2026 NPPES data Plastic Surgery Physician NPI 1225011596 MD
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ANDREW GAVAGAN, MD

Plastic Surgery Physician in TROY, Michigan. 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
38
Medicare Part D claims · 19 beneficiaries · Plastic Surgery Physician avg: 84
Generic prescribing
50%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$363.78
14 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ANDREW GAVAGAN, MD is a Plastic Surgery Physician ([object Object]) practicing in TROY, Michigan with a Medicare Part D prescribing footprint of 38 claims across 19 beneficiaries — 50% brand-name prescribing . Industry payments of $363.78 across 14 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ANDREW GAVAGAN, MD filed 38 Medicare Part D claims in 2023 across TROY, Michigan. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ANDREW GAVAGAN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ANDREW GAVAGAN, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 11/21/2005

NPI 1225011596

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Medicare Part D claims

38 55% vs specialty avg

2023 prescription claims

Specialty avg: 84

Specialty distribution in Michigan

How Plastic Surgery Physician compares to other specialties among Michigan providers

Michigan providers

Plastic Surgery Physician share within Michigan

1. Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery Physician share within Michigan

Specialty board-certification context

Estimated specialty board-certified rate — Plastic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Plastic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Plastic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Plastic Surgery Physician) — ABMS / AOA estimate

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).

ANDREW GAVAGAN, MD is a Plastic Surgery Physician provider practicing in TROY, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1225011596. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANDREW GAVAGAN, MD appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding MD credentials at 1080 KIRTS BLVD, TROY, MI, 48084, with a listed phone of (248) 369-9300. NPI 1225011596 was issued on 11/21/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAVAGAN 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 38 prescription claims written by this provider, covering 19 Medicare beneficiaries and totaling roughly $666 in drug spend, split 50% brand-name and 50% generic by claim count, with an opioid prescribing rate of 42.1%. 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.

Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,316 enrolled providers across 52 states and an average of 84 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

1080 KIRTS BLVD
TROY, MI 48084

Provider Details

NPI 1225011596
Specialty Plastic Surgery Physician
Credentials MD
Gender Male
NPI Issued 11/21/2005

Hospital and facility affiliations

Facilities where ANDREW GAVAGAN, 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.

BRONSON METHODIST HOSPITAL
★★★★☆ 4/5
PORTAGE, MI
Acute Care Hospitals
CMS CCN: 230017
LUTHERAN MEDICAL GROUP LLC
FORT WAYNE, IN

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 ANDREW GAVAGAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$364

Largest payer

Mentor Worldwide 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.

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to ANDREW GAVAGAN, MD. To verify ANDREW GAVAGAN, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

ANDREW GAVAGAN, MD — brand share 50.0%
Specialty average (est.)

50% brand-name claims vs 50% generic, on 38 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.

38
Total Claims
$666
Total Drug Cost
19
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
44
Total Day Supply
885
Brand vs Generic
50% brand / 50% generic
Brand Drug Cost
$567
Generic Drug Cost
$99
Opioid Claims
16 (42.1% rate)

Patient Demographics

Average Patient Age
66.3 years
Avg HCC Risk Score
3.21

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
13

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

Plastic Surgery Physician Overview

How ANDREW GAVAGAN, MD fits within the Plastic Surgery Physician landscape nationally.

5,316
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider

ANDREW GAVAGAN, MD's 38 claims are below the specialty average of 84.

Nearby Plastic Surgery Physician Providers in Michigan

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

Compare Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW GAVAGAN, MD's specialty?
ANDREW GAVAGAN, MD specializes in Plastic Surgery Physician and practices in TROY, Michigan. Credentials: MD.
How much does ANDREW GAVAGAN, MD prescribe under Medicare Part D?
In 2023, ANDREW GAVAGAN, MD wrote 38 Medicare Part D claims totaling $666 in drug costs for 19 beneficiaries.
Where is ANDREW GAVAGAN, MD located?
ANDREW GAVAGAN, MD is located at 1080 KIRTS BLVD, TROY, MI, 48084. Phone: (248) 369-9300.
What is ANDREW GAVAGAN, MD's NPI number?
ANDREW GAVAGAN, MD's National Provider Identifier (NPI) is 1225011596, issued on 11/21/2005.
Does ANDREW GAVAGAN, MD prescribe more brand-name or generic drugs?
ANDREW GAVAGAN, MD's prescribing is 50% brand-name and 50% generic drugs by claim count, with $567 in brand drug costs.
Does ANDREW GAVAGAN, MD prescribe opioids?
Yes, ANDREW GAVAGAN, MD had 16 opioid claims in 2023 with an opioid prescribing rate of 42.1%.
How many Plastic Surgery Physician providers are there in the US?
There are 5,316 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
What drugs does ANDREW GAVAGAN, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDREW GAVAGAN, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW GAVAGAN, MD accept Medicare?
ANDREW GAVAGAN, MD appears in CMS Medicare data with 38 Part D claims and 19 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW GAVAGAN, MD's credentials?
ANDREW GAVAGAN, MD's NPI is 1225011596 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.
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