Terence James Philbin, M.D.
NPI 1649233784ActiveIndividual· Internal Medicine· Crafton, PA
Internal Medicine (M.D.) with Preferred Primary Care Physicians, Inc., practicing in Crafton, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $1,286,965 for 16,865 claims, against $121,592 paid for services in 2024. Abbvie Inc. was the largest of 14 companies reporting payments in 2025, $770.63 in all, mostly food and beverage. Lists Heritage Valley Sewickley and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1649233784 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 10, 2006 |
| Last updated in NPPES | Jul 6, 2023 |
| Certified by provider | Jul 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD032962E | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 343 |
|---|---|
| Services billed | 3,388 across 72 procedure codes |
| Paid by Medicare | $121,592 |
Part D prescriptions in 2024
| Prescriptions (claims) | 16,865 · 33,001 30-day fills |
|---|---|
| Patients | 1,050 |
| Total drug cost | $1,286,965 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1983 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Geriatric Medicine |
Medical group
- Preferred Primary Care Physicians, Inc.Pittsburgh, PA · 88 clinicians
Hospital affiliations
- Heritage Valley SewickleySewickley, PA
- Magee Womens Hospital of Upmc Health SystemPittsburgh, PA
- St Clair HospitalPittsburgh, PA
- Upmc MercyPittsburgh, PA
- Upmc Presbyterian ShadysidePittsburgh, PA
Other facilities
- Allegheny Health Network Healthcare at Home Home HealthHome health agency · Canonsburg, PA
- Gallagher Home Health ServicesHome health agency · Bridgeville, PA
Industry payments (Open Payments)
- 2025$770.63 · 37 payments from 14 companies
- 2024$486.77 · 27 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $259.35 | 14 |
| Verona Pharma, Inc. | $149.96 | 3 |
| Lilly USA, LLC | $104.71 | 6 |
| Novo Nordisk Inc | $58.36 | 3 |
| Almatica Pharma LLC | $37.40 | 2 |
What the 2025 payments were for
- Food and Beverage$770.63 · 37 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records