2026 NPPES data Gastroenterology Physician NPI 1750364782 MD
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WILLIAM LYLES, MD

Gastroenterology Physician in MARYVILLE, 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
2K
Medicare Part D claims · 552 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.2957/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$53.6K
206 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

WILLIAM LYLES, MD reported a CMS MIPS final score of 79.2957/100 — below the 83.1 national average — and filed 1,546 Medicare Part D claims in 2023.

79.2957/100
MIPS score · -4 vs avg
2K
Part D claims, 2023
76%
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 LYLES, MD's MIPS score vs every scored U.S. clinician

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

79 30th percentile higher than 30% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

WILLIAM LYLES, 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 LYLES, MD?

Near national average

NPI registry status

Active

Issued 11/23/2005

NPI 1750364782

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

1,546 86% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

79.2957/100 3.804299999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Tennessee

How Gastroenterology Physician compares to other specialties among Tennessee providers

Tennessee providers

Gastroenterology Physician share within Tennessee

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

Medicare quality performance — MIPS

WILLIAM LYLES, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

Near national average
MIPS Final Score
79.2957/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 79.2957/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Gastroenterology Physician) — 79.2957/100 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 LYLES, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 355 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN, 37804, with a listed phone of (865) 980-5060. NPI 1750364782 was issued on 11/23/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LYLES 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 1,546 prescription claims written by this provider, covering 552 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 24% brand-name and 76% 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 79.2957/100 for the 2023 performance year (Quality 74.5598, Cost 63.0925), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

355 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804

Provider Details

NPI 1750364782
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 11/23/2005

CMS Quality Score (MIPS)

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

79.2957
Final Score
Avg: 83.1
74.5598
Quality
63.0925
Cost
92
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where WILLIAM LYLES, 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.

BLOUNT MEMORIAL PHYSICIAN GROUP INC
MARYVILLE, 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 WILLIAM LYLES, MD. Source: openpaymentsdata.cms.gov.

Total received

$53.6K

Largest payer

ABBVIE 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

WILLIAM LYLES, MD — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 1,546 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.

1,546
Total Claims
$1.2M
Total Drug Cost
552
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,662
Total Day Supply
68,484
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$1.1M
Generic Drug Cost
$78K
Antibiotic Claims
16

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
1.38
Gender Split
59% female / 41% male
Age Distribution
<65: 107, 65-74: 290, 75-84: 137, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What WILLIAM LYLES, 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
Omeprazole
339
Pantoprazole Sodium
141
Ondansetron Odt
Ondansetron
118
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
78
Dexlansoprazole Dr
Dexlansoprazole
53
Famotidine
49
Lansoprazole
49
Colesevelam Hcl
41
Clenpiq
Sod Picosulf/Mag Ox/Citric Ac
38
Sucralfate
30

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

Gastroenterology Physician Overview

How WILLIAM LYLES, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

WILLIAM LYLES, MD's 1,546 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Tennessee

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

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

Frequently Asked Questions

What is WILLIAM LYLES, MD's specialty?
WILLIAM LYLES, MD specializes in Gastroenterology Physician and practices in MARYVILLE, Tennessee. Credentials: MD.
How much does WILLIAM LYLES, MD prescribe under Medicare Part D?
In 2023, WILLIAM LYLES, MD wrote 1,546 Medicare Part D claims totaling $1.2M in drug costs for 552 beneficiaries.
What is WILLIAM LYLES, MD's Medicare quality score?
WILLIAM LYLES, MD has a CMS MIPS Final Score of 79.2957/100 (Quality: 74.5598, Cost: 63.0925). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WILLIAM LYLES, MD located?
WILLIAM LYLES, MD is located at 355 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN, 37804. Phone: (865) 980-5060.
What is WILLIAM LYLES, MD's NPI number?
WILLIAM LYLES, MD's National Provider Identifier (NPI) is 1750364782, issued on 11/23/2005.
Does WILLIAM LYLES, MD prescribe more brand-name or generic drugs?
WILLIAM LYLES, MD's prescribing is 24% brand-name and 76% generic drugs by claim count, with $1.1M in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does WILLIAM LYLES, MD prescribe most often?
Based on 2023 Medicare Part D data, WILLIAM LYLES, MD's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILLIAM LYLES, MD accept Medicare?
WILLIAM LYLES, MD appears in CMS Medicare data with 1,546 Part D claims and 552 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM LYLES, MD's credentials?
WILLIAM LYLES, MD's NPI is 1750364782 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