2026 NPPES data Pediatric Surgery Physician NPI 1508812629 PA-C
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TODD PILLEN, PA-C

Pediatric Surgery Physician in DENVER, Colorado. 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
1K
Medicare Part D claims · 443 beneficiaries · Pediatric Surgery Physician avg: 272
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
67.3069/100
▼ 16 pts below national avg 83.1 · [object Object]
Industry payments
$1.7K
68 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TODD PILLEN, PA-C is a Pediatric Surgery Physician ([object Object]) practicing in DENVER, Colorado with a Medicare Part D prescribing footprint of 1K claims across 443 beneficiaries — 8% brand-name prescribing . Their CMS MIPS Final Score of 67.3069/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.7K across 68 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TODD PILLEN, PA-C reported a CMS MIPS final score of 67.3069 out of 100, below the 83.1 national average, and filed 1,208 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

TODD PILLEN, PA-C at a glance

Below national average

NPI registry status

Active

Issued 05/26/2006

NPI 1508812629

Primary specialty

Pediatric Surgery Physician

Niche

1,132 US NPIs in this specialty

Medicare Part D claims

1,208 344% vs specialty avg

2023 prescription claims

Specialty avg: 272

MIPS final score

67.3069/100 15.793099999999995% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Colorado

How Pediatric Surgery Physician compares to other specialties among Colorado providers

Colorado providers

Pediatric Surgery Physician share within Colorado

1. Pediatric Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Surgery Physician share within Colorado

Medicare quality performance — MIPS

TODD PILLEN, PA-C's 2023 MIPS final score plotted against the Pediatric Surgery Physician national average

Below national average
MIPS Final Score
67.3069/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Surgery Physician) — 67.3069/100 vs national avg 83.1

0%100%National avg83%67.3%
MIPS final score (Pediatric Surgery Physician) — 67.3069/100 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).

TODD PILLEN, PA-C is a Pediatric Surgery Physician provider practicing in DENVER, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1508812629. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TODD PILLEN, PA-C appears in the CMS NPPES registry as a Pediatric Surgery Physician provider holding PA-C credentials at 2535 S DOWNING ST, DENVER, CO, 80210, with a listed phone of (303) 778-5797. NPI 1508812629 was issued on 05/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PILLEN 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 1,208 prescription claims written by this provider, covering 443 Medicare beneficiaries and totaling roughly $785K in drug spend, split 8% brand-name and 92% 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 67.3069/100 for the 2023 performance year (Quality 0, Cost 91.023), compared with the national average of 83.1.

Pediatric Surgery Physician is a narrow specialty nationwide, with 1,132 enrolled providers across 52 states and an average of 272 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

2535 S DOWNING ST
DENVER, CO 80210

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
Avg: 83.1
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 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 1,208 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.

1,208
Total Claims
$785K
Total Drug Cost
443
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,412
Total Day Supply
39,749
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$730K
Generic Drug Cost
$55K
Antibiotic Claims
86

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.58
Gender Split
48% female / 52% male
Age Distribution
<65: 52, 65-74: 230, 75-84: 124, 85+: 37

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ketoconazole
294
Triamcinolone Acetonide
195
Clindamycin Phosphate
104
Clobetasol Propionate
85
Imiquimod
65
Hydrocortisone
50
Doxycycline Hyclate
44
Doxycycline Monohydrate
33
Otezla
Apremilast
31
Fluconazole
30

* 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.

1,132
Pediatric Surgery Physician Providers in US
52
States with Pediatric Surgery Physician
272
Avg Claims per Provider

TODD PILLEN, PA-C's 1,208 claims are above the specialty average of 272.

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.

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 2023, TODD PILLEN, PA-C wrote 1,208 Medicare Part D claims totaling $785K in drug costs for 443 beneficiaries.
What is TODD PILLEN, PA-C's Medicare quality score?
TODD PILLEN, PA-C has a CMS MIPS Final Score of 67.3069/100 (Quality: 0, Cost: 91.023). The national average MIPS Final Score is 83.1. 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 8% brand-name and 92% generic drugs by claim count, with $730K in brand drug costs.
How many Pediatric Surgery Physician providers are there in the US?
There are 1,132 Pediatric Surgery Physician providers across 52 states in the US. The average Pediatric Surgery Physician provider writes 272 Medicare Part D claims per year.
What drugs does TODD PILLEN, PA-C prescribe most often?
Based on 2023 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 1,208 Part D claims and 443 Medicare beneficiaries in 2023. 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

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