2026 NPPES data Family Medicine Physician NPI 1679952279 MD
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ALLISON GILBERTS, MD

Family Medicine Physician in ASHLAND, Kentucky. 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
3K
Medicare Part D claims · 220 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.0731/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$102.47
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ALLISON GILBERTS, MD reported a CMS MIPS final score of 85.0731/100 — above the 83.1 national average — and filed 2,568 Medicare Part D claims in 2023.

85.0731/100
MIPS score · +2 vs avg
3K
Part D claims, 2023
87%
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.

ALLISON GILBERTS, MD's MIPS score vs every scored U.S. clinician

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

85 49th percentile higher than 49% 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%). This entry sits in this band. 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)

ALLISON GILBERTS, 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 ALLISON GILBERTS, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/28/2015

NPI 1679952279

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

2,568 25% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

85.0731/100 1.9731000000000023% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Family Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Family Medicine Physician share within Kentucky

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

Medicare quality performance — MIPS

ALLISON GILBERTS, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
85.0731/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 85.0731/100 vs national avg 83.1

0%100%National avg83%85.1%
MIPS final score (Family Medicine Physician) — 85.0731/100 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).

ALLISON GILBERTS, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 2222 WINCHESTER AVE, ASHLAND, KY, 41101, with a listed phone of (606) 325-9644. NPI 1679952279 was issued on 05/28/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILBERTS 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 2,568 prescription claims written by this provider, covering 220 Medicare beneficiaries and totaling roughly $304K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 4.3%. 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 85.0731/100 for the 2023 performance year (Quality 76.9639, Cost 64.5244), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

2222 WINCHESTER AVE
ASHLAND, KY 41101

Provider Details

NPI 1679952279
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 05/28/2015

CMS Quality Score (MIPS)

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

85.0731
Final Score
Avg: 83.1
76.9639
Quality
64.5244
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ALLISON GILBERTS, 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.

ASHLAND HOSPITAL CORPORATION
ASHLAND, KY

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 ALLISON GILBERTS, MD. Source: openpaymentsdata.cms.gov.

Total received

$102

Largest payer

Lilly USA, LLC

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

ALLISON GILBERTS, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 2,568 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.

2,568
Total Claims
$304K
Total Drug Cost
220
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,298
Total Day Supply
152,435
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$243K
Generic Drug Cost
$61K
Opioid Claims
111 (4.3% rate)
Antibiotic Claims
52

Patient Demographics

Average Patient Age
68.8 years
Avg HCC Risk Score
1.26
Gender Split
70% female / 30% male
Age Distribution
<65: 59, 65-74: 95, 75-84: 54, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What ALLISON GILBERTS, 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
104
Gabapentin
95
Lisinopril
73
Duloxetine Hcl
67
Omeprazole
60
Ondansetron Odt
Ondansetron
58
Losartan Potassium
56
Montelukast Sodium
52
Albuterol Sulfate Hfa
Albuterol Sulfate
51
Levothyroxine Sodium
51

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

Family Medicine Physician Overview

How ALLISON GILBERTS, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

ALLISON GILBERTS, MD's 2,568 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Kentucky

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALLISON GILBERTS, MD's specialty?
ALLISON GILBERTS, MD specializes in Family Medicine Physician and practices in ASHLAND, Kentucky. Credentials: MD.
How much does ALLISON GILBERTS, MD prescribe under Medicare Part D?
In 2023, ALLISON GILBERTS, MD wrote 2,568 Medicare Part D claims totaling $304K in drug costs for 220 beneficiaries.
What is ALLISON GILBERTS, MD's Medicare quality score?
ALLISON GILBERTS, MD has a CMS MIPS Final Score of 85.0731/100 (Quality: 76.9639, Cost: 64.5244). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALLISON GILBERTS, MD located?
ALLISON GILBERTS, MD is located at 2222 WINCHESTER AVE, ASHLAND, KY, 41101. Phone: (606) 325-9644.
What is ALLISON GILBERTS, MD's NPI number?
ALLISON GILBERTS, MD's National Provider Identifier (NPI) is 1679952279, issued on 05/28/2015.
Does ALLISON GILBERTS, MD prescribe more brand-name or generic drugs?
ALLISON GILBERTS, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $243K in brand drug costs.
Does ALLISON GILBERTS, MD prescribe opioids?
Yes, ALLISON GILBERTS, MD had 111 opioid claims in 2023 with an opioid prescribing rate of 4.3%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does ALLISON GILBERTS, MD prescribe most often?
Based on 2023 Medicare Part D data, ALLISON GILBERTS, MD's most frequently prescribed drugs include Atorvastatin Calcium, Gabapentin, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALLISON GILBERTS, MD accept Medicare?
ALLISON GILBERTS, MD appears in CMS Medicare data with 2,568 Part D claims and 220 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALLISON GILBERTS, MD's credentials?
ALLISON GILBERTS, MD's NPI is 1679952279 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