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2026 NPPES data Emergency Medicine Physician NPI 1235365248 DO
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Brian Gates, DO

Emergency Medicine Physician in Du Bois, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine 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
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
96.6/100
▲ 13 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Brian Gates, DO reported a CMS MIPS final score of 96.6/100 - above the 83.5 national average - and filed 343 Medicare Part D claims in 2023.

96.6/100
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.

Federal trust snapshot

What official records show about Brian Gates, DO

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 1235365248), first enumerated 06/04/2009.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 343 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 96.6/100 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

    Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Brian Gates, DO's individual license status. Verify directly with the state medical board.

    Source: PA-BOM 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 1235365248 · Emergency Medicine Physician

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ELITE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1235365248
  • ENUM-MID 2009
  • TAX-MEGA 64K Emergency Medicine
  • MIPS-ELITE 96.6/100
  • RX-LIGHT 343
  • BOOK-LIGHT 3,617 in Pennsylvania
  • PHOTO-FINISH Kwami Agbodza · ±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

Brian Gates, DO'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.

97 ≥ 82nd percentile 82% 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%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. 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 Brian Gates, DO sits

This provider among emergency medicine physician peers

Across the 14,017 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Brian Gates, DO writes more Part D claims than 84% of them and scores higher on MIPS quality than 80% - placing this provider in the high-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: 75 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Brian Gates, DO, Part D claim volume, percentile in specialty: 84 · MIPS quality, percentile: 80
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Brian Gates, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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

64,463 US NPIs in this specialty

Medicare Part D claims

343 3% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

96.6/100 13.1 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Pennsylvania

How Emergency Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Heal…5.6%Pharmacist5%Physical Therapist4.9%Mental Health Counselor3.9%Internal Medicine Physician3.3%Professional Counselor3.2%Emergency Medicine Physician1.4%
Largest specialties in Pennsylvania (% of in-state providers)

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
96.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%96.6%
MIPS final score (Emergency Medicine Physician) - 96.6/100 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

100 HOSPITAL AVE
Du Bois, PA 15801
(814) 375-3471

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
Measured-score avg: 83.5
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%
Emergency Medicine Physician average

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.

More Emergency Medicine Physician in PA → All providers in Pennsylvania → Compare specialties →

Emergency Medicine Physician Overview

How Brian Gates, DO fits within the Emergency Medicine Physician landscape nationally.

64,463
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.

Nationwide Emergency Medicine Physician peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (96.6 here).

Kwami Agbodza 96.6 NJ Jackson Bell 96.6 ID Charles Chandler 96.6 GA Justin Cole 96.6 OH

Same NPPES enumeration year (2009)

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

Boyce Fish Boise, ID Joseph Margheim Scottsbluff, NE Allison Daum Pasadena, TX Ana Lopez-O'Sullivan Torrance, CA

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.

One of 3,617 Emergency Medicine Physician providers enrolled in Pennsylvania, 5 are shown here.

Dr. Nicole Abate
MD
Phila, PA
Osman Abbasi
Bethlehem, PA
Dr. Michael Abboud
MD
Philadelphia, PA
Dr. Stephanie Abbuhl
MD
Philadelphia, PA
Dr. Rehab Abdel-Kariem
M.D.
Philadelphia, PA

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 96.6/100. 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 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 64,463 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

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 (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

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 May 2026.