2026 NPPES data Internal Medicine Physician NPI 1376529461 MD
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CARL GANDOLA, MD

Internal Medicine Physician in COVINGTON, 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
5K
Medicare Part D claims · 404 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

CARL GANDOLA, MD filed 5,210 Medicare Part D claims in 2023 as a Internal Medicine Physician in COVINGTON, Kentucky, prescribing 83% generic.

5K
Part D claims, 2023
83%
generic prescribing

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.

CARL GANDOLA, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

5,210 Top 6% higher than 94% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

CARL GANDOLA, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CARL GANDOLA, MD?

Quality data not reported

NPI registry status

Active

Issued 12/20/2005

NPI 1376529461

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

5,210 92% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Kentucky

How Internal Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Internal Medicine Physician share within Kentucky

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

Specialty board-certification context

Estimated specialty board-certified rate — Internal Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Internal Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

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).

CARL GANDOLA, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 1500 JAMES SIMPSON JR WAY, COVINGTON, KY, 41011, with a listed phone of (859) 655-8980. NPI 1376529461 was issued on 12/20/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GANDOLA 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 5,210 prescription claims written by this provider, covering 404 Medicare beneficiaries and totaling roughly $657K in drug spend, split 17% brand-name and 83% generic by claim count. 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011

Provider Details

NPI 1376529461
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 12/20/2005

Brand vs generic prescribing mix · Typical

CARL GANDOLA, MD — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 5,210 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.

5,210
Total Claims
$657K
Total Drug Cost
404
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,591
Total Day Supply
335,100
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$576K
Generic Drug Cost
$78K
Antibiotic Claims
166

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.64
Gender Split
51% female / 49% male
Age Distribution
<65: 71, 65-74: 199, 75-84: 107, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

What CARL GANDOLA, MD 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
Atorvastatin Calcium
410
Amlodipine Besylate
377
Lisinopril
193
Losartan Potassium
188
Albuterol Sulfate Hfa
Albuterol Sulfate
179
Omeprazole
146
Metformin Hcl
141
Pantoprazole Sodium
114
Trazodone Hcl
107
Rosuvastatin Calcium
98

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

Internal Medicine Physician Overview

How CARL GANDOLA, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

CARL GANDOLA, MD's 5,210 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Kentucky

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

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

Frequently Asked Questions

What is CARL GANDOLA, MD's specialty?
CARL GANDOLA, MD specializes in Internal Medicine Physician and practices in COVINGTON, Kentucky. Credentials: MD.
How much does CARL GANDOLA, MD prescribe under Medicare Part D?
In 2023, CARL GANDOLA, MD wrote 5,210 Medicare Part D claims totaling $657K in drug costs for 404 beneficiaries.
Where is CARL GANDOLA, MD located?
CARL GANDOLA, MD is located at 1500 JAMES SIMPSON JR WAY, COVINGTON, KY, 41011. Phone: (859) 655-8980.
What is CARL GANDOLA, MD's NPI number?
CARL GANDOLA, MD's National Provider Identifier (NPI) is 1376529461, issued on 12/20/2005.
Does CARL GANDOLA, MD prescribe more brand-name or generic drugs?
CARL GANDOLA, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $576K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does CARL GANDOLA, MD prescribe most often?
Based on 2023 Medicare Part D data, CARL GANDOLA, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARL GANDOLA, MD accept Medicare?
CARL GANDOLA, MD appears in CMS Medicare data with 5,210 Part D claims and 404 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARL GANDOLA, MD's credentials?
CARL GANDOLA, MD's NPI is 1376529461 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.
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