2026 NPPES data Specialist NPI 1275539801 MD
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ANDREW GOULD, MD

Specialist in LOUISVILLE, 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
492
Medicare Part D claims · 223 beneficiaries · Specialist avg: 1K
MIPS score
89.3364/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$1.9K
38 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANDREW GOULD, MD reported a CMS MIPS final score of 89.3364/100 — above the 83.1 national average — and filed 492 Medicare Part D claims in 2023.

89.3364/100
MIPS score · +6 vs avg
492
Part D claims, 2023
$1.9K
industry payments (Sunshine Act)

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.

ANDREW GOULD, MD's MIPS score vs every scored U.S. clinician

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

89 Top 42% higher than 58% 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

What does the federal data show about ANDREW GOULD, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/28/2005

NPI 1275539801

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

492 67% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

89.3364/100 6.236400000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Specialist compares to other specialties among Kentucky providers

Kentucky providers

Specialist share within Kentucky

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Kentucky

Medicare quality performance — MIPS

ANDREW GOULD, MD's 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
89.3364/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 89.3364/100 vs national avg 83.1

0%100%National avg83%89.3%
MIPS final score (Specialist) — 89.3364/100 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).

ANDREW GOULD, MD is a Specialist provider practicing in LOUISVILLE, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1275539801. 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 GOULD, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 2944 BRECKENRIDGE LN, LOUISVILLE, KY, 40220, with a listed phone of (502) 893-0159. NPI 1275539801 was issued on 06/28/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOULD 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 492 prescription claims written by this provider, covering 223 Medicare beneficiaries and totaling roughly $26K in drug spend, with an opioid prescribing rate of 6.1%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.3364/100 for the 2023 performance year (Quality 87.4546), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

2944 BRECKENRIDGE LN
LOUISVILLE, KY 40220

Provider Details

NPI 1275539801
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 06/28/2005

CMS Quality Score (MIPS)

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

89.3364
Final Score
Avg: 83.1
87.4546
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANDREW GOULD, 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.

ADVANCED ENT AND ALLERGY PLLC
NEW ALBANY, IN
PT PROS, INC
ELIZABETHTOWN, 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 ANDREW GOULD, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.9K

Largest payer

Inspire Medical Systems, Inc.

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

492
Total Claims
$26K
Total Drug Cost
223
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
646
Total Day Supply
14,696
Generic Drug Cost
$10K
Opioid Claims
30 (6.1% rate)
Antibiotic Claims
68

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.01
Gender Split
57% female / 43% male
Age Distribution
<65: 30, 65-74: 109, 75-84: 64, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Fluticasone Propionate
101
Ipratropium Bromide
60
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
32
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
30
Ondansetron Odt
Ondansetron
26
Mupirocin
20
Levothyroxine Sodium
19
Clindamycin Hcl
18
Montelukast Sodium
18
Methylprednisolone
13

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

Specialist Overview

How ANDREW GOULD, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

ANDREW GOULD, MD's 492 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Kentucky

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW GOULD, MD's specialty?
ANDREW GOULD, MD specializes in Specialist and practices in LOUISVILLE, Kentucky. Credentials: MD.
How much does ANDREW GOULD, MD prescribe under Medicare Part D?
In 2023, ANDREW GOULD, MD wrote 492 Medicare Part D claims totaling $26K in drug costs for 223 beneficiaries.
What is ANDREW GOULD, MD's Medicare quality score?
ANDREW GOULD, MD has a CMS MIPS Final Score of 89.3364/100 (Quality: 87.4546). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW GOULD, MD located?
ANDREW GOULD, MD is located at 2944 BRECKENRIDGE LN, LOUISVILLE, KY, 40220. Phone: (502) 893-0159.
What is ANDREW GOULD, MD's NPI number?
ANDREW GOULD, MD's National Provider Identifier (NPI) is 1275539801, issued on 06/28/2005.
Does ANDREW GOULD, MD prescribe opioids?
Yes, ANDREW GOULD, MD had 30 opioid claims in 2023 with an opioid prescribing rate of 6.1%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does ANDREW GOULD, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDREW GOULD, MD's most frequently prescribed drugs include Fluticasone Propionate, Ipratropium Bromide, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW GOULD, MD accept Medicare?
ANDREW GOULD, MD appears in CMS Medicare data with 492 Part D claims and 223 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW GOULD, MD's credentials?
ANDREW GOULD, MD's NPI is 1275539801 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