Terence Philbin, M.D.
NPI 1649233784 · Internal Medicine Physician · Crafton, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Terence Philbin, M.D. is a Internal Medicine Physician provider in Crafton, PA (NPI 1649233784).
Provider details
- NPI number
- 1649233784
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD032962E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,930 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 345 | $8 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 277 | $8 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 277 | $119 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 241 | $10 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 239 | $74 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 203 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 848 | 192 |
| Amlodipine Besylate | 738 | 188 |
| Lisinopril | 690 | 184 |
| Levothyroxine Sodium | 552 | 142 |
| Losartan Potassium | 525 | 136 |
| Metoprolol Tartrate | 497 | 113 |
| Pantoprazole Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$487 across 27 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-10
- Last updated
- 2023-07-06
- Certified
- 2023-07-06
Frequently asked questions
- What is Terence Philbin's NPI number?
- Terence Philbin's National Provider Identifier (NPI) is 1649233784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Terence Philbin's specialty?
- Terence Philbin is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Terence Philbin located?
- Terence Philbin's practice location on file with NPPES is 92 Bradford Ave, Crafton, PA 15205-3150.
- What is Terence Philbin's phone number?
- The practice phone number listed in the NPPES registry for Terence Philbin is (412) 922-2111.
- Does Terence Philbin accept Medicare?
- Terence Philbin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Terence Philbin's NPI active?
- Yes — Terence Philbin's NPI (1649233784) is active in the NPPES registry as of the last update on 2023-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.