NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1245294610 M.D.
Verify on CMS → Carmen Gonzalez, M.D.
Pulmonary Disease Physician in Fishersville, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease 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
2K
Medicare Part D claims · 317 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
0%
generic claims · 65% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$2.6K
38 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Carmen Gonzalez, M.D. filed 1,726 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in Fishersville, Virginia, prescribing 0% generic.
- 2K
- Part D claims, 2023
- 0%
- 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.
Carmen Gonzalez, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,726 Top 17% higher than 83% of 1,370,886 prescribers
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 certification likely (heuristic, not verified)
Carmen Gonzalez, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - 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 Carmen Gonzalez, M.D.?
Quality data not reportedPrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
1,726 18% vs specialty avg
Specialty distribution in Virginia
How Pulmonary Disease Physician compares to other specialties among Virginia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pulmonary Disease Physician. Verify directly:
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).
Carmen Gonzalez, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 78 MEDICAL CENTER DRIVE, Fishersville, VA, 22939, with a listed phone of (540) 245-7190. NPI 1245294610 was issued on 04/13/2006.
Medicare Part D records for calendar year 2023 show 1,726 prescription claims written by this provider, covering 317 Medicare beneficiaries and totaling roughly $693K in drug spend, split 65% brand-name and 0% generic by claim count.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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
Provider Details
| NPI | 1245294610 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 04/13/2006 |
Hospital and facility affiliations
Facilities where Carmen Gonzalez, 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.
Moses Cone Medical Services Inc
Greensboro, NC
The Moses H Cone Memorial Hospital Operating Corporation
Greensboro, 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).
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 Carmen Gonzalez, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$2.6K
Largest payer
Medical Device Business Services, 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.
Brand vs generic prescribing mix · Brand-heavy
Carmen Gonzalez, M.D. - brand share 65.0%
Pulmonary Disease Physician average
65% brand-name claims vs 0% generic, on 1,726 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.
1,726
Total Claims
$693K
Total Drug Cost
317
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,113
- Total Day Supply
- 56,536
- Brand vs Generic
- 65% brand / 0% generic
- Brand Drug Cost
- $678K
- Antibiotic Claims
- 143
Patient Demographics
- Average Patient Age
- 72.6 years
- Avg HCC Risk Score
- 2.17
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 48, 65-74: 127, 75-84: 119, 85+: 23
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Carmen Gonzalez, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
345 claims
- Breztri Aerosphere
Breztri Aerosphere
233 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
228 claims
- Breo Ellipta 100
Breo Ellipta
100 claims
- Azithromycin 96
Azithromycin
96 claims
- Methylprednisolone 88
Methylprednisolone
88 claims
- Prednisone 80
Prednisone
80 claims
- Montelukast Sodium 46
Montelukast Sodium
46 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 345 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 233 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 228 |
| Breo Ellipta Fluticasone/Vilanterol | 100 |
| Azithromycin | 96 |
| Methylprednisolone | 88 |
| Prednisone | 80 |
| Montelukast Sodium | 46 |
| Roflumilast | 39 |
| Symbicort Budesonide/Formoterol Fumarate | 38 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Carmen Gonzalez, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Carmen Gonzalez, M.D.'s 1,726 claims are above the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Gonzalez.
Dr. Nathalie Abi Hatem
M.D.
Salem, VA
Dr. Youssef Abouleish
MD
Suffolk, VA
Dr. Jawed Abubaker
MD
Petersburg, VA
Dr. Richard Ackart
MD
Williamsburg, VA
Dr. Choi Mei Adams
FNP
Charlottesville, VA
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is Carmen Gonzalez, M.D.'s specialty? ▼
Carmen Gonzalez, M.D. specializes in Pulmonary Disease Physician and practices in Fishersville, Virginia. Credentials: M.D..
How much does Carmen Gonzalez, M.D. prescribe under Medicare Part D? ▼
In 2023, Carmen Gonzalez, M.D. wrote 1,726 Medicare Part D claims totaling $693K in drug costs for 317 beneficiaries.
Where is Carmen Gonzalez, M.D. located? ▼
Carmen Gonzalez, M.D. is located at 78 MEDICAL CENTER DRIVE, Fishersville, VA, 22939. Phone: (540) 245-7190.
What is Carmen Gonzalez, M.D.'s NPI number? ▼
Carmen Gonzalez, M.D.'s National Provider Identifier (NPI) is 1245294610, issued on 04/13/2006.
Does Carmen Gonzalez, M.D. prescribe more brand-name or generic drugs? ▼
Carmen Gonzalez, M.D.'s prescribing is 65% brand-name and 0% generic drugs by claim count, with $678K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Carmen Gonzalez, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Carmen Gonzalez, M.D.'s most frequently prescribed drugs include Trelegy Ellipta, Breztri Aerosphere, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carmen Gonzalez, M.D. accept Medicare? ▼
Carmen Gonzalez, M.D. appears in CMS Medicare data with 1,726 Part D claims and 317 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carmen Gonzalez, M.D.'s credentials? ▼
Carmen Gonzalez, M.D.'s NPI is 1245294610 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
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.
- 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 PlainDoctor editorial team.