2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1437288776 D.O
Verify on CMS →

Thomas Haley, D.O

Physical Medicine & Rehabilitation Physician in Pottstown, 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 15,306 in Physical Medicine & Rehabilitation 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
830
Medicare Part D claims · 175 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.7/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$1.9K
68 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Thomas Haley, D.O reported a CMS MIPS final score of 99.7/100 - above the 83.1 national average - and filed 830 Medicare Part D claims in 2023.

99.7/100
MIPS score · +17 vs avg
830
Part D claims, 2023
91%
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 Haley, D.O's MIPS score vs every scored U.S. clinician

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

100 Top 9% higher than 91% 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+: 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

Where Thomas Haley, D.O sits

This provider among physical medicine & rehabilitation physician peers

Across the 2,781 physical medicine & rehabilitation physician providers who report both Medicare Part D prescribing and a MIPS quality score, Thomas Haley, D.O writes more Part D claims than 70% of them and scores higher on MIPS quality than 91% - placing this provider in the high-volume, high-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 quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 3Thomas Haley, D.O-Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 91
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one physical medicine & rehabilitation physician peer from a representative sample of 60; the gold marker is Thomas Haley, D.O. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Thomas Haley, D.O practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations - 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 Haley, D.O?

High performer (top quartile)

NPI registry status

Active

Issued 03/04/2007

NPI 1437288776

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

830 6% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

99.7/100 16.6 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Physical Medicine & Rehabilitation Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Largest specialties in Pennsylvania (% of in-state providers)

Student in an Organized Health Care Education/Training Program - 5.6%Student in an Organized Health Care Education/Training Program5.6%Pharmacist - 5%Pharmacist5%Physical Therapist - 4.9%Physical Therapist4.9%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Internal Medicine Physician - 3.3%Internal Medicine Physician3.3%Professional Counselor - 3.2%Professional Counselor3.2%Physical Medicine & Rehabilitation Physician - 0.3%Physical Medicine & Rehabilitation Physician0.3%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Thomas Haley, D.O's 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

High performer (top quartile)
MIPS Final Score
99.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) - 99.7/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Physical Medicine & Rehabilitation Physician) - 99.7/100 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 Haley, D.O appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding D.O credentials at 1603 E HIGH ST, Pottstown, PA, 19464, with a listed phone of (610) 970-4700. NPI 1437288776 was issued on 03/04/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Haley 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 830 prescription claims written by this provider, covering 175 Medicare beneficiaries and totaling roughly $73K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 54.1%. 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 99.7/100 for the 2023 performance year (Quality 97.2), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

1603 E HIGH ST
Pottstown, PA 19464

Provider Details

NPI 1437288776
Specialty Physical Medicine & Rehabilitation Physician
Credentials D.O
Gender Male
NPI Issued 03/04/2007

CMS Quality Score (MIPS)

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

99.7442
Final Score
Avg: 83.1
97.2338
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where Thomas Haley, D.O 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.

According to CMS billing records, Thomas Haley, D.O is affiliated with 3 Medicare-billing facilities.

Comprehensive Pain Management Specialists , LLC
Wilkes Barre, PA
Performance Spine And Sports Physicians, PC
Flourtown, PA
Phoenix Rehabilitation And Health Services Inc
Cranberry Township, 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).

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 Thomas Haley, D.O. Source: openpaymentsdata.cms.gov.

Total received

$1.9K

Largest payer

MML US, 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 - 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 Haley, D.O. To verify Thomas Haley, D.O'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.

Brand vs generic prescribing mix · Generic-heavy

Thomas Haley, D.O - brand share 9.0%
Physical Medicine & Rehabilitation Physician average

9% brand-name claims vs 91% generic, on 830 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.

830
Total Claims
$73K
Total Drug Cost
175
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
867
Total Day Supply
21,812
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$44K
Generic Drug Cost
$29K
Opioid Claims
449 (54.1% rate)
Antibiotic Claims
11

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
1.73
Gender Split
70% female / 30% male
Age Distribution
<65: 46, 65-74: 60, 75-84: 43, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

What Thomas Haley, D.O 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
Oxycodone Hcl
85
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
81
Gabapentin
60
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
51
Morphine Sulfate Er
Morphine Sulfate
49
Tramadol Hcl
49
Cyclobenzaprine Hcl
32
Pregabalin
32
Buprenorphine
27
Tizanidine Hcl
26

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

Physical Medicine & Rehabilitation Physician Overview

How Thomas Haley, D.O fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

Thomas Haley, D.O's 830 claims are above the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Pennsylvania

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

Compare Physical Medicine & Rehabilitation Physician 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Physical Medicine & Rehabilitation Physician 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 Thomas Haley, D.O's specialty?
Thomas Haley, D.O specializes in Physical Medicine & Rehabilitation Physician and practices in Pottstown, Pennsylvania. Credentials: D.O.
How much does Thomas Haley, D.O prescribe under Medicare Part D?
In 2023, Thomas Haley, D.O wrote 830 Medicare Part D claims totaling $73K in drug costs for 175 beneficiaries.
What is Thomas Haley, D.O's Medicare quality score?
Thomas Haley, D.O has a CMS MIPS Final Score of 99.7/100 (Quality: 97.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Thomas Haley, D.O located?
Thomas Haley, D.O is located at 1603 E HIGH ST, Pottstown, PA, 19464. Phone: (610) 970-4700.
What is Thomas Haley, D.O's NPI number?
Thomas Haley, D.O's National Provider Identifier (NPI) is 1437288776, issued on 03/04/2007.
Does Thomas Haley, D.O prescribe more brand-name or generic drugs?
Thomas Haley, D.O's prescribing is 9% brand-name and 91% generic drugs by claim count, with $44K in brand drug costs.
Does Thomas Haley, D.O prescribe opioids?
Yes, Thomas Haley, D.O had 449 opioid claims in 2023 with an opioid prescribing rate of 54.1%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does Thomas Haley, D.O prescribe most often?
Based on 2023 Medicare Part D data, Thomas Haley, D.O'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 Haley, D.O accept Medicare?
Thomas Haley, D.O appears in CMS Medicare data with 830 Part D claims and 175 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Haley, D.O's credentials?
Thomas Haley, D.O's NPI is 1437288776 with credentials D.O. 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

Compiled from official public sources by the PlainDoctor editorial team.