NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1487612404 MD
Verify on CMS → William Albright, MD
Family Medicine Physician in Middletown, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine 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
11K
Medicare Part D claims · 797 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.5/100
▼ 1 pts below national avg 83.5 · Above neutral
Industry payments
$17.89
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
William Albright, MD reported a CMS MIPS final score of 82.5/100 - below the 83.5 national average - and filed 11,042 Medicare Part D claims in 2023.
- 82.5/100
- MIPS score · -1 vs avg
- 11K
- Part D claims, 2023
- 89%
- 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.
CMS NPPES provider registry desk
NPI 1487612404 · Family Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-INLINE · RX-HEAVY · BOOK-MID · PHOTO-FINISH
- NPI-10 1487612404
- ENUM-LEGACY 2006
- TAX-MEGA 148K Family Medicine
- MIPS-INLINE 82.5/100
- RX-HEAVY 11K claims
- BOOK-MID 7,200 in Pennsylvania
- PHOTO-FINISH Fotini Debonera · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Albright · this …
Albright · this provider
82.5 MIPS pts
- Jenna Van Dusen …
Jenna Van Dusen
82.5 MIPS pts
- Fotini Debonera …
Fotini Debonera
82.5 MIPS pts
- Tierra Leak · near
Tierra Leak
82.5 MIPS pts
- Monica Stallwort…
Monica Stallworth-Kolimas
82.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
William Albright, MD'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.
83 ≥ 36th percentile 36% 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
Where William Albright, MD sits
This provider among family medicine physician peers
Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, William Albright, MD writes more Part D claims than 91% of them and scores higher on MIPS quality than 35% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is William Albright, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
William Albright, MD 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 William Albright, MD?
Near national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
11,042 223% vs specialty avg
MIPS final score
82.5/100 1 pts vs avg
Specialty distribution in Pennsylvania
How Family Medicine Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
William Albright, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 82.5/100
- 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 | 1487612404 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/01/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.5421
Final Score
Measured-score avg: 83.5
76.6258
Quality
65.1813
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where William Albright, 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.
Pinnacle Health Medical Services
Middletown, PA
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 William Albright, MD. Source: openpaymentsdata.cms.gov.
Total received
$18
Largest payer
TELA Bio, 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 William Albright, MD. To verify William Albright, 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 · Typical
William Albright, MD - brand share 10.0%
Family Medicine Physician average
10% brand-name claims vs 89% generic, on 11,042 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.
11,042
Total Claims
$1.2M
Total Drug Cost
797
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 25,371
- Total Day Supply
- 736,636
- Brand vs Generic
- 10% brand / 89% generic
- Brand Drug Cost
- $932K
- Generic Drug Cost
- $238K
- Opioid Claims
- 497 (4.5% rate)
- Antibiotic Claims
- 406
Patient Demographics
- Average Patient Age
- 71.8 years
- Avg HCC Risk Score
- 1.04
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 115, 65-74: 380, 75-84: 220, 85+: 82
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What William Albright, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
603 claims
- Simvastatin
Simvastatin
402 claims
- Lisinopril
Lisinopril
390 claims
- Levothyroxine Sodium
Levothyroxine Sodium
373 claims
- Metformin Hcl
Metformin Hcl
316 claims
- Amlodipine Besylate
Amlodipine Besylate
314 claims
- Hydrochlorothiazide
Hydrochlorothiazide
304 claims
- Lorazepam
Lorazepam
291 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 603 |
| Simvastatin | 402 |
| Lisinopril | 390 |
| Levothyroxine Sodium | 373 |
| Metformin Hcl | 316 |
| Amlodipine Besylate | 314 |
| Hydrochlorothiazide | 304 |
| Lorazepam | 291 |
| Omeprazole | 211 |
| Pantoprazole Sodium | 205 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How William Albright, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
William Albright, MD's 11,042 claims are above the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Albright, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (82.5 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Albright.
One of 7,200 Family Medicine Physician providers enrolled in Pennsylvania, 5 are shown here.
Christopher Aaron
Cresson, PA
Dr. Jose Abad
MD
Pittsburgh, PA
Dr. Ray Abarintos
MD
Philadelphia, PA
Dr. Jasim Abbasi
DO
Erie, PA
Dr. Alyssa Abbott
CRNP
Hermitage, PA
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is William Albright, MD's specialty? ▼
William Albright, MD specializes in Family Medicine Physician and practices in Middletown, Pennsylvania. Credentials: MD.
How much does William Albright, MD prescribe under Medicare Part D? ▼
In 2023, William Albright, MD wrote 11,042 Medicare Part D claims totaling $1.2M in drug costs for 797 beneficiaries.
What is William Albright, MD's Medicare quality score? ▼
William Albright, MD has a CMS MIPS Final Score of 82.5/100 (Quality: 76.6, Cost: 65.2). 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 William Albright, MD located? ▼
William Albright, MD is located at 1025 W HARRISBURG PIKE, Middletown, PA, 17057. Phone: (717) 944-0491.
What is William Albright, MD's NPI number? ▼
William Albright, MD's National Provider Identifier (NPI) is 1487612404, issued on 05/01/2006.
Does William Albright, MD prescribe more brand-name or generic drugs? ▼
William Albright, MD's prescribing is 10% brand-name and 89% generic drugs by claim count, with $932K in brand drug costs.
Does William Albright, MD prescribe opioids? ▼
Yes, William Albright, MD had 497 opioid claims in 2023 with an opioid prescribing rate of 4.5%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does William Albright, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, William Albright, MD's most frequently prescribed drugs include Atorvastatin Calcium, Simvastatin, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does William Albright, MD accept Medicare? ▼
William Albright, MD appears in CMS Medicare data with 11,042 Part D claims and 797 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify William Albright, MD's credentials? ▼
William Albright, MD's NPI is 1487612404 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 (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
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 May 2026.