2026 NPPES data Orthopaedic Surgery Physician NPI 1871788422 M.D.
Verify on CMS →

BRETT GILBERT, M.D.

Orthopaedic Surgery Physician in RALEIGH, North Carolina. 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
1K
Medicare Part D claims · 663 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.4025/100
▲ 5 pts above national avg 83.1 · [object Object]
What the federal data reveals: BRETT GILBERT, M.D. is a Orthopaedic Surgery Physician ([object Object]) practicing in RALEIGH, North Carolina with a Medicare Part D prescribing footprint of 1K claims across 663 beneficiaries — 3% brand-name prescribing . Their CMS MIPS Final Score of 88.4025/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: BRETT GILBERT, M.D. reported a CMS MIPS final score of 88.4025 out of 100, above the 83.1 national average, and filed 1,235 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

BRETT GILBERT, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

BRETT GILBERT, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/06/2007

NPI 1871788422

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

1,235 281% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

88.4025/100 5.302500000000009% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Orthopaedic Surgery Physician compares to other specialties among North Carolina providers

North Carolina providers

Orthopaedic Surgery Physician share within North Carolina

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within North Carolina

Medicare quality performance — MIPS

BRETT GILBERT, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
88.4025/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 88.4025/100 vs national avg 83.1

0%100%National avg83%88.4%
MIPS final score (Orthopaedic Surgery Physician) — 88.4025/100 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).

BRETT GILBERT, M.D. is a Orthopaedic Surgery Physician provider practicing in RALEIGH, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1871788422. 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.

BRETT GILBERT, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D. credentials at 3100 DURALEIGH RD, RALEIGH, NC, 27612, with a listed phone of (919) 788-8797. NPI 1871788422 was issued on 09/06/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILBERT 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 1,235 prescription claims written by this provider, covering 663 Medicare beneficiaries and totaling roughly $12K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 5.1%. 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 88.4025/100 for the 2023 performance year (Quality 94.9157, Cost 67.2593), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

3100 DURALEIGH RD
RALEIGH, NC 27612

Provider Details

NPI 1871788422
Specialty Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 09/06/2007

CMS Quality Score (MIPS)

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

88.4025
Final Score
Avg: 83.1
94.9157
Quality
67.2593
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where BRETT GILBERT, M.D. 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.

EMERGEORTHO PA
DURHAM, NC
LEGACY HEALTHCARE SERVICES INC
DURHAM, NC
SELECT PHYSICAL THERAPY HOLDINGS INC
CARY, NC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

BRETT GILBERT, M.D. — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 1,235 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.

1,235
Total Claims
$12K
Total Drug Cost
663
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,352
Total Day Supply
28,693
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$952
Generic Drug Cost
$11K
Opioid Claims
63 (5.1% rate)
Antibiotic Claims
353

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
0.76
Gender Split
67% female / 33% male
Age Distribution
<65: 37, 65-74: 374, 75-84: 232, 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
Meloxicam
583
Amoxicillin
291
Methylprednisolone
142
Celecoxib
55
Clindamycin Hcl
51
Hydromorphone Hcl
43
Diclofenac Sodium-Misoprostol
Diclofenac Sodium/Misoprostol
27

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

Orthopaedic Surgery Physician Overview

How BRETT GILBERT, M.D. fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

BRETT GILBERT, M.D.'s 1,235 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as GILBERT.

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

Frequently Asked Questions

What is BRETT GILBERT, M.D.'s specialty?
BRETT GILBERT, M.D. specializes in Orthopaedic Surgery Physician and practices in RALEIGH, North Carolina. Credentials: M.D..
How much does BRETT GILBERT, M.D. prescribe under Medicare Part D?
In 2023, BRETT GILBERT, M.D. wrote 1,235 Medicare Part D claims totaling $12K in drug costs for 663 beneficiaries.
What is BRETT GILBERT, M.D.'s Medicare quality score?
BRETT GILBERT, M.D. has a CMS MIPS Final Score of 88.4025/100 (Quality: 94.9157, Cost: 67.2593). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRETT GILBERT, M.D. located?
BRETT GILBERT, M.D. is located at 3100 DURALEIGH RD, RALEIGH, NC, 27612. Phone: (919) 788-8797.
What is BRETT GILBERT, M.D.'s NPI number?
BRETT GILBERT, M.D.'s National Provider Identifier (NPI) is 1871788422, issued on 09/06/2007.
Does BRETT GILBERT, M.D. prescribe more brand-name or generic drugs?
BRETT GILBERT, M.D.'s prescribing is 3% brand-name and 97% generic drugs by claim count, with $952 in brand drug costs.
Does BRETT GILBERT, M.D. prescribe opioids?
Yes, BRETT GILBERT, M.D. had 63 opioid claims in 2023 with an opioid prescribing rate of 5.1%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does BRETT GILBERT, M.D. prescribe most often?
Based on 2023 Medicare Part D data, BRETT GILBERT, M.D.'s most frequently prescribed drugs include Meloxicam, Amoxicillin, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRETT GILBERT, M.D. accept Medicare?
BRETT GILBERT, M.D. appears in CMS Medicare data with 1,235 Part D claims and 663 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRETT GILBERT, M.D.'s credentials?
BRETT GILBERT, M.D.'s NPI is 1871788422 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

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