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CMS public data · NPI 1205199346

Dr. Yale A Fillingham: Medicare prescribing and billing data

CMS public files list billing, prescribing, location, and participation fields for this NPI. Current plan networks, appointment availability, clinical outcomes, and patient-specific medical advice require separate verification.

CMS display name

Yale A Fillingham, M.D.

Credential

M.D.

NPI

1205199346

Primary source state

PA

Data retrieval date

July 28, 2026

Pennsylvania doctorsState Doctor hubOrthopedic SurgeryState-specialty hubBryn Mawr, PAPrimary city link if this route exists

Where these numbers come from, and what they cannot tell you

Public CMS records, 2024 reporting year. These are historical Medicare fields, not proof of current coverage, appointment availability, quality, or what someone will pay.

How should you read this Doctor page?

This page shows Medicare billing and Part D prescribing data for Yale A Fillingham, M.D. from CMS public files. It covers 2024 claims data: services billed, the beneficiary panel, and the most-prescribed Part D drugs. It does not show current coverage, appointment availability, or quality ratings.

A licensed agent, not a call center

Do your doctors and prescriptions fit before you enroll?

Peter Abilla, Licensed Medicare Insurance Sales Agent, NPN 22265186. Bring the doctors and prescriptions that matter to you, then check the details before you enroll.

What Medicare source indicators are listed for this NPI?

Medicare participating

Yes

Individual assignment

Yes

Group assignment

Yes

CMS opt-out records

0

Which practice locations appear in CMS files?

When CMS files list more than one address for the same NPI, each address stays tied to the CMS file that reported it.

Medicare billing address

CMS Medicare provider billing file

825 Old Lancaster Rd Ste And200
Bryn Mawr, PA 19010

PHOENIX REHABILITATION AND HEALTH SERVICES INC

CMS Doctors & Clinicians file

2000 Westinghouse Dr
Cranberry Township, PA 16066

PHOENIX REHABILITATION AND HEALTH SERVICES INC

CMS Doctors & Clinicians file

2000 Westinghouse Dr
Suite 200
Cranberry Twp, PA 16066

NOVACARE OUTPATIENT REHABILITATION EAST, INC.

CMS Doctors & Clinicians file

201 2Nd Ave
Collegeville, PA 19426

(610) 489-7703

What does the Medicare billing file show?

In the 2024 CMS provider billing file, this NPI had 774 Medicare beneficiaries and 3,435 total services. The average beneficiary age was 76, and the average HCC risk score was 1.1.

Total Medicare allowed amount

$678,381.22

Total Medicare payment amount

$528,923.57

Medicare beneficiaries

774

Total services

3,435

Which patient-panel condition fields does CMS report?

These percentages describe the Medicare beneficiary panel in the CMS utilization file. They are not a diagnosis for any individual patient and are not a quality score.

Hyperlipidemia

75%

CMS beneficiary-panel share

Hypertension

75%

CMS beneficiary-panel share

Ischemic heart disease

37%

CMS beneficiary-panel share

Anxiety

28%

CMS beneficiary-panel share

Mood disorders

28%

CMS beneficiary-panel share

Depression

24%

CMS beneficiary-panel share

Where these service numbers come from, and what they cannot tell you

Amounts shown are average Medicare-approved amounts per billed unit in CMS records. What a person pays depends on current coverage and cannot be read from this table alone.

Which Medicare services appear most often?

Highest-volume Medicare services, 2024 reporting year
CMS service descriptionServicesAvg allowed
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg625$7.37
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more425$94.25
Injection, triamcinolone acetonide, not otherwise specified, 10 mg312$0.97
X-ray of knee, 3 views246$42.13
X-ray of hip, 2-3 views241$47.80
X-ray of knee, 4 or more views215$49.19
X-ray of hip, 1 view148$33.29
Aspiration and/or injection of fluid from large joint136$76.21
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more129$186.38
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more107$133.13

Where these Part D numbers come from, and what they cannot tell you

CMS data reports historical prescription drug events attributed to NPI 1205199346. Formularies, copays, prior authorization, and step therapy rules vary by current coverage.

Which drugs did Yale A Fillingham, M.D. prescribe most often under Medicare Part D?

Top 6 Medicare Part D drugs for NPI 1205199346, ranked by total claims in the CMS 2024 provider-and-drug file
RankDrugGeneric nameTotal claims30-day fillsTotal drug cost
1Oxycodone HclOxycodone Hcl124124$811.51
2MeloxicamMeloxicam106106$228.93
3Ondansetron OdtOndansetron7979$802.58
4AmoxicillinAmoxicillin4545$51.61
5Tramadol HclTramadol Hcl2525$159.99
6Diclofenac SodiumDiclofenac Sodium1515$169.18

CMS Part D records are historical aggregate claims data. They do not include current formulary status, pharmacy price, prior-authorization rules, network-directory status, or clinical-outcome data.

What background fields does CMS report?

Medical school

Rush Medical College Of Rush University

Graduation year

2012

Group/practice field

Phoenix Rehabilitation And Health Services Inc

Telehealth reported

Yes

What can this data not tell us?

  • Billing data and prescribing data come from different CMS files. Neither one measures clinical outcomes, and neither one tells you whether this doctor is in a specific plan's network.
  • Part D records do not report current medication use, plan coverage, price, pharmacy availability, or plan-directory status.
  • Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.
  • CMS billing data does not list Medicare Advantage plan-directory status for this doctor.
  • CMS service and prescribing records are historical public-use aggregates; they do not report current appointment availability, clinical outcomes, or patient-specific medical advice.
  • Part D provider-and-drug records do not include current formulary status, copay amount, pharmacy price, prior-authorization rules, or step-therapy rules.

What should you verify separately?

Verify plan-directory status, drug formulary rules, pharmacy pricing, appointment availability, and clinical questions against current plan documents and the relevant provider or care team.

Which CMS sources support this page?

The numbers above come from CMS public-use files for this NPI. Each link identifies the CMS release used and the retrieval date.

What caveats apply to this page?
  • CMS billing and utilization files do not list Medicare Advantage plan networks, appointment availability, or clinical outcomes.
  • Part D provider-and-drug files are historical aggregate claims data; they do not report current medication lists, plan coverage, pharmacy price, or prior-authorization rules.
  • Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.