2026 NPPES data Emergency Medicine Physician NPI 1235365248 DO
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BRIAN GATES, DO

Emergency Medicine Physician in DU BOIS, Pennsylvania. 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
343
Medicare Part D claims · 205 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.566/100
▲ 13 pts above national avg 83.1 · [object Object]

What the federal data shows

BRIAN GATES, DO reported a CMS MIPS final score of 96.566/100 — above the 83.1 national average — and filed 343 Medicare Part D claims in 2023.

96.566/100
MIPS score · +13 vs avg
343
Part D claims, 2023
95%
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.

BRIAN GATES, DO's MIPS score vs every scored U.S. clinician

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

97 Top 17% higher than 83% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

BRIAN GATES, DO 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 BRIAN GATES, DO?

High performer (top quartile)

NPI registry status

Active

Issued 06/04/2009

NPI 1235365248

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

343 3% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

96.566/100 13.466000000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Emergency Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Emergency Medicine Physician share within Pennsylvania

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

Medicare quality performance — MIPS

BRIAN GATES, DO's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
96.566/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 96.566/100 vs national avg 83.1

0%100%National avg83%96.6%
MIPS final score (Emergency Medicine Physician) — 96.566/100 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).

BRIAN GATES, DO appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding DO credentials at 100 HOSPITAL AVE, DU BOIS, PA, 15801, with a listed phone of (814) 375-3471. NPI 1235365248 was issued on 06/04/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GATES 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 343 prescription claims written by this provider, covering 205 Medicare beneficiaries and totaling roughly $4K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 7.9%. 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 96.566/100 for the 2023 performance year, compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

100 HOSPITAL AVE
DU BOIS, PA 15801

Provider Details

NPI 1235365248
Specialty Emergency Medicine Physician
Credentials DO
Gender Male
NPI Issued 06/04/2009

CMS Quality Score (MIPS)

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

96.566
Final Score
Avg: 83.1
95.96
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — Pennsylvania PA-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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to BRIAN GATES, DO. To verify BRIAN GATES, DO's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

BRIAN GATES, DO — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 343 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.

343
Total Claims
$4K
Total Drug Cost
205
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
348
Total Day Supply
4,171
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$407
Generic Drug Cost
$4K
Opioid Claims
27 (7.9% rate)
Antibiotic Claims
118

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.84
Gender Split
53% female / 47% male
Age Distribution
<65: 47, 65-74: 80, 75-84: 52, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

What BRIAN GATES, DO 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
Methylprednisolone
30
Cephalexin
29
Cefdinir
23
Doxycycline Hyclate
22
Prednisone
21
Albuterol Sulfate Hfa
Albuterol Sulfate
15
Tramadol Hcl
15
Cefuroxime
Cefuroxime Axetil
13
Tamsulosin Hcl
13

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

Emergency Medicine Physician Overview

How BRIAN GATES, DO fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

BRIAN GATES, DO's 343 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Pennsylvania

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

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

Frequently Asked Questions

What is BRIAN GATES, DO's specialty?
BRIAN GATES, DO specializes in Emergency Medicine Physician and practices in DU BOIS, Pennsylvania. Credentials: DO.
How much does BRIAN GATES, DO prescribe under Medicare Part D?
In 2023, BRIAN GATES, DO wrote 343 Medicare Part D claims totaling $4K in drug costs for 205 beneficiaries.
What is BRIAN GATES, DO's Medicare quality score?
BRIAN GATES, DO has a CMS MIPS Final Score of 96.566/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRIAN GATES, DO located?
BRIAN GATES, DO is located at 100 HOSPITAL AVE, DU BOIS, PA, 15801. Phone: (814) 375-3471.
What is BRIAN GATES, DO's NPI number?
BRIAN GATES, DO's National Provider Identifier (NPI) is 1235365248, issued on 06/04/2009.
Does BRIAN GATES, DO prescribe more brand-name or generic drugs?
BRIAN GATES, DO's prescribing is 5% brand-name and 95% generic drugs by claim count, with $407 in brand drug costs.
Does BRIAN GATES, DO prescribe opioids?
Yes, BRIAN GATES, DO had 27 opioid claims in 2023 with an opioid prescribing rate of 7.9%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does BRIAN GATES, DO prescribe most often?
Based on 2023 Medicare Part D data, BRIAN GATES, DO's most frequently prescribed drugs include Methylprednisolone, Cephalexin, Cefdinir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRIAN GATES, DO accept Medicare?
BRIAN GATES, DO appears in CMS Medicare data with 343 Part D claims and 205 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN GATES, DO's credentials?
BRIAN GATES, DO's NPI is 1235365248 with credentials DO. 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