NPI registry status
Active
2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1104090232 MD
Verify on CMS → David Gallagher, MD
Sports Medicine (Orthopaedic Surgery) Physician in Binghamton, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,681 in Sports Medicine (Orthopaedic Surgery) 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
136
Medicare Part D claims · 99 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
84.6/100
▲ 2 pts above national avg 83.1 · Above neutral
Industry payments
$4.5K
26 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
David Gallagher, MD reported a CMS MIPS final score of 84.6/100 - above the 83.1 national average - and filed 136 Medicare Part D claims in 2023.
- 84.6/100
- MIPS score · +2 vs avg
- 136
- 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.
David Gallagher, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 45th percentile higher than 45% of 477,587 scored providers
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
Where David Gallagher, MD sits
This provider among sports medicine (orthopaedic surgery) physician peers
Across the 1,085 sports medicine (orthopaedic surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, David Gallagher, MD writes more Part D claims than 36% of them and scores higher on MIPS quality than 64% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one sports medicine (orthopaedic surgery) physician peer from a representative sample of 60; the gold marker is David Gallagher, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
David Gallagher, 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 David Gallagher, MD?
Near national averagePrimary specialty
Sports Medicine (Orthopaedic Surgery) Physician
Medicare Part D claims
136 51% vs specialty avg
MIPS final score
84.6/100 1.5 pts vs avg
Specialty distribution in New York
How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
David Gallagher, MD's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average
- MIPS Final Score
- 84.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 84.6/100 vs national avg 83.1
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).
David Gallagher, MD appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding MD credentials at 33 MITCHELL AVE, Binghamton, NY, 13903, with a listed phone of (607) 771-2220. NPI 1104090232 was issued on 04/18/2008.
Medicare Part D records for calendar year 2023 show 136 prescription claims written by this provider, covering 99 Medicare beneficiaries and totaling roughly $1K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.6/100 for the 2023 performance year (Quality 88, Cost 54.4), compared with the national average of 83.1.
Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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 | 1104090232 |
|---|---|
| Specialty | Sports Medicine (Orthopaedic Surgery) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/18/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.6352
Final Score
Avg: 83.1
87.9613
Quality
54.4227
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where David Gallagher, 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.
United Health Services Hospitals, Inc.
Binghamton, NY
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 David Gallagher, MD. Source: openpaymentsdata.cms.gov.
Total received
$4.5K
Largest payer
Smith+Nephew, 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.
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to David Gallagher, MD. To verify David Gallagher, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York 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.
136
Total Claims
$1K
Total Drug Cost
99
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 138
- Total Day Supply
- 1,779
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 67.7 years
- Avg HCC Risk Score
- 1.01
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 28, 65-74: 51, 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 David Gallagher, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Methylprednisolone
Methylprednisolone
92 claims
- Meloxicam 22
Meloxicam
22 claims
- Diclofenac Sodium 13
Diclofenac Sodium
13 claims
| Drug | Claims |
|---|---|
| Methylprednisolone | 92 |
| Meloxicam | 22 |
| Diclofenac Sodium | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Orthopaedic Surgery) Physician in NY →
All providers in New York →
Compare specialties →
Sports Medicine (Orthopaedic Surgery) Physician Overview
How David Gallagher, MD fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.
2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider
David Gallagher, MD's 136 claims are below the specialty average of 278.
Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Gallagher.
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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Orthopaedic Surgery) 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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Frequently Asked Questions
What is David Gallagher, MD's specialty? ▼
David Gallagher, MD specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Binghamton, New York. Credentials: MD.
How much does David Gallagher, MD prescribe under Medicare Part D? ▼
In 2023, David Gallagher, MD wrote 136 Medicare Part D claims totaling $1K in drug costs for 99 beneficiaries.
What is David Gallagher, MD's Medicare quality score? ▼
David Gallagher, MD has a CMS MIPS Final Score of 84.6/100 (Quality: 88, Cost: 54.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is David Gallagher, MD located? ▼
David Gallagher, MD is located at 33 MITCHELL AVE, Binghamton, NY, 13903. Phone: (607) 771-2220.
What is David Gallagher, MD's NPI number? ▼
David Gallagher, MD's National Provider Identifier (NPI) is 1104090232, issued on 04/18/2008.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does David Gallagher, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, David Gallagher, MD's most frequently prescribed drugs include Methylprednisolone, Meloxicam, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does David Gallagher, MD accept Medicare? ▼
David Gallagher, MD appears in CMS Medicare data with 136 Part D claims and 99 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify David Gallagher, MD's credentials? ▼
David Gallagher, MD's NPI is 1104090232 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
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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.