2026 NPPES data Otolaryngology Physician NPI 1548695729 M.D.
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DERRICK GALE, M.D.

Otolaryngology Physician in RIVERTON, Utah. 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
121
Medicare Part D claims · 43 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
93.3313/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$427.51
10 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DERRICK GALE, M.D. reported a CMS MIPS final score of 93.3313/100 — above the 83.1 national average — and filed 121 Medicare Part D claims in 2023.

93.3313/100
MIPS score · +10 vs avg
121
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.

DERRICK GALE, 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

93 Top 29% higher than 71% 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)

DERRICK GALE, M.D. 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 DERRICK GALE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 09/06/2013

NPI 1548695729

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

121 76% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

93.3313/100 10.231300000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Utah

How Otolaryngology Physician compares to other specialties among Utah providers

Utah providers

Otolaryngology Physician share within Utah

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

Medicare quality performance — MIPS

DERRICK GALE, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
93.3313/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 93.3313/100 vs national avg 83.1

0%100%National avg83%93.3%
MIPS final score (Otolaryngology Physician) — 93.3313/100 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).

DERRICK GALE, M.D. is a Otolaryngology Physician provider practicing in RIVERTON, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1548695729. 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.

DERRICK GALE, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 4063 W 12600 S, RIVERTON, UT, 84096, with a listed phone of (801) 328-2522. NPI 1548695729 was issued on 09/06/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GALE 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 121 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 9.1%. 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 93.3313/100 for the 2023 performance year (Quality 86.6626), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

4063 W 12600 S
RIVERTON, UT 84096

Provider Details

NPI 1548695729
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 09/06/2013

CMS Quality Score (MIPS)

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

93.3313
Final Score
Avg: 83.1
86.6626
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where DERRICK GALE, 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.

INTERMOUNTAIN EAR NOSE AND THROAT SPECIALISTS LLC
RIVERTON, UT

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 DERRICK GALE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$428

Largest payer

Inspire Medical Systems, 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.

Medicare Part D Prescribing Data

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

121
Total Claims
$2K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
134
Total Day Supply
2,145
Generic Drug Cost
$1K
Opioid Claims
11 (9.1% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.15
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Mupirocin
40
Fluticasone Propionate
13

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

Otolaryngology Physician Overview

How DERRICK GALE, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

DERRICK GALE, M.D.'s 121 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Utah

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DERRICK GALE, M.D.'s specialty?
DERRICK GALE, M.D. specializes in Otolaryngology Physician and practices in RIVERTON, Utah. Credentials: M.D..
How much does DERRICK GALE, M.D. prescribe under Medicare Part D?
In 2023, DERRICK GALE, M.D. wrote 121 Medicare Part D claims totaling $2K in drug costs for 43 beneficiaries.
What is DERRICK GALE, M.D.'s Medicare quality score?
DERRICK GALE, M.D. has a CMS MIPS Final Score of 93.3313/100 (Quality: 86.6626). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DERRICK GALE, M.D. located?
DERRICK GALE, M.D. is located at 4063 W 12600 S, RIVERTON, UT, 84096. Phone: (801) 328-2522.
What is DERRICK GALE, M.D.'s NPI number?
DERRICK GALE, M.D.'s National Provider Identifier (NPI) is 1548695729, issued on 09/06/2013.
Does DERRICK GALE, M.D. prescribe opioids?
Yes, DERRICK GALE, M.D. had 11 opioid claims in 2023 with an opioid prescribing rate of 9.1%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does DERRICK GALE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DERRICK GALE, M.D.'s most frequently prescribed drugs include Mupirocin, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DERRICK GALE, M.D. accept Medicare?
DERRICK GALE, M.D. appears in CMS Medicare data with 121 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DERRICK GALE, M.D.'s credentials?
DERRICK GALE, M.D.'s NPI is 1548695729 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