2026 NPPES data Surgery Physician NPI 1356434856 M.D.
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TODD WILKENS, M.D.

Surgery Physician in SMYRNA, Tennessee. 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
227
Medicare Part D claims · 81 beneficiaries · Surgery Physician avg: 169
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.2214/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$2.4K
19 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TODD WILKENS, M.D. reported a CMS MIPS final score of 84.2214/100 — above the 83.1 national average — and filed 227 Medicare Part D claims in 2023.

84.2214/100
MIPS score · +1 vs avg
227
Part D claims, 2023
82%
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.

TODD WILKENS, M.D.'s MIPS score vs every scored U.S. clinician

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

84 45th percentile higher than 45% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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

Board certification likely (heuristic — not verified)

TODD WILKENS, M.D. 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 WILKENS, M.D.?

Near national average

NPI registry status

Active

Issued 10/02/2006

NPI 1356434856

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

227 34% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

84.2214/100 1.1214000000000084% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Tennessee

How Surgery Physician compares to other specialties among Tennessee providers

Tennessee providers

Surgery Physician share within Tennessee

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

Medicare quality performance — MIPS

TODD WILKENS, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

Near national average
MIPS Final Score
84.2214/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 84.2214/100 vs national avg 83.1

0%100%National avg83%84.2%
MIPS final score (Surgery Physician) — 84.2214/100 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 WILKENS, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 515 STONECREST PKWY STE 230, SMYRNA, TN, 37167, with a listed phone of (615) 223-9935. NPI 1356434856 was issued on 10/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WILKENS 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 227 prescription claims written by this provider, covering 81 Medicare beneficiaries and totaling roughly $40K in drug spend, split 18% brand-name and 82% generic by claim count, with an opioid prescribing rate of 18.1%. 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 84.2214/100 for the 2023 performance year (Quality 71.4901, Cost 67.1219), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

515 STONECREST PKWY STE 230
SMYRNA, TN 37167

Provider Details

NPI 1356434856
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 10/02/2006

CMS Quality Score (MIPS)

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

84.2214
Final Score
Avg: 83.1
71.4901
Quality
67.1219
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TODD WILKENS, M.D. 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.

TENNESSEE ONCOLOGY PLLC
NASHVILLE, TN

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 WILKENS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.4K

Largest payer

AngioDynamics, 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.

Brand vs generic prescribing mix · Typical

TODD WILKENS, M.D. — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 227 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.

227
Total Claims
$40K
Total Drug Cost
81
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
366
Total Day Supply
8,850
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$37K
Generic Drug Cost
$3K
Opioid Claims
41 (18.1% rate)
Antibiotic Claims
27

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
2.41
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 TODD WILKENS, M.D. 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
Clopidogrel
Clopidogrel Bisulfate
67
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
33
Eliquis
Apixaban
22
Cilostazol
17
Xarelto
Rivaroxaban
15
Clindamycin Hcl
13
Warfarin Sodium
13

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

Surgery Physician Overview

How TODD WILKENS, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

TODD WILKENS, M.D.'s 227 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Tennessee

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

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TODD WILKENS, M.D.'s specialty?
TODD WILKENS, M.D. specializes in Surgery Physician and practices in SMYRNA, Tennessee. Credentials: M.D..
How much does TODD WILKENS, M.D. prescribe under Medicare Part D?
In 2023, TODD WILKENS, M.D. wrote 227 Medicare Part D claims totaling $40K in drug costs for 81 beneficiaries.
What is TODD WILKENS, M.D.'s Medicare quality score?
TODD WILKENS, M.D. has a CMS MIPS Final Score of 84.2214/100 (Quality: 71.4901, Cost: 67.1219). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TODD WILKENS, M.D. located?
TODD WILKENS, M.D. is located at 515 STONECREST PKWY STE 230, SMYRNA, TN, 37167. Phone: (615) 223-9935.
What is TODD WILKENS, M.D.'s NPI number?
TODD WILKENS, M.D.'s National Provider Identifier (NPI) is 1356434856, issued on 10/02/2006.
Does TODD WILKENS, M.D. prescribe more brand-name or generic drugs?
TODD WILKENS, M.D.'s prescribing is 18% brand-name and 82% generic drugs by claim count, with $37K in brand drug costs.
Does TODD WILKENS, M.D. prescribe opioids?
Yes, TODD WILKENS, M.D. had 41 opioid claims in 2023 with an opioid prescribing rate of 18.1%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does TODD WILKENS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TODD WILKENS, M.D.'s most frequently prescribed drugs include Clopidogrel, Oxycodone-Acetaminophen, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TODD WILKENS, M.D. accept Medicare?
TODD WILKENS, M.D. appears in CMS Medicare data with 227 Part D claims and 81 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TODD WILKENS, M.D.'s credentials?
TODD WILKENS, M.D.'s NPI is 1356434856 with credentials M.D.. 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