2026 NPPES data Specialist NPI 1255355079 M.D.
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CONNIE GIBSTINE, M.D.

Specialist in SAINT LOUIS, Missouri. 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
1K
Medicare Part D claims · 489 beneficiaries · Specialist avg: 1K
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$1.1K
52 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CONNIE GIBSTINE, M.D. is a Specialist ([object Object]) practicing in SAINT LOUIS, Missouri with a Medicare Part D prescribing footprint of 1K claims across 489 beneficiaries — 3% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.1K across 52 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CONNIE GIBSTINE, M.D. reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 1,052 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CONNIE GIBSTINE, M.D. at a glance

Below national average

NPI registry status

Active

Issued 07/26/2006

NPI 1255355079

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

1,052 29% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Specialist compares to other specialties among Missouri providers

Missouri providers

Specialist share within Missouri

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Missouri

Medicare quality performance — MIPS

CONNIE GIBSTINE, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Specialist) — 75/100 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).

CONNIE GIBSTINE, M.D. is a Specialist provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1255355079. 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.

CONNIE GIBSTINE, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 3009 N BALLAS RD, SAINT LOUIS, MO, 63131, with a listed phone of (314) 994-0200. NPI 1255355079 was issued on 07/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GIBSTINE 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 1,052 prescription claims written by this provider, covering 489 Medicare beneficiaries and totaling roughly $71K in drug spend, split 3% brand-name and 97% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

3009 N BALLAS RD
SAINT LOUIS, MO 63131

Provider Details

NPI 1255355079
Specialty Specialist
Credentials M.D.
Gender Female
NPI Issued 07/26/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where CONNIE GIBSTINE, 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.

MID-COUNTY DERMATOLOGY, INC
SAINT LOUIS, MO

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 CONNIE GIBSTINE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

ABBVIE 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 · Generic-heavy

CONNIE GIBSTINE, M.D. — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 1,052 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.

1,052
Total Claims
$71K
Total Drug Cost
489
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,248
Total Day Supply
30,543
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$47K
Generic Drug Cost
$24K
Antibiotic Claims
111

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.13
Gender Split
67% female / 33% male
Age Distribution
<65: 16, 65-74: 248, 75-84: 171, 85+: 54

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Triamcinolone Acetonide
269
Hydrocortisone
179
Clobetasol Propionate
73
Betamethasone Dipropionate
64
Cephalexin
45
Mometasone Furoate
36
Doxycycline Hyclate
29
Fluorouracil
28
Ketoconazole
25
Hydroxyzine Hcl
21

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

Specialist Overview

How CONNIE GIBSTINE, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

CONNIE GIBSTINE, M.D.'s 1,052 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Missouri

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is CONNIE GIBSTINE, M.D.'s specialty?
CONNIE GIBSTINE, M.D. specializes in Specialist and practices in SAINT LOUIS, Missouri. Credentials: M.D..
How much does CONNIE GIBSTINE, M.D. prescribe under Medicare Part D?
In 2023, CONNIE GIBSTINE, M.D. wrote 1,052 Medicare Part D claims totaling $71K in drug costs for 489 beneficiaries.
What is CONNIE GIBSTINE, M.D.'s Medicare quality score?
CONNIE GIBSTINE, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CONNIE GIBSTINE, M.D. located?
CONNIE GIBSTINE, M.D. is located at 3009 N BALLAS RD, SAINT LOUIS, MO, 63131. Phone: (314) 994-0200.
What is CONNIE GIBSTINE, M.D.'s NPI number?
CONNIE GIBSTINE, M.D.'s National Provider Identifier (NPI) is 1255355079, issued on 07/26/2006.
Does CONNIE GIBSTINE, M.D. prescribe more brand-name or generic drugs?
CONNIE GIBSTINE, M.D.'s prescribing is 3% brand-name and 97% generic drugs by claim count, with $47K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does CONNIE GIBSTINE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CONNIE GIBSTINE, M.D.'s most frequently prescribed drugs include Triamcinolone Acetonide, Hydrocortisone, Clobetasol Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CONNIE GIBSTINE, M.D. accept Medicare?
CONNIE GIBSTINE, M.D. appears in CMS Medicare data with 1,052 Part D claims and 489 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CONNIE GIBSTINE, M.D.'s credentials?
CONNIE GIBSTINE, M.D.'s NPI is 1255355079 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.
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