2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1861597387 M.D.
Verify on CMS →

THOMAS REILLY, M.D.

Orthopaedic Surgery of the Spine Physician in KOKOMO, Indiana. 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
341
Medicare Part D claims · 142 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$409.89
15 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: THOMAS REILLY, M.D. is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in KOKOMO, Indiana with a Medicare Part D prescribing footprint of 341 claims across 142 beneficiaries . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $409.89 across 15 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: THOMAS REILLY, M.D. reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 341 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

THOMAS REILLY, M.D. 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).

THOMAS REILLY, M.D. at a glance

Below national average

NPI registry status

Active

Issued 09/13/2006

NPI 1861597387

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

341 6% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Indiana

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Indiana providers

Indiana providers

Orthopaedic Surgery of the Spine Physician share within Indiana

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Indiana

Medicare quality performance — MIPS

THOMAS REILLY, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 0/100 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 REILLY, M.D. is a Orthopaedic Surgery of the Spine Physician provider practicing in KOKOMO, Indiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1861597387. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

THOMAS REILLY, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding M.D. credentials at 821 N DIXON RD, KOKOMO, IN, 46901, with a listed phone of (765) 450-0111. NPI 1861597387 was issued on 09/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what REILLY 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 341 prescription claims written by this provider, covering 142 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 24.3%. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

821 N DIXON RD
KOKOMO, IN 46901

Provider Details

NPI 1861597387
Specialty Orthopaedic Surgery of the Spine Physician
Credentials M.D.
Gender Male
NPI Issued 09/13/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality
0
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where THOMAS REILLY, M.D. 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.

INDIANA SPINE GROUP, PC
KOKOMO, IN

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 REILLY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$410

Largest payer

Intrinsic Therapeutics

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

341
Total Claims
$5K
Total Drug Cost
142
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
358
Total Day Supply
7,538
Generic Drug Cost
$5K
Opioid Claims
83 (24.3% rate)
Antibiotic Claims
18

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.26
Gender Split
44% female / 56% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Pregabalin
73
Gabapentin
72
Diclofenac Sodium
64
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
38
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
24
Tramadol Hcl
17
Cephalexin
15

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

Orthopaedic Surgery of the Spine Physician Overview

How THOMAS REILLY, M.D. fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

THOMAS REILLY, M.D.'s 341 claims are below the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Indiana

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

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS REILLY, M.D.'s specialty?
THOMAS REILLY, M.D. specializes in Orthopaedic Surgery of the Spine Physician and practices in KOKOMO, Indiana. Credentials: M.D..
How much does THOMAS REILLY, M.D. prescribe under Medicare Part D?
In 2023, THOMAS REILLY, M.D. wrote 341 Medicare Part D claims totaling $5K in drug costs for 142 beneficiaries.
What is THOMAS REILLY, M.D.'s Medicare quality score?
THOMAS REILLY, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS REILLY, M.D. located?
THOMAS REILLY, M.D. is located at 821 N DIXON RD, KOKOMO, IN, 46901. Phone: (765) 450-0111.
What is THOMAS REILLY, M.D.'s NPI number?
THOMAS REILLY, M.D.'s National Provider Identifier (NPI) is 1861597387, issued on 09/13/2006.
Does THOMAS REILLY, M.D. prescribe opioids?
Yes, THOMAS REILLY, M.D. had 83 opioid claims in 2023 with an opioid prescribing rate of 24.3%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does THOMAS REILLY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, THOMAS REILLY, M.D.'s most frequently prescribed drugs include Pregabalin, Gabapentin, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS REILLY, M.D. accept Medicare?
THOMAS REILLY, M.D. appears in CMS Medicare data with 341 Part D claims and 142 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS REILLY, M.D.'s credentials?
THOMAS REILLY, M.D.'s NPI is 1861597387 with credentials M.D.. 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