2026 NPPES data Family Medicine Physician NPI 1326021262 D.O.
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THOMAS PINSON, D.O.

Family Medicine Physician in SOUTHGATE, Michigan. 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
18K
Medicare Part D claims · 884 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.6346/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$894.03
53 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THOMAS PINSON, D.O. reported a CMS MIPS final score of 81.6346/100 — below the 83.1 national average — and filed 17,698 Medicare Part D claims in 2023.

81.6346/100
MIPS score · -1 vs avg
18K
Part D claims, 2023
85%
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 PINSON, 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

82 36th percentile higher than 36% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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 PINSON, D.O. 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 PINSON, D.O.?

Near national average

NPI registry status

Active

Issued 11/23/2005

NPI 1326021262

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

17,698 418% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

81.6346/100 1.4653999999999883% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Family Medicine Physician compares to other specialties among Michigan providers

Michigan providers

Family Medicine Physician share within Michigan

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

Medicare quality performance — MIPS

THOMAS PINSON, D.O.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
81.6346/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 81.6346/100 vs national avg 83.1

0%100%National avg83%81.6%
MIPS final score (Family Medicine Physician) — 81.6346/100 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 PINSON, D.O. appears in the CMS NPPES registry as a Family Medicine Physician provider holding D.O. credentials at 13636 DIX TOLEDO RD, SOUTHGATE, MI, 48195, with a listed phone of (734) 283-2262. NPI 1326021262 was issued on 11/23/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PINSON 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 17,698 prescription claims written by this provider, covering 884 Medicare beneficiaries and totaling roughly $1.7 million in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 13.8%. 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 81.6346/100 for the 2023 performance year (Quality 65.63, Cost 57.4994), 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

13636 DIX TOLEDO RD
SOUTHGATE, MI 48195

Provider Details

NPI 1326021262
Specialty Family Medicine Physician
Credentials D.O.
Gender Male
NPI Issued 11/23/2005

CMS Quality Score (MIPS)

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

81.6346
Final Score
Avg: 83.1
65.63
Quality
57.4994
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where THOMAS PINSON, 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.

CITY MEDICAL PC
SOUTHGATE, MI

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 PINSON, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$894

Largest payer

ABBVIE 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 — Michigan MI-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 ~41K Michigan medical licensees in 2023 — they are NOT specific to THOMAS PINSON, D.O.. To verify THOMAS PINSON, D.O.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

THOMAS PINSON, D.O. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 17,698 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.

17,698
Total Claims
$1.7M
Total Drug Cost
884
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21,157
Total Day Supply
595,848
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$1.3M
Generic Drug Cost
$365K
Opioid Claims
2,437 (13.8% rate)
Antibiotic Claims
220

Patient Demographics

Average Patient Age
62.4 years
Avg HCC Risk Score
1.55
Gender Split
49% female / 51% male
Age Distribution
<65: 441, 65-74: 354, 75-84: 75, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

What THOMAS PINSON, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
1,004
Albuterol Sulfate Hfa
Albuterol Sulfate
530
Ibuprofen
522
Oxycodone Hcl
521
Lisinopril
420
Omeprazole
411
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
411
Amlodipine Besylate
396
Atorvastatin Calcium
390
Tizanidine Hcl
330

* 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 PINSON, D.O. 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 PINSON, D.O.'s 17,698 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Michigan

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

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

Frequently Asked Questions

What is THOMAS PINSON, D.O.'s specialty?
THOMAS PINSON, D.O. specializes in Family Medicine Physician and practices in SOUTHGATE, Michigan. Credentials: D.O..
How much does THOMAS PINSON, D.O. prescribe under Medicare Part D?
In 2023, THOMAS PINSON, D.O. wrote 17,698 Medicare Part D claims totaling $1.7M in drug costs for 884 beneficiaries.
What is THOMAS PINSON, D.O.'s Medicare quality score?
THOMAS PINSON, D.O. has a CMS MIPS Final Score of 81.6346/100 (Quality: 65.63, Cost: 57.4994). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS PINSON, D.O. located?
THOMAS PINSON, D.O. is located at 13636 DIX TOLEDO RD, SOUTHGATE, MI, 48195. Phone: (734) 283-2262.
What is THOMAS PINSON, D.O.'s NPI number?
THOMAS PINSON, D.O.'s National Provider Identifier (NPI) is 1326021262, issued on 11/23/2005.
Does THOMAS PINSON, D.O. prescribe more brand-name or generic drugs?
THOMAS PINSON, D.O.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $1.3M in brand drug costs.
Does THOMAS PINSON, D.O. prescribe opioids?
Yes, THOMAS PINSON, D.O. had 2,437 opioid claims in 2023 with an opioid prescribing rate of 13.8%.
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 PINSON, D.O. prescribe most often?
Based on 2023 Medicare Part D data, THOMAS PINSON, D.O.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Albuterol Sulfate Hfa, Ibuprofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS PINSON, D.O. accept Medicare?
THOMAS PINSON, D.O. appears in CMS Medicare data with 17,698 Part D claims and 884 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS PINSON, D.O.'s credentials?
THOMAS PINSON, D.O.'s NPI is 1326021262 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