2026 NPPES data Pediatrics Physician NPI 1306095468 MD
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William Blymire, MD

Pediatrics Physician in Buffalo, New York. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,574 in Pediatrics 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
9K
Medicare Part D claims · 488 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
84%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.9/100
▲ 14 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

William Blymire, MD reported a CMS MIPS final score of 96.9/100 - above the 83.1 national average - and filed 9,075 Medicare Part D claims in 2023.

96.9/100
MIPS score · +14 vs avg
9K
Part D claims, 2023
84%
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.

William Blymire, MD's MIPS score vs every scored U.S. clinician

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

97 Top 17% higher than 83% 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%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. 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

Where William Blymire, MD sits

This provider among pediatrics physician peers

Across the 1,120 pediatrics physician providers who report both Medicare Part D prescribing and a MIPS quality score, William Blymire, MD writes more Part D claims than 97% of them and scores higher on MIPS quality than 80% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 78William Blymire, MD-Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 80
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pediatrics physician peer from a representative sample of 60; the gold marker is William Blymire, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

William Blymire, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Blymire, MD?

High performer (top quartile)

NPI registry status

Active

Issued 09/15/2008

NPI 1306095468

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

9,075 12× vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

96.9/100 13.8 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Pediatrics Physician compares to other specialties among New York providers

New York providers

Largest specialties in New York (% of in-state providers)

Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%Pediatrics Physician - 1.1%Pediatrics Physician1.1%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

William Blymire, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average

High performer (top quartile)
MIPS Final Score
96.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) - 96.9/100 vs national avg 83.1

0%100%National avg83%96.9%
MIPS final score (Pediatrics Physician) - 96.9/100 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).

William Blymire, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 800 HERTEL AVE STE 100, Buffalo, NY, 14207, with a listed phone of (716) 847-2441. NPI 1306095468 was issued on 09/15/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Blymire 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 9,075 prescription claims written by this provider, covering 488 Medicare beneficiaries and totaling roughly $828K in drug spend, split 14% brand-name and 84% generic by claim count, with an opioid prescribing rate of 4.0%. 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 96.9/100 for the 2023 performance year (Quality 85.5, Cost 94.3), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

800 HERTEL AVE STE 100
Buffalo, NY 14207

Provider Details

NPI 1306095468
Specialty Pediatrics Physician
Credentials MD
Gender Male
NPI Issued 09/15/2008

CMS Quality Score (MIPS)

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

96.9231
Final Score
Avg: 83.1
85.4705
Quality
94.2731
Cost
92
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where William Blymire, 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.

Academic Medicine Services, Inc.
Buffalo, NY
Ehs, Inc
Buffalo, NY

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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to William Blymire, MD. To verify William Blymire, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

William Blymire, MD - brand share 14.0%
Pediatrics Physician average

14% brand-name claims vs 84% generic, on 9,075 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.

9,075
Total Claims
$828K
Total Drug Cost
488
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,526
Total Day Supply
335,250
Brand vs Generic
14% brand / 84% generic
Brand Drug Cost
$656K
Generic Drug Cost
$168K
Opioid Claims
359 (4.0% rate)
Antibiotic Claims
40

Patient Demographics

Average Patient Age
61.1 years
Avg HCC Risk Score
1.33
Gender Split
48% female / 52% male
Age Distribution
<65: 256, 65-74: 174, 75-84: 44, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

What William Blymire, MD 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
Atorvastatin Calcium
702
Levothyroxine Sodium
493
Lisinopril
458
Amlodipine Besylate
400
Omeprazole
358
Fluticasone Propionate
280
Metformin Hcl
268
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
180
Tamsulosin Hcl
175
Metoprolol Succinate
159

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

Pediatrics Physician Overview

How William Blymire, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

William Blymire, MD's 9,075 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Blymire.

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pediatrics Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is William Blymire, MD's specialty?
William Blymire, MD specializes in Pediatrics Physician and practices in Buffalo, New York. Credentials: MD.
How much does William Blymire, MD prescribe under Medicare Part D?
In 2023, William Blymire, MD wrote 9,075 Medicare Part D claims totaling $828K in drug costs for 488 beneficiaries.
What is William Blymire, MD's Medicare quality score?
William Blymire, MD has a CMS MIPS Final Score of 96.9/100 (Quality: 85.5, Cost: 94.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is William Blymire, MD located?
William Blymire, MD is located at 800 HERTEL AVE STE 100, Buffalo, NY, 14207. Phone: (716) 847-2441.
What is William Blymire, MD's NPI number?
William Blymire, MD's National Provider Identifier (NPI) is 1306095468, issued on 09/15/2008.
Does William Blymire, MD prescribe more brand-name or generic drugs?
William Blymire, MD's prescribing is 14% brand-name and 84% generic drugs by claim count, with $656K in brand drug costs.
Does William Blymire, MD prescribe opioids?
Yes, William Blymire, MD had 359 opioid claims in 2023 with an opioid prescribing rate of 4.0%.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does William Blymire, MD prescribe most often?
Based on 2023 Medicare Part D data, William Blymire, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does William Blymire, MD accept Medicare?
William Blymire, MD appears in CMS Medicare data with 9,075 Part D claims and 488 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify William Blymire, MD's credentials?
William Blymire, MD's NPI is 1306095468 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

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

Compiled from official public sources by the PlainDoctor editorial team.