NPI registry status
Active
2026 NPPES data Pediatric Surgery Physician NPI 1508812629 PA-C
Verify on CMS → Todd Pillen, PA-C
Pediatric Surgery Physician in Denver, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,155 in Pediatric Surgery 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
994
Medicare Part D claims · 368 beneficiaries · Pediatric Surgery Physician avg: 259
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
67.3/100
▼ 16 pts below national avg 83.5 · Mid-tier
Industry payments
$1.7K
68 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Todd Pillen, PA-C reported a CMS MIPS final score of 67.3/100 - below the 83.5 national average - and filed 994 Medicare Part D claims in 2024.
- 67.3/100
- MIPS score · -16 vs avg
- 994
- Part D claims, 2024
- 95%
- 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 Todd Pillen, PA-C
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 1508812629), first enumerated 05/26/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 994 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 67.3/100 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
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$1.7K in reported industry payments (68 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1508812629 · Pediatric Surgery Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-LOW · RX-LIGHT · BOOK-THIN · NEAR-MIPS
- NPI-10 1508812629
- ENUM-LEGACY 2006
- TAX-NARROW 1,155
- MIPS-LOW 67.3/100
- RX-LIGHT 994
- BOOK-THIN 20 in Colorado
- NEAR-MIPS Daniel Croitoru · 2.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Pillen · this pr…
Pillen · this provider
67.3 MIPS pts
- Daniel Croitoru …
Daniel Croitoru
69.4 MIPS pts
- David Sawaya · h…
David Sawaya
69.8 MIPS pts
- Mohammed Ghanama…
Mohammed Ghanamah
69.8 MIPS pts
- Dan Parrish · near
Dan Parrish
69.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Todd Pillen, PA-C'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.
67 ≥ 8th percentile 8% 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)
Todd Pillen, PA-C 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).
What does the federal data show about Todd Pillen, PA-C?
Below national averagePrimary specialty
Pediatric Surgery Physician
Medicare Part D claims
994 284% vs specialty avg
MIPS final score
67.3/100 16.2 pts vs avg
Specialty distribution in Colorado
How Pediatric Surgery Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Todd Pillen, PA-C's 2023 MIPS final score plotted against the Pediatric Surgery Physician national average
- MIPS Final Score
- 67.3/100
- 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 | 1508812629 |
|---|---|
| Specialty | Pediatric Surgery Physician |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 05/26/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
67.3069
Final Score
Measured-score avg: 83.5
0
Quality
91.023
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Todd Pillen, PA-C 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.
South Texas Dermatology PLLC
Corpus Christi, TX
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 Todd Pillen, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$1.7K
Largest payer
Galderma Laboratories, L.P.
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.
Brand vs generic prescribing mix · Generic-heavy
Todd Pillen, PA-C - brand share 5.0%
Pediatric Surgery Physician average
5% brand-name claims vs 95% generic, on 994 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.
994
Total Claims
$450K
Total Drug Cost
368
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,110.667
- Total Day Supply
- 31,454
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $416K
- Generic Drug Cost
- $33K
- Antibiotic Claims
- 66
Patient Demographics
- Average Patient Age
- 72.2 years
- Avg HCC Risk Score
- 1.40
- Gender Split
- 49% female / 51% male
- Age Distribution
- <65: 47, 65-74: 172, 75-84: 112, 85+: 37
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Todd Pillen, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Ketoconazole
Ketoconazole
279 claims
- Triamcinolone Acet…
Triamcinolone Acetonide
142 claims
- Clindamycin Phosph… 84
Clindamycin Phosphate
84 claims
- Clobetasol Propion… 60
Clobetasol Propionate
60 claims
- Imiquimod 44
Imiquimod
44 claims
- Doxycycline Monohy… 39
Doxycycline Monohydrate
39 claims
- Hydrocortisone 36
Hydrocortisone
36 claims
- Fluconazole 34
Fluconazole
34 claims
| Drug | Claims |
|---|---|
| Ketoconazole | 279 |
| Triamcinolone Acetonide | 142 |
| Clindamycin Phosphate | 84 |
| Clobetasol Propionate | 60 |
| Imiquimod | 44 |
| Doxycycline Monohydrate | 39 |
| Hydrocortisone | 36 |
| Fluconazole | 34 |
| Tacrolimus | 26 |
| Acitretin | 25 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Surgery Physician Overview
How Todd Pillen, PA-C fits within the Pediatric Surgery Physician landscape nationally.
1,155
Pediatric Surgery Physician Providers in US
52
States with Pediatric Surgery Physician
259
Avg Claims per Provider
Todd Pillen, PA-C's 994 claims are above the specialty average of 259.
Nationwide Pediatric Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Pillen, both outside Colorado so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (67.3 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pediatric Surgery Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Pillen.
One of 20 Pediatric Surgery Physician providers enrolled in Colorado, 5 are shown here.
Dr. Shannon Acker
MD
Aurora, CO
Dr. Thomas Baesl
MD
Aurora, CO
Dr. John Bealer
MD
Aurora, CO
Dr. Andrea Bischoff
MD
Aurora, CO
Dr. David Bliss
M.D.
Colorado Springs, CO
Compare Pediatric Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Todd Pillen, PA-C's specialty? ▼
Todd Pillen, PA-C specializes in Pediatric Surgery Physician and practices in Denver, Colorado. Credentials: PA-C.
How much does Todd Pillen, PA-C prescribe under Medicare Part D? ▼
In 2024, Todd Pillen, PA-C wrote 994 Medicare Part D claims totaling $450K in drug costs for 368 beneficiaries.
What is Todd Pillen, PA-C's Medicare quality score? ▼
Todd Pillen, PA-C has a CMS MIPS Final Score of 67.3/100 (Quality: 0, Cost: 91). 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 Todd Pillen, PA-C located? ▼
Todd Pillen, PA-C is located at 2535 S DOWNING ST, Denver, CO, 80210. Phone: (303) 778-5797.
What is Todd Pillen, PA-C's NPI number? ▼
Todd Pillen, PA-C's National Provider Identifier (NPI) is 1508812629, issued on 05/26/2006.
Does Todd Pillen, PA-C prescribe more brand-name or generic drugs? ▼
Todd Pillen, PA-C's prescribing is 5% brand-name and 95% generic drugs by claim count, with $416K in brand drug costs.
How many Pediatric Surgery Physician providers are there in the US? ▼
There are 1,155 Pediatric Surgery Physician providers across 52 states in the US. The average Pediatric Surgery Physician provider writes 259 Medicare Part D claims per year.
What drugs does Todd Pillen, PA-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Todd Pillen, PA-C's most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide, Clindamycin Phosphate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Todd Pillen, PA-C accept Medicare? ▼
Todd Pillen, PA-C appears in CMS Medicare data with 994 Part D claims and 368 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Todd Pillen, PA-C's credentials? ▼
Todd Pillen, PA-C's NPI is 1508812629 with credentials PA-C. 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.
- 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 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.