2026 NPPES data Family Medicine Physician NPI 1033536404 MD
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DANA GERSTEN, MD

Family Medicine Physician in BERKELEY, California. 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
490
Medicare Part D claims · 101 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
91.0409/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

DANA GERSTEN, MD reported a CMS MIPS final score of 91.0409/100 — above the 83.1 national average — and filed 490 Medicare Part D claims in 2023.

91.0409/100
MIPS score · +8 vs avg
490
Part D claims, 2023
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.

DANA GERSTEN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 Top 37% higher than 63% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

DANA GERSTEN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 DANA GERSTEN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 03/24/2014

NPI 1033536404

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

490 86% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

91.0409/100 7.940899999999999% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Family Medicine Physician compares to other specialties among California providers

California providers

Family Medicine Physician share within California

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

Medicare quality performance — MIPS

DANA GERSTEN, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
91.0409/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 91.0409/100 vs national avg 83.1

0%100%National avg83%91%
MIPS final score (Family Medicine Physician) — 91.0409/100 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).

DANA GERSTEN, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 1711 WARD ST, BERKELEY, CA, 94703, with a listed phone of (541) 386-3911. NPI 1033536404 was issued on 03/24/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GERSTEN 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 490 prescription claims written by this provider, covering 101 Medicare beneficiaries and totaling roughly $132K in drug spend, with an opioid prescribing rate of 4.9%. 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 91.0409/100 for the 2023 performance year (Quality 82.1321, Cost 64.1093), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

1711 WARD ST
BERKELEY, CA 94703

Provider Details

NPI 1033536404
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 03/24/2014

CMS Quality Score (MIPS)

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

91.0409
Final Score
Avg: 83.1
82.1321
Quality
64.1093
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DANA GERSTEN, MD 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.

LIFELONG MEDICAL CARE
BERKELEY, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to DANA GERSTEN, MD. To verify DANA GERSTEN, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

490
Total Claims
$132K
Total Drug Cost
101
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
957
Total Day Supply
27,076
Generic Drug Cost
$17K
Opioid Claims
24 (4.9% rate)

Patient Demographics

Average Patient Age
67.1 years
Avg HCC Risk Score
1.36
Gender Split
65% female / 35% male
Age Distribution
<65: 26, 65-74: 50, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What DANA GERSTEN, 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
35
Gabapentin
18
Metformin Hcl
18
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
17
Metoprolol Succinate
17
Diclofenac Sodium
16
Lisinopril
15
Fluticasone Propionate
13
Amlodipine Besylate
12
Losartan Potassium
12

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

Family Medicine Physician Overview

How DANA GERSTEN, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

DANA GERSTEN, MD's 490 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in California

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

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

Frequently Asked Questions

What is DANA GERSTEN, MD's specialty?
DANA GERSTEN, MD specializes in Family Medicine Physician and practices in BERKELEY, California. Credentials: MD.
How much does DANA GERSTEN, MD prescribe under Medicare Part D?
In 2023, DANA GERSTEN, MD wrote 490 Medicare Part D claims totaling $132K in drug costs for 101 beneficiaries.
What is DANA GERSTEN, MD's Medicare quality score?
DANA GERSTEN, MD has a CMS MIPS Final Score of 91.0409/100 (Quality: 82.1321, Cost: 64.1093). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DANA GERSTEN, MD located?
DANA GERSTEN, MD is located at 1711 WARD ST, BERKELEY, CA, 94703. Phone: (541) 386-3911.
What is DANA GERSTEN, MD's NPI number?
DANA GERSTEN, MD's National Provider Identifier (NPI) is 1033536404, issued on 03/24/2014.
Does DANA GERSTEN, MD prescribe opioids?
Yes, DANA GERSTEN, MD had 24 opioid claims in 2023 with an opioid prescribing rate of 4.9%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does DANA GERSTEN, MD prescribe most often?
Based on 2023 Medicare Part D data, DANA GERSTEN, MD's most frequently prescribed drugs include Atorvastatin Calcium, Gabapentin, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DANA GERSTEN, MD accept Medicare?
DANA GERSTEN, MD appears in CMS Medicare data with 490 Part D claims and 101 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DANA GERSTEN, MD's credentials?
DANA GERSTEN, MD's NPI is 1033536404 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.
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