NPI registry status
Active
2026 NPPES data Addiction Medicine (Psychiatry & Neurology) Physician NPI 1295716074 MD
Verify on CMS → Timothy Wilens, MD
Addiction Medicine (Psychiatry & Neurology) Physician in Boston, Massachusetts.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 648 in Addiction Medicine (Psychiatry & Neurology) 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
213
Medicare Part D claims · 20 beneficiaries · Addiction Medicine (Psychiatry & Neurology) Physician avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Timothy Wilens, MD filed 213 Medicare Part D claims in 2024 as an Addiction Medicine (Psychiatry & Neurology) Physician in Boston, Massachusetts, prescribing 88% generic.
- 213
- Part D claims, 2024
- 88%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥48th
- pct by Part D claim volume (lower-bound band)
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 Timothy Wilens, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1295716074), first enumerated 11/09/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 213 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- 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
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Massachusetts statewide board action statistics are published annually — these figures describe aggregate state activity, not Timothy Wilens, MD's individual license status. Verify directly with the state medical board.
Source: BORIM 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 1295716074 · Addiction Medicine (Psychiatry & Neurology) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1295716074
- ENUM-LEGACY 2005
- TAX-NARROW 648
- RX-LIGHT 213
- BOOK-THIN 22 in Massachusetts
- PHOTO-ENUM Patrick Martin, MD · 2005
Timothy Wilens, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
213 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Timothy Wilens, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Timothy Wilens, MD?
Quality data not reportedPrimary specialty
Addiction Medicine (Psychiatry & Neurology) Physician
Medicare Part D claims
213 79% vs specialty avg
Specialty distribution in Massachusetts
How Addiction Medicine (Psychiatry & Neurology) Physician compares to other specialties among Massachusetts providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Addiction Medicine (Psychiatry & Neurology) Physician. Verify directly:
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 | 1295716074 |
|---|---|
| Specialty | Addiction Medicine (Psychiatry & Neurology) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 11/09/2005 |
Hospital and facility affiliations
Facilities where Timothy Wilens, 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.
The General Hospital Corporation
Boston, MA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 - they are NOT specific to Timothy Wilens, MD. To verify Timothy Wilens, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases
BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Timothy Wilens, MD - brand share 12.0%
Addiction Medicine (Psychiatry & Neurology) Physician average
12% brand-name claims vs 88% generic, on 213 2024 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 2024.
213
Total Claims
$30K
Total Drug Cost
20
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 269
- Total Day Supply
- 7,963
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $20K
- Generic Drug Cost
- $10K
Patient Demographics
- Average Patient Age
- 64.5 years
- Avg HCC Risk Score
- 0.55
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Timothy Wilens, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Venlafaxine Hcl Er
Venlafaxine Hcl Er
26 claims
- Methylphenidate Hcl
Methylphenidate Hcl
23 claims
- Dextroamphetamine …
Dextroamphetamine Sulfate
14 claims
- Clonazepam
Clonazepam
12 claims
- Fluoxetine Hcl
Fluoxetine Hcl
12 claims
- Methylphenidate Er
Methylphenidate Er
12 claims
- Tegretol
Tegretol
12 claims
- Dextroamphetamine …
Dextroamphetamine Sulfate Er
11 claims
| Drug | Claims |
|---|---|
| Venlafaxine Hcl Er Venlafaxine Hcl | 26 |
| Methylphenidate Hcl | 23 |
| Dextroamphetamine Sulfate | 14 |
| Clonazepam | 12 |
| Fluoxetine Hcl | 12 |
| Methylphenidate Er Methylphenidate Hcl | 12 |
| Tegretol Carbamazepine | 12 |
| Dextroamphetamine Sulfate Er Dextroamphetamine Sulfate | 11 |
| Quetiapine Fumarate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Addiction Medicine (Psychiatry & Neurology) Physician in MA →
All providers in Massachusetts →
Compare specialties →
Addiction Medicine (Psychiatry & Neurology) Physician Overview
How Timothy Wilens, MD fits within the Addiction Medicine (Psychiatry & Neurology) Physician landscape nationally.
648
Addiction Medicine (Psychiatry & Neurology) Physician Providers in US
49
States with Addiction Medicine (Psychiatry & Neurology) Physician
1,039
Avg Claims per Provider
Timothy Wilens, MD's 213 claims are below the specialty average of 1,039.
Nationwide Addiction Medicine (Psychiatry & Neurology) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Wilens, both outside Massachusetts so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Addiction Medicine (Psychiatry & Neurology) Physician Providers in Massachusetts
Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as Wilens.
One of 22 Addiction Medicine (Psychiatry & Neurology) Physician providers enrolled in Massachusetts, 5 are shown here.
Frequently Asked Questions
What is Timothy Wilens, MD's specialty? ▼
Timothy Wilens, MD specializes in Addiction Medicine (Psychiatry & Neurology) Physician and practices in Boston, Massachusetts. Credentials: MD.
How much does Timothy Wilens, MD prescribe under Medicare Part D? ▼
In 2024, Timothy Wilens, MD wrote 213 Medicare Part D claims totaling $30K in drug costs for 20 beneficiaries.
Where is Timothy Wilens, MD located? ▼
Timothy Wilens, MD is located at 55 FRUIT ST, Boston, MA, 02114. Phone: (617) 726-1731.
What is Timothy Wilens, MD's NPI number? ▼
Timothy Wilens, MD's National Provider Identifier (NPI) is 1295716074, issued on 11/09/2005.
Does Timothy Wilens, MD prescribe more brand-name or generic drugs? ▼
Timothy Wilens, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $20K in brand drug costs.
How many Addiction Medicine (Psychiatry & Neurology) Physician providers are there in the US? ▼
There are 648 Addiction Medicine (Psychiatry & Neurology) Physician providers across 49 states in the US. The average Addiction Medicine (Psychiatry & Neurology) Physician provider writes 1,039 Medicare Part D claims per year.
What drugs does Timothy Wilens, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Timothy Wilens, MD's most frequently prescribed drugs include Venlafaxine Hcl Er, Methylphenidate Hcl, Dextroamphetamine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Timothy Wilens, MD accept Medicare? ▼
Timothy Wilens, MD appears in CMS Medicare data with 213 Part D claims and 20 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Timothy Wilens, MD's credentials? ▼
Timothy Wilens, MD's NPI is 1295716074 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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 August 2026.