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2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1538105739 M.D.
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Andrew Gerken, M.D.

Sports Medicine (Orthopaedic Surgery) Physician in Newport Beach, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,766 in Sports Medicine (Orthopaedic Surgery) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
14
Medicare Part D claims · Sports Medicine (Orthopaedic Surgery) Physician avg: 309
MIPS score
83.6/100
▲ 0 pts above national avg 83.5 · Above neutral
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Andrew Gerken, M.D. reported a CMS MIPS final score of 83.6/100 - above the 83.5 national average - and filed 14 Medicare Part D claims in 2024.

83.6/100
MIPS score · +0 vs avg
14
Part D claims, 2024
Likely
board-certified (heuristic)
≥39th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Andrew Gerken, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1538105739), first enumerated 06/22/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 14 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 83.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • State context

    State board disciplinary context

    California statewide board action statistics are published annually — these figures describe aggregate state activity, not Andrew Gerken, M.D.'s individual license status. Verify directly with the state medical board.

    Source: MBC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1538105739 · Sports Medicine (Orthopaedic Surgery) Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-INLINE · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1538105739
  • ENUM-LEGACY 2006
  • TAX-NARROW 2,766
  • MIPS-INLINE 83.6/100
  • RX-TRACE 14
  • BOOK-THIN 313 in California
  • PHOTO-FINISH Avnish Clerk · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Andrew Gerken, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

84 ≥ 39th percentile 39% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Andrew Gerken, M.D. sits

This provider among sports medicine (orthopaedic surgery) physician peers

Across the 924 sports medicine (orthopaedic surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Andrew Gerken, M.D. writes more Part D claims than 1% of them and scores higher on MIPS quality than 55% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 75Andrew Gerken, M.D., Part D claim volume, percentile in specialty: 1 · MIPS quality, percentile: 55
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one sports medicine (orthopaedic surgery) physician peer from a representative sample of 60; the gold marker is Andrew Gerken, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Andrew Gerken, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Andrew Gerken, M.D.?

Near national average

NPI registry status

Active

Issued 06/22/2006

NPI 1538105739

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,766 US NPIs in this specialty

Medicare Part D claims

14 95% vs specialty avg

2024 prescription claims

Specialty avg: 309

MIPS final score

83.6/100 0.1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in California

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among California providers

California providers
Behavior Technician17.9%Marriage & Family Therapist5.4%Student in an Organized Heal…5.1%Mental Health Counselor3.7%Pharmacist3.4%Clinical Social Worker3.1%Sports Medicine (Orthopaedic…0%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Andrew Gerken, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

Near national average
MIPS Final Score
83.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%83.6%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 83.6/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

22 CORPORATE PLAZA DR
Newport Beach, CA 92660
(949) 722-7038

Provider Details

NPI 1538105739
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 06/22/2006

CMS Quality Score (MIPS)

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

83.648
Final Score
Measured-score avg: 83.5
94.961
Quality
54.7315
Cost

Reporting: Group practice

License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Andrew Gerken, M.D.. To verify Andrew Gerken, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

14
Total Claims
$128
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14
Total Day Supply
420
Brand Drug Cost
$0
Generic Drug Cost
$128

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
0.38
More Sports Medicine (Orthopaedic Surgery) Physician in CA → All providers in California → Compare specialties →

Sports Medicine (Orthopaedic Surgery) Physician Overview

How Andrew Gerken, M.D. fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,766
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
309
Avg Claims per Provider

Andrew Gerken, M.D.'s 14 claims are below the specialty average of 309.

Nationwide Sports Medicine (Orthopaedic Surgery) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Gerken, both outside California so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (83.6 here).

Avnish Clerk 83.6 NH Michael Jacob 83.5 MN David Labadie 83.5 MN Patrick Dawson 83.8 OR

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Kyle Swanson Carson City, NV Frank Pollock Winston Salem, NC Gregory Gallick Union, NJ Scott Strohmeyer Beaufort, SC

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in California

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

One of 313 Sports Medicine (Orthopaedic Surgery) Physician providers enrolled in California, 5 are shown here.

Dr. Stephen Abelow
M.D.
South Lake Tahoe, CA
Dr. Paul Abeyta
MD
Burlingame, CA
Dr. Torgom Abraamyan
M.D.
Van Nuys, CA
Dr. Geoffrey Abrams
MD
Stanford, CA
Monther Abuhantash
San Francisco, CA

Compare Sports Medicine (Orthopaedic Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Andrew Gerken, M.D.'s specialty? ▼
Andrew Gerken, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Newport Beach, California. Credentials: M.D..
How much does Andrew Gerken, M.D. prescribe under Medicare Part D? ▼
In 2024, Andrew Gerken, M.D. wrote 14 Medicare Part D claims totaling $128 in drug costs for N/A beneficiaries.
What is Andrew Gerken, M.D.'s Medicare quality score? ▼
Andrew Gerken, M.D. has a CMS MIPS Final Score of 83.6/100 (Quality: 95, Cost: 54.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrew Gerken, M.D. located? ▼
Andrew Gerken, M.D. is located at 22 CORPORATE PLAZA DR, Newport Beach, CA, 92660. Phone: (949) 722-7038.
What is Andrew Gerken, M.D.'s NPI number? ▼
Andrew Gerken, M.D.'s National Provider Identifier (NPI) is 1538105739, issued on 06/22/2006.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,766 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 309 Medicare Part D claims per year.
Does Andrew Gerken, M.D. accept Medicare? ▼
Andrew Gerken, M.D. appears in CMS Medicare data with 14 Part D claims and N/A Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrew Gerken, M.D.'s credentials? ▼
Andrew Gerken, M.D.'s NPI is 1538105739 with credentials M.D.. 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.