2026 NPPES data Family Medicine Physician NPI 1326081571 MD
Verify on CMS →

THOMAS CLAYTON, MD

Family Medicine Physician in ANDREWS, 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
10K
Medicare Part D claims · 674 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.5111/100
▲ 10 pts above national avg 83.1 · [object Object]

What the federal data shows

THOMAS CLAYTON, MD reported a CMS MIPS final score of 93.5111/100 — above the 83.1 national average — and filed 10,431 Medicare Part D claims in 2023.

93.5111/100
MIPS score · +10 vs avg
10K
Part D claims, 2023
83%
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.

THOMAS CLAYTON, MD's MIPS score vs every scored U.S. clinician

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

94 Top 29% higher than 71% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

THOMAS CLAYTON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 THOMAS CLAYTON, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/14/2006

NPI 1326081571

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

10,431 205% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

93.5111/100 10.411100000000005% pts

Exceptional band

vs 83.1 national avg

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

Medicare quality performance — MIPS

THOMAS CLAYTON, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
93.5111/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 93.5111/100 vs national avg 83.1

0%100%National avg83%93.5%
MIPS final score (Family Medicine Physician) — 93.5111/100 vs national avg 83.1

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 CLAYTON, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 2751 BUSINESS 19, ANDREWS, NC, 28901, with a listed phone of (828) 321-4510. NPI 1326081571 was issued on 06/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CLAYTON 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 10,431 prescription claims written by this provider, covering 674 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 6.8%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.5111/100 for the 2023 performance year (Quality 84.2392), compared with the national average of 83.1.

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

2751 BUSINESS 19
ANDREWS, NC 28901

Provider Details

NPI 1326081571
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/14/2006

CMS Quality Score (MIPS)

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

93.5111
Final Score
Avg: 83.1
84.2392
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Typical

THOMAS CLAYTON, MD — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 10,431 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.

10,431
Total Claims
$1.1M
Total Drug Cost
674
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,780
Total Day Supply
449,380
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$930K
Generic Drug Cost
$208K
Opioid Claims
706 (6.8% rate)
Antibiotic Claims
167

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.49
Gender Split
62% female / 38% male
Age Distribution
<65: 133, 65-74: 231, 75-84: 219, 85+: 91

Top Prescribed Drugs (Medicare Part D)

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

What THOMAS CLAYTON, MD 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
Levothyroxine Sodium
351
Omeprazole
344
Atorvastatin Calcium
279
Potassium Chloride
243
Gabapentin
241
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
226
Amlodipine Besylate
208
Metoprolol Succinate
173
Tamsulosin Hcl
173
Rosuvastatin Calcium
170

* 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 CLAYTON, 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 CLAYTON, MD's 10,431 claims are above 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 CLAYTON.

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

Frequently Asked Questions

What is THOMAS CLAYTON, MD's specialty?
THOMAS CLAYTON, MD specializes in Family Medicine Physician and practices in ANDREWS, North Carolina. Credentials: MD.
How much does THOMAS CLAYTON, MD prescribe under Medicare Part D?
In 2023, THOMAS CLAYTON, MD wrote 10,431 Medicare Part D claims totaling $1.1M in drug costs for 674 beneficiaries.
What is THOMAS CLAYTON, MD's Medicare quality score?
THOMAS CLAYTON, MD has a CMS MIPS Final Score of 93.5111/100 (Quality: 84.2392). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS CLAYTON, MD located?
THOMAS CLAYTON, MD is located at 2751 BUSINESS 19, ANDREWS, NC, 28901. Phone: (828) 321-4510.
What is THOMAS CLAYTON, MD's NPI number?
THOMAS CLAYTON, MD's National Provider Identifier (NPI) is 1326081571, issued on 06/14/2006.
Does THOMAS CLAYTON, MD prescribe more brand-name or generic drugs?
THOMAS CLAYTON, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $930K in brand drug costs.
Does THOMAS CLAYTON, MD prescribe opioids?
Yes, THOMAS CLAYTON, MD had 706 opioid claims in 2023 with an opioid prescribing rate of 6.8%.
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 CLAYTON, MD prescribe most often?
Based on 2023 Medicare Part D data, THOMAS CLAYTON, MD's most frequently prescribed drugs include Levothyroxine Sodium, Omeprazole, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS CLAYTON, MD accept Medicare?
THOMAS CLAYTON, MD appears in CMS Medicare data with 10,431 Part D claims and 674 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS CLAYTON, MD's credentials?
THOMAS CLAYTON, MD's NPI is 1326081571 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.
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