA appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA credentials at 270-05 76TH AVENUE, New Hyde Park, NY, 11040, with a listed phone of (718) 470-7000. NPI 1255409264 was issued on 11/30/2006.
Medicare Part D records for calendar year 2023 show 772 prescription claims written by this provider, covering 187 Medicare beneficiaries and totaling roughly $91K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 56.9%.
Surgical Physician Assistant is a mid-sized specialty nationwide, with 16,119 enrolled providers across 54 states and an average of 316 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 | 1255409264 |
|---|---|
| Specialty | Surgical Physician Assistant |
| Credentials | PA |
| Gender | Male |
| NPI Issued | 11/30/2006 |
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Thomas Bily, PA. To verify Thomas Bily, PA's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Thomas Bily, PA - brand share 12.0%
Surgical Physician Assistant average
12% brand-name claims vs 88% generic, on 772 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.
772
Total Claims
$91K
Total Drug Cost
187
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 809
- Total Day Supply
- 23,547
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $56K
- Generic Drug Cost
- $35K
- Opioid Claims
- 439 (56.9% rate)
Patient Demographics
- Average Patient Age
- 68.5 years
- Avg HCC Risk Score
- 1.62
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 59, 65-74: 70, 75-84: 46, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Thomas Bily, PA prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone Hcl
Oxycodone Hcl
146 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
89 claims
- Gabapentin
Gabapentin
60 claims
- Pregabalin 58
Pregabalin
58 claims
- Hydrocodone-Acetam… 42
Hydrocodone-Acetaminophen
42 claims
- Oxycontin 31
Oxycontin
31 claims
- Morphine Sulfate Er 27
Morphine Sulfate Er
27 claims
- Tizanidine Hcl 26
Tizanidine Hcl
26 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 146 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 89 |
| Gabapentin | 60 |
| Pregabalin | 58 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 42 |
| Oxycontin Oxycodone Hcl | 31 |
| Morphine Sulfate Er Morphine Sulfate | 27 |
| Tizanidine Hcl | 26 |
| Cyclobenzaprine Hcl | 20 |
| Methadone Hcl | 20 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgical Physician Assistant Overview
How Thomas Bily, PA fits within the Surgical Physician Assistant landscape nationally.
16,119
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
316
Avg Claims per Provider
Thomas Bily, PA's 772 claims are above the specialty average of 316.
Nearby Surgical Physician Assistant Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Bily.
Dr. Katrina Abdalla
PA
Utica, NY
Dr. Bahgat Abdelaziz
P.A.
Auburn, NY
Dr. Nasir Abdul-Wadud
PA
Syracuse, NY
Dr. Anat Abeckaser
PA
Brooklyn, NY
Faiz Abed
Staten Island, NY
Compare Surgical Physician Assistant 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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgical Physician Assistant 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 Thomas Bily, PA's specialty? ▼
Thomas Bily, PA specializes in Surgical Physician Assistant and practices in New Hyde Park, New York. Credentials: PA.
How much does Thomas Bily, PA prescribe under Medicare Part D? ▼
In 2023, Thomas Bily, PA wrote 772 Medicare Part D claims totaling $91K in drug costs for 187 beneficiaries.
Where is Thomas Bily, PA located? ▼
Thomas Bily, PA is located at 270-05 76TH AVENUE, New Hyde Park, NY, 11040. Phone: (718) 470-7000.
What is Thomas Bily, PA's NPI number? ▼
Thomas Bily, PA's National Provider Identifier (NPI) is 1255409264, issued on 11/30/2006.
Does Thomas Bily, PA prescribe more brand-name or generic drugs? ▼
Thomas Bily, PA's prescribing is 12% brand-name and 88% generic drugs by claim count, with $56K in brand drug costs.
Does Thomas Bily, PA prescribe opioids? ▼
Yes, Thomas Bily, PA had 439 opioid claims in 2023 with an opioid prescribing rate of 56.9%.
How many Surgical Physician Assistant providers are there in the US? ▼
There are 16,119 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 316 Medicare Part D claims per year.
What drugs does Thomas Bily, PA prescribe most often? ▼
Based on 2023 Medicare Part D data, Thomas Bily, PA's most frequently prescribed drugs include Oxycodone Hcl, Oxycodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas Bily, PA accept Medicare? ▼
Thomas Bily, PA appears in CMS Medicare data with 772 Part D claims and 187 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Bily, PA's credentials? ▼
Thomas Bily, PA's NPI is 1255409264 with credentials PA. 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.