NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1477665925 M.D.
Verify on CMS → Derek Gilbert, M.D.
Family Medicine Physician in Sheridan, Wyoming.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine 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
194
Medicare Part D claims · 86 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
71.6/100
▼ 12 pts below national avg 83.5 · Mid-tier
What the federal data shows
Derek Gilbert, M.D. reported a CMS MIPS final score of 71.6/100 - below the 83.5 national average - and filed 194 Medicare Part D claims in 2023.
- 71.6/100
- MIPS score · -12 vs avg
- 194
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥9th
- pct among measured MIPS (lower-bound band)
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 measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
72 ≥ 9th percentile 9% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Derek Gilbert, M.D. sits
This provider among family medicine physician peers
Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Derek Gilbert, M.D. writes more Part D claims than 12% of them and scores higher on MIPS quality than 12% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Derek Gilbert, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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 averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
194 94% vs specialty avg
MIPS final score
71.6/100 11.9 pts vs avg
Specialty distribution in Wyoming
How Family Medicine Physician compares to other specialties among Wyoming providers
Medicare quality performance, MIPS
Derek Gilbert, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 71.6/100
- vs 83.5 national avg · 2023 performance year
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).
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.
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%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 71.6/100 for the 2023 performance year (Quality 60.8, Cost 48.7), compared with the 83.5 average among clinicians with a measured score.
Family Medicine Physician is a high-volume specialty nationwide, with 147,760 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
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
Measured-score avg: 83.5
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
- Cefdinir
Cefdinir
21 claims
- Prednisone
Prednisone
13 claims
- Dulera
Dulera
11 claims
| 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.
147,760
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.
One of 368 Family Medicine Physician providers enrolled in Wyoming, 5 are shown here.
Dr. Michael Adams
M.D.
Evanston, WY
Dr. Raymond Adams
M.D.
Fort Washakie, WY
Dr. Ted Akers
MD
Newcastle, WY
Dr. Patrick Allen
D.O.
Cody, WY
Dr. Berit Amundson
MD
Jackson, WY
Compare Family Medicine Physician nationally: see state-by-state distribution →
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 Wyoming medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Medicine 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 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 71.6/100 (Quality: 60.8, Cost: 48.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 147,760 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
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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.