2026 NPPES data Diagnostic Ultrasound Physician NPI 1043231756 MD
Verify on CMS →

THOMAS WILKINS, MD

Diagnostic Ultrasound Physician in ERIE, Pennsylvania. 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
559
Medicare Part D claims · 211 beneficiaries · Diagnostic Ultrasound Physician avg: 682
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.0418/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$588.08
18 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THOMAS WILKINS, MD reported a CMS MIPS final score of 79.0418/100 — below the 83.1 national average — and filed 559 Medicare Part D claims in 2023.

79.0418/100
MIPS score · -4 vs avg
559
Part D claims, 2023
92%
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 WILKINS, MD's MIPS score vs every scored U.S. clinician

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

79 30th percentile higher than 30% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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 WILKINS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 WILKINS, MD?

Near national average

NPI registry status

Active

Issued 07/21/2006

NPI 1043231756

Primary specialty

Diagnostic Ultrasound Physician

Rare

435 US NPIs in this specialty

Medicare Part D claims

559 18% vs specialty avg

2023 prescription claims

Specialty avg: 682

MIPS final score

79.0418/100 4.058199999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Diagnostic Ultrasound Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Diagnostic Ultrasound Physician share within Pennsylvania

1. Diagnostic Ultrasound Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Diagnostic Ultrasound Physician share within Pennsylvania

Medicare quality performance — MIPS

THOMAS WILKINS, MD's 2023 MIPS final score plotted against the Diagnostic Ultrasound Physician national average

Near national average
MIPS Final Score
79.0418/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Diagnostic Ultrasound Physician) — 79.0418/100 vs national avg 83.1

0%100%National avg83%79%
MIPS final score (Diagnostic Ultrasound Physician) — 79.0418/100 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 WILKINS, MD appears in the CMS NPPES registry as a Diagnostic Ultrasound Physician provider holding MD credentials at 2620 SIGSBEE ST, ERIE, PA, 16508, with a listed phone of (814) 454-4599. NPI 1043231756 was issued on 07/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WILKINS 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 559 prescription claims written by this provider, covering 211 Medicare beneficiaries and totaling roughly $36K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 77.5%. 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 79.0418/100 for the 2023 performance year (Quality 61.8942), compared with the national average of 83.1.

Diagnostic Ultrasound Physician is a narrow specialty nationwide, with 435 enrolled providers across 46 states and an average of 682 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

2620 SIGSBEE ST
ERIE, PA 16508

Provider Details

NPI 1043231756
Specialty Diagnostic Ultrasound Physician
Credentials MD
Gender Male
NPI Issued 07/21/2006

CMS Quality Score (MIPS)

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

79.0418
Final Score
Avg: 83.1
61.8942
Quality
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where THOMAS WILKINS, 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.

ERIE SPINE AND PAIN CENTER PC
ERIE, PA
MRS PHYSICAL THERAPY
ERIE, 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 WILKINS, MD. Source: openpaymentsdata.cms.gov.

Total received

$588

Largest payer

Abbott Laboratories

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 WILKINS, MD. To verify THOMAS WILKINS, 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.

Brand vs generic prescribing mix · Generic-heavy

THOMAS WILKINS, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 559 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.

559
Total Claims
$36K
Total Drug Cost
211
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
602
Total Day Supply
17,186
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$18K
Generic Drug Cost
$17K
Opioid Claims
433 (77.5% rate)
Antibiotic Claims
11

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.51
Gender Split
61% female / 39% male
Age Distribution
<65: 53, 65-74: 89, 75-84: 55, 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 WILKINS, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
277
Morphine Sulfate Er
Morphine Sulfate
46
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
24
Gabapentin
22
Buprenorphine
21
Tizanidine Hcl
14
Xtampza Er
Oxycodone Myristate
13

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

Diagnostic Ultrasound Physician Overview

How THOMAS WILKINS, MD fits within the Diagnostic Ultrasound Physician landscape nationally.

435
Diagnostic Ultrasound Physician Providers in US
46
States with Diagnostic Ultrasound Physician
682
Avg Claims per Provider

THOMAS WILKINS, MD's 559 claims are below the specialty average of 682.

Nearby Diagnostic Ultrasound Physician Providers in Pennsylvania

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

Compare Diagnostic Ultrasound Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS WILKINS, MD's specialty?
THOMAS WILKINS, MD specializes in Diagnostic Ultrasound Physician and practices in ERIE, Pennsylvania. Credentials: MD.
How much does THOMAS WILKINS, MD prescribe under Medicare Part D?
In 2023, THOMAS WILKINS, MD wrote 559 Medicare Part D claims totaling $36K in drug costs for 211 beneficiaries.
What is THOMAS WILKINS, MD's Medicare quality score?
THOMAS WILKINS, MD has a CMS MIPS Final Score of 79.0418/100 (Quality: 61.8942). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS WILKINS, MD located?
THOMAS WILKINS, MD is located at 2620 SIGSBEE ST, ERIE, PA, 16508. Phone: (814) 454-4599.
What is THOMAS WILKINS, MD's NPI number?
THOMAS WILKINS, MD's National Provider Identifier (NPI) is 1043231756, issued on 07/21/2006.
Does THOMAS WILKINS, MD prescribe more brand-name or generic drugs?
THOMAS WILKINS, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $18K in brand drug costs.
Does THOMAS WILKINS, MD prescribe opioids?
Yes, THOMAS WILKINS, MD had 433 opioid claims in 2023 with an opioid prescribing rate of 77.5%.
How many Diagnostic Ultrasound Physician providers are there in the US?
There are 435 Diagnostic Ultrasound Physician providers across 46 states in the US. The average Diagnostic Ultrasound Physician provider writes 682 Medicare Part D claims per year.
What drugs does THOMAS WILKINS, MD prescribe most often?
Based on 2023 Medicare Part D data, THOMAS WILKINS, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Morphine Sulfate Er, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS WILKINS, MD accept Medicare?
THOMAS WILKINS, MD appears in CMS Medicare data with 559 Part D claims and 211 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS WILKINS, MD's credentials?
THOMAS WILKINS, MD's NPI is 1043231756 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