2026 NPPES data Legal Medicine NPI 1801862693 MD
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TIMOTHY PENDLETON, MD

Legal Medicine in BROOKVILLE, 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
2K
Medicare Part D claims · 213 beneficiaries · Legal Medicine avg: 3K
Generic prescribing
46%
generic claims · 54% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.7848/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$144.31
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TIMOTHY PENDLETON, MD reported a CMS MIPS final score of 93.7848/100 — above the 83.1 national average — and filed 2,048 Medicare Part D claims in 2023.

93.7848/100
MIPS score · +11 vs avg
2K
Part D claims, 2023
46%
generic prescribing
$144.31
industry payments (Sunshine Act)

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.

TIMOTHY PENDLETON, MD's MIPS score vs every scored U.S. clinician

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

94 Top 29% higher than 71% 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. 90–100: 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

What does the federal data show about TIMOTHY PENDLETON, MD?

High performer (top quartile)

NPI registry status

Active

Issued 02/23/2006

NPI 1801862693

Primary specialty

Legal Medicine

Niche

1,067 US NPIs in this specialty

Medicare Part D claims

2,048 27% vs specialty avg

2023 prescription claims

Specialty avg: 2,821

MIPS final score

93.7848/100 10.68480000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Legal Medicine compares to other specialties among Pennsylvania providers

Pennsylvania providers

Legal Medicine share within Pennsylvania

1. Legal Medicine42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Legal Medicine share within Pennsylvania

Medicare quality performance — MIPS

TIMOTHY PENDLETON, MD's 2023 MIPS final score plotted against the Legal Medicine national average

High performer (top quartile)
MIPS Final Score
93.7848/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Legal Medicine) — 93.7848/100 vs national avg 83.1

0%100%National avg83%93.8%
MIPS final score (Legal Medicine) — 93.7848/100 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).

TIMOTHY PENDLETON, MD appears in the CMS NPPES registry as a Legal Medicine provider holding MD credentials at 111 SUMMIT STREET, BROOKVILLE, PA, 15825, with a listed phone of (814) 849-8329. NPI 1801862693 was issued on 02/23/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PENDLETON 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 2,048 prescription claims written by this provider, covering 213 Medicare beneficiaries and totaling roughly $662K in drug spend, split 54% brand-name and 46% generic by claim count. 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 93.7848/100 for the 2023 performance year (Quality 85.0781), compared with the national average of 83.1.

Legal Medicine is a narrow specialty nationwide, with 1,067 enrolled providers across 51 states and an average of 2,821 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

111 SUMMIT STREET
BROOKVILLE, PA 15825

Provider Details

NPI 1801862693
Specialty Legal Medicine
Credentials MD
Gender Male
NPI Issued 02/23/2006

CMS Quality Score (MIPS)

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

93.7848
Final Score
Avg: 83.1
85.0781
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 TIMOTHY PENDLETON, MD. Source: openpaymentsdata.cms.gov.

Total received

$144

Largest payer

Inspire Medical Systems, 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 TIMOTHY PENDLETON, MD. To verify TIMOTHY PENDLETON, 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 · Brand-heavy

TIMOTHY PENDLETON, MD — brand share 54.0%
Specialty average (est.)

54% brand-name claims vs 46% generic, on 2,048 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.

2,048
Total Claims
$662K
Total Drug Cost
213
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,306
Total Day Supply
63,565
Brand vs Generic
54% brand / 46% generic
Brand Drug Cost
$641K
Generic Drug Cost
$21K
Antibiotic Claims
44

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.59
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

What TIMOTHY PENDLETON, 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
Prednisone
210
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
196
Albuterol Sulfate Hfa
Albuterol Sulfate
163
Breo Ellipta
Fluticasone/Vilanterol
149
Omeprazole
130
Fluticasone Propionate
120
Ventolin Hfa
Albuterol Sulfate
115
Montelukast Sodium
93
Famotidine
89
Azelastine Hcl
81

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

Legal Medicine Overview

How TIMOTHY PENDLETON, MD fits within the Legal Medicine landscape nationally.

1,067
Legal Medicine Providers in US
51
States with Legal Medicine
2,821
Avg Claims per Provider

TIMOTHY PENDLETON, MD's 2,048 claims are below the specialty average of 2,821.

Nearby Legal Medicine Providers in Pennsylvania

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

Compare Legal Medicine nationally: see state-by-state distribution →

Frequently Asked Questions

What is TIMOTHY PENDLETON, MD's specialty?
TIMOTHY PENDLETON, MD specializes in Legal Medicine and practices in BROOKVILLE, Pennsylvania. Credentials: MD.
How much does TIMOTHY PENDLETON, MD prescribe under Medicare Part D?
In 2023, TIMOTHY PENDLETON, MD wrote 2,048 Medicare Part D claims totaling $662K in drug costs for 213 beneficiaries.
What is TIMOTHY PENDLETON, MD's Medicare quality score?
TIMOTHY PENDLETON, MD has a CMS MIPS Final Score of 93.7848/100 (Quality: 85.0781). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TIMOTHY PENDLETON, MD located?
TIMOTHY PENDLETON, MD is located at 111 SUMMIT STREET, BROOKVILLE, PA, 15825. Phone: (814) 849-8329.
What is TIMOTHY PENDLETON, MD's NPI number?
TIMOTHY PENDLETON, MD's National Provider Identifier (NPI) is 1801862693, issued on 02/23/2006.
Does TIMOTHY PENDLETON, MD prescribe more brand-name or generic drugs?
TIMOTHY PENDLETON, MD's prescribing is 54% brand-name and 46% generic drugs by claim count, with $641K in brand drug costs.
How many Legal Medicine providers are there in the US?
There are 1,067 Legal Medicine providers across 51 states in the US. The average Legal Medicine provider writes 2,821 Medicare Part D claims per year.
What drugs does TIMOTHY PENDLETON, MD prescribe most often?
Based on 2023 Medicare Part D data, TIMOTHY PENDLETON, MD's most frequently prescribed drugs include Prednisone, Trelegy Ellipta, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TIMOTHY PENDLETON, MD accept Medicare?
TIMOTHY PENDLETON, MD appears in CMS Medicare data with 2,048 Part D claims and 213 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIMOTHY PENDLETON, MD's credentials?
TIMOTHY PENDLETON, MD's NPI is 1801862693 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