2026 NPPES data Pulmonary Disease Physician NPI 1245294610 M.D.
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CARMEN GONZALEZ, M.D.

Pulmonary Disease Physician in FISHERSVILLE, Virginia. 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
2K
Medicare Part D claims · 317 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
35%
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)
What the federal data reveals: CARMEN GONZALEZ, M.D. is a Pulmonary Disease Physician ([object Object]) practicing in FISHERSVILLE, Virginia with a Medicare Part D prescribing footprint of 2K claims across 317 beneficiaries — 65% brand-name prescribing . Industry payments of $2.6K across 38 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CARMEN GONZALEZ, M.D. filed 1,726 Medicare Part D claims in 2023 across FISHERSVILLE, Virginia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

CARMEN GONZALEZ, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/13/2006

NPI 1245294610

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,726 18% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Virginia

How Pulmonary Disease Physician compares to other specialties among Virginia providers

Virginia providers

Pulmonary Disease Physician share within Virginia

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

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

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease 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).

CARMEN GONZALEZ, M.D. is a Pulmonary Disease Physician provider practicing in FISHERSVILLE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1245294610. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GONZALEZ 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 1,726 prescription claims written by this provider, covering 317 Medicare beneficiaries and totaling roughly $693K in drug spend, split 65% brand-name and 35% 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.

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

78 MEDICAL CENTER DRIVE
FISHERSVILLE, VA 22939

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%
Specialty average (est.)

65% brand-name claims vs 35% 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 / 35% 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.

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.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

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 35% 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

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