2026 NPPES data Family Medicine Physician NPI 1477665925 M.D.
Verify on CMS →

DEREK GILBERT, M.D.

Family Medicine Physician in SHERIDAN, Wyoming. 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
194
Medicare Part D claims · 86 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
71.601/100
▼ 11 pts below national avg 83.1 · [object Object]

What the federal data shows

DEREK GILBERT, M.D. reported a CMS MIPS final score of 71.601/100 — below the 83.1 national average — and filed 194 Medicare Part D claims in 2023.

71.601/100
MIPS score · -11 vs avg
194
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.

DEREK GILBERT, M.D.'s MIPS score vs every scored U.S. clinician

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

72 9th percentile higher than 9% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

DEREK GILBERT, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 DEREK GILBERT, M.D.?

Below national average

NPI registry status

Active

Issued 08/31/2006

NPI 1477665925

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

194 94% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

71.601/100 11.498999999999995% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Wyoming

How Family Medicine Physician compares to other specialties among Wyoming providers

Wyoming providers

Family Medicine Physician share within Wyoming

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

Medicare quality performance — MIPS

DEREK GILBERT, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
71.601/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 71.601/100 vs national avg 83.1

0%100%National avg83%71.6%
MIPS final score (Family Medicine Physician) — 71.601/100 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).

DEREK GILBERT, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 1401 W 5TH ST, SHERIDAN, WY, 82801, with a listed phone of (307) 672-1000. NPI 1477665925 was issued on 08/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILBERT 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 194 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $17K in drug spend, with an opioid prescribing rate of 11.3%. 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 71.601/100 for the 2023 performance year (Quality 60.8022, Cost 48.701), 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

1401 W 5TH ST
SHERIDAN, WY 82801

Provider Details

NPI 1477665925
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 08/31/2006

CMS Quality Score (MIPS)

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

71.601
Final Score
Avg: 83.1
60.8022
Quality
48.701
Cost
95
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DEREK GILBERT, 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.

BIG HORN HEALTH NETWORK
SHERIDAN, WY
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
SHERIDAN, WY

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

Medicare Part D Prescribing Data

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

194
Total Claims
$17K
Total Drug Cost
86
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
227
Total Day Supply
4,857
Generic Drug Cost
$3K
Opioid Claims
22 (11.3% rate)
Antibiotic Claims
39

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.91
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

What DEREK GILBERT, M.D. 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
Cefdinir
21
Prednisone
13
Dulera
Mometasone/Formoterol
11

* 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 DEREK GILBERT, M.D. 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

DEREK GILBERT, M.D.'s 194 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Wyoming

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

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

Frequently Asked Questions

What is DEREK GILBERT, M.D.'s specialty?
DEREK GILBERT, M.D. specializes in Family Medicine Physician and practices in SHERIDAN, Wyoming. Credentials: M.D..
How much does DEREK GILBERT, M.D. prescribe under Medicare Part D?
In 2023, DEREK GILBERT, M.D. wrote 194 Medicare Part D claims totaling $17K in drug costs for 86 beneficiaries.
What is DEREK GILBERT, M.D.'s Medicare quality score?
DEREK GILBERT, M.D. has a CMS MIPS Final Score of 71.601/100 (Quality: 60.8022, Cost: 48.701). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DEREK GILBERT, M.D. located?
DEREK GILBERT, M.D. is located at 1401 W 5TH ST, SHERIDAN, WY, 82801. Phone: (307) 672-1000.
What is DEREK GILBERT, M.D.'s NPI number?
DEREK GILBERT, M.D.'s National Provider Identifier (NPI) is 1477665925, issued on 08/31/2006.
Does DEREK GILBERT, M.D. prescribe opioids?
Yes, DEREK GILBERT, M.D. had 22 opioid claims in 2023 with an opioid prescribing rate of 11.3%.
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 DEREK GILBERT, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DEREK GILBERT, M.D.'s most frequently prescribed drugs include Cefdinir, Prednisone, Dulera. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DEREK GILBERT, M.D. accept Medicare?
DEREK GILBERT, M.D. appears in CMS Medicare data with 194 Part D claims and 86 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DEREK GILBERT, M.D.'s credentials?
DEREK GILBERT, M.D.'s NPI is 1477665925 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