NPI registry status
Active
2026 NPPES data Orthopaedic Surgery Physician NPI 1528234168 MD
Verify on CMS → Thomas Gillon, MD
Orthopaedic Surgery Physician in King Of Prussia, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 26,109 in Orthopaedic Surgery Physician, 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
168
Medicare Part D claims · 94 beneficiaries · Orthopaedic Surgery Physician avg: 344
MIPS score
0/100
▼ 84 pts below national avg 83.5 · Penalty band
What the federal data shows
Thomas Gillon, MD reported a CMS MIPS final score of 0/100 - below the 83.5 national average - and filed 168 Medicare Part D claims in 2024.
- 0/100
- MIPS score · -83 vs avg
- 168
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥0th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Thomas Gillon, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1528234168), first enumerated 05/04/2008.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 168 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 0/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Thomas Gillon, MD's individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1528234168 · Orthopaedic Surgery Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1528234168
- ENUM-MID 2008
- TAX-MID 26K Orthopaedic Surgery
- MIPS-LOW 0/100
- RX-LIGHT 168
- BOOK-LIGHT 1,255 in Pennsylvania
- PHOTO-FINISH Samuel Adams, M.D. · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Gillon · this pr… 0
Gillon · this provider
0 MIPS pts
- Michael Bollinge… 0
Michael Bollinger, M.D.
0 MIPS pts
- Samuel Adams, M.… 0
Samuel Adams, M.D.
0 MIPS pts
- Mark Bailey, MD … 0
Mark Bailey, MD
0 MIPS pts
- Kambiz Behzadi, … 0
Kambiz Behzadi, MD
0 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Thomas Gillon, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
0 ≥ 0th percentile 0% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Thomas Gillon, MD sits
This provider among orthopaedic surgery physician peers
Across the 7,229 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Thomas Gillon, MD writes more Part D claims than 40% of them and scores higher on MIPS quality than 0% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Thomas Gillon, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Thomas Gillon, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Thomas Gillon, MD?
Below national averagePrimary specialty
Orthopaedic Surgery Physician
Medicare Part D claims
168 51% vs specialty avg
MIPS final score
0/100 83.5 pts vs avg
Specialty distribution in Pennsylvania
How Orthopaedic Surgery Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Thomas Gillon, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average
- MIPS Final Score
- 0/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1528234168 |
|---|---|
| Specialty | Orthopaedic Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/04/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
0
Final Score
Measured-score avg: 83.5
0
Quality
0
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Thomas Gillon, MD 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.
Premier Orthopaedic And Sports Medicine Associates, Ltd
Philadelphia, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Thomas Gillon, MD. To verify Thomas Gillon, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
168
Total Claims
$21K
Total Drug Cost
94
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 179
- Total Day Supply
- 2,785
- Generic Drug Cost
- $1K
- Opioid Claims
- 61 (36.3% rate)
- Antibiotic Claims
- 14
Patient Demographics
- Average Patient Age
- 71.0 years
- Avg HCC Risk Score
- 1.19
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 16, 65-74: 44, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Thomas Gillon, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
35 claims
- Gabapentin
Gabapentin
30 claims
- Methylprednisolone
Methylprednisolone
20 claims
- Meloxicam
Meloxicam
17 claims
- Tramadol Hcl
Tramadol Hcl
14 claims
| Drug | Claims |
|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 35 |
| Gabapentin | 30 |
| Methylprednisolone | 20 |
| Meloxicam | 17 |
| Tramadol Hcl | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Surgery Physician Overview
How Thomas Gillon, MD fits within the Orthopaedic Surgery Physician landscape nationally.
26,109
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
344
Avg Claims per Provider
Thomas Gillon, MD's 168 claims are below the specialty average of 344.
Nationwide Orthopaedic Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Gillon, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (0 here).
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Orthopaedic Surgery Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Gillon.
One of 1,255 Orthopaedic Surgery Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Jack Abboudi
M.D.
Bryn Mawr, PA
Melissa Adams
LPN
Lebanon, PA
Dr. Kevin Adik
MD
Scranton, PA
Dr. Carl Adolph
MD
Lancaster, PA
Dr. Steven Agabegi
MD
Somerset, PA
Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Thomas Gillon, MD's specialty? ▼
Thomas Gillon, MD specializes in Orthopaedic Surgery Physician and practices in King Of Prussia, Pennsylvania. Credentials: MD.
How much does Thomas Gillon, MD prescribe under Medicare Part D? ▼
In 2024, Thomas Gillon, MD wrote 168 Medicare Part D claims totaling $21K in drug costs for 94 beneficiaries.
What is Thomas Gillon, MD's Medicare quality score? ▼
Thomas Gillon, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Thomas Gillon, MD located? ▼
Thomas Gillon, MD is located at 950 PULASKI DR STE 100, King Of Prussia, PA, 19406. Phone: (610) 768-5940.
What is Thomas Gillon, MD's NPI number? ▼
Thomas Gillon, MD's National Provider Identifier (NPI) is 1528234168, issued on 05/04/2008.
Does Thomas Gillon, MD prescribe opioids? ▼
Yes, Thomas Gillon, MD had 61 opioid claims in 2024 with an opioid prescribing rate of 36.3%.
How many Orthopaedic Surgery Physician providers are there in the US? ▼
There are 26,109 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 344 Medicare Part D claims per year.
What drugs does Thomas Gillon, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Thomas Gillon, MD's most frequently prescribed drugs include Oxycodone-Acetaminophen, Gabapentin, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas Gillon, MD accept Medicare? ▼
Thomas Gillon, MD appears in CMS Medicare data with 168 Part D claims and 94 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Gillon, MD's credentials? ▼
Thomas Gillon, MD's NPI is 1528234168 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.