NPI registry status
Active
2026 NPPES data Diagnostic Ultrasound Physician NPI 1043231756 MD
Verify on CMS → Thomas Wilkins, MD
Diagnostic Ultrasound Physician in Erie, 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 434 in Diagnostic Ultrasound 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
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
79/100
▼ 4 pts below national avg 83.5 · Above neutral
Industry payments
$588.08
18 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Thomas Wilkins, MD reported a CMS MIPS final score of 79/100 - below the 83.5 national average - and filed 559 Medicare Part D claims in 2023.
- 79/100
- 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.
Federal trust snapshot
What official records show about Thomas Wilkins, 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 1043231756), first enumerated 07/21/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 559 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 79/100 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
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$588.08 in reported industry payments (18 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Thomas Wilkins, 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 1043231756 · Diagnostic Ultrasound Physician
NPI-10 · ENUM-LEGACY · TAX-TRACE · MIPS-BELOW · RX-LIGHT · BOOK-THIN · NEAR-MIPS
- NPI-10 1043231756
- ENUM-LEGACY 2006
- TAX-TRACE 434
- MIPS-BELOW 79/100
- RX-LIGHT 559
- BOOK-THIN 9 in Pennsylvania
- NEAR-MIPS Arthur Groves · 2.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Sean Ladson · lo…
Sean Ladson
75.9 MIPS pts
- Arthur Groves · …
Arthur Groves
77 MIPS pts
- Wilkins · this p…
Wilkins · this provider
79 MIPS pts
- Norman Chen · hi…
Norman Chen
81.3 MIPS pts
- Jose Net · near
Jose Net
81.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Thomas Wilkins, 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.
79 ≥ 26th percentile 26% 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
✓
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 averagePrimary specialty
Diagnostic Ultrasound Physician
Medicare Part D claims
559 18% vs specialty avg
MIPS final score
79/100 4.5 pts vs avg
Specialty distribution in Pennsylvania
How Diagnostic Ultrasound Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Thomas Wilkins, MD's 2023 MIPS final score plotted against the Diagnostic Ultrasound Physician national average
- MIPS Final Score
- 79/100
- 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 | 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
Measured-score avg: 83.5
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%
Diagnostic Ultrasound Physician average
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
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
277 claims
- Morphine Sulfate Er 46
Morphine Sulfate Er
46 claims
- Oxycodone-Acetamin… 24
Oxycodone-Acetaminophen
24 claims
- Gabapentin 22
Gabapentin
22 claims
- Buprenorphine 21
Buprenorphine
21 claims
- Tizanidine Hcl 14
Tizanidine Hcl
14 claims
- Xtampza Er 13
Xtampza Er
13 claims
| 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.
434
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.
Nationwide Diagnostic Ultrasound Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Wilkins, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (79 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 9 Diagnostic Ultrasound Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Juan Blas-Boria
M.D.
Lebanon, PA
Dr. Ildiko Csiki
MD
Philadelphia, PA
Dr. Stacy Lindsey
RDMS, RVT
Beaver Falls, PA
Alexandre Novikov
Ridley Park, PA
Iryna Pogosova
Philadelphia, PA
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 79/100 (Quality: 61.9). 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 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 434 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
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 (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
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 May 2026.