Donna Clay Gerhardstein, MD
Pulmonary Disease Physician · Lexington, KY
Donna Clay Gerhardstein, MD is a pulmonary disease physician with a practice address in Lexington, Kentucky, and NPI 1083628978, issued on Jul 28, 2006. Check the license (Kentucky 26552, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Donna Clay Gerhardstein
- Credential
- MD
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 26552 KY
Self-reported in NPPES; status is on the state search - Practice location
- 166 Pasadena Dr, Lexington, KY 40503
- Phone
- (859) 278-0319
- Enumerated
- Jul 28, 2006
- Record last updated
- Dec 2, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (859) 277-9699
- Medicaid ID
- 64265523 KY
- Medicare enrollment
- Enrolled (PECOS I20091104000466); accepts Medicare assignment
- Medical or professional school
- University Of Kentucky College Of Medicine, 1985
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 235 in Kentucky → Look up another NPI →
Also registered at 166 Pasadena Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Julie Abney, APRNFamily Nurse Practitioner1013201045
- Kristy Bruins, ARNPAcute Care Nurse Practitioner1306944970
- Neven Gardner, MDAllergy & Immunology Physician1689676686
- Melanie Hardin-Pierce, APRNFamily Nurse Practitioner1073806147
- John Harrison, M.D.Pulmonary Disease Physician1679587208
- John Hill, MDAllergy & Immunology Physician1235130360
Verify Donna Clay Gerhardstein in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 26552Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
52% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
681 Medicare Part D claims for 140 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 64% of claims.
Most prescribed
- Trelegy Ellipta72 claims
- Breo Ellipta61 claims
- Albuterol Sulfate Hfa53 claims
- Spiriva Respimat41 claims
- Montelukast Sodium36 claims
- Fluticasone-Salmeterol35 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 95.5 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $558.23
25 payments; by number, the most common kind was food and beverage; the largest payer was GlaxoSmithKline, LLC. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Baptist Health Medical Group IncLexington, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Donna Clay Gerhardstein among 235 pulmonary disease physician records in Kentucky
Donna Clay Gerhardstein, MD is one of 235 pulmonary disease physician records with a practice address in Kentucky. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 10% of them.
- NPI issued2006 · 10% of these records are older, 58% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 75% of these records are
- Graduated1985 · median 2005 among the 177 with a school on file
- Record last updated2020 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in Kentucky
There are 235 pulmonary disease physician records in Kentucky.
All 235 in Kentucky → Every provider in Lexington → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Arvind Bansal, MDLexington, KY 405031962523381
- John Harrison, M.D.Lexington, KY 405031679587208
- Josh Lester, MDLexington, KY 405031497139851
- Matthew McIntosh, M.D.Lexington, KY 405031427187889
- Christopher Meenach, D.O.Lexington, KY 405031881039204
- Stephen Mitchell, DOLexington, KY 405031619439536
- Joseph Mueller, MDLexington, KY 405031013170794
- Evan Stearns, MDLexington, KY 405031770042657
Common questions
What is Donna Clay Gerhardstein, MD's NPI number?
Donna Clay Gerhardstein, MD's National Provider Identifier (NPI) is 1083628978, issued on Jul 28, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Donna Clay Gerhardstein, MD located?
The NPPES record lists a practice address at 166 Pasadena Dr, Lexington, KY, 40503. Phone: (859) 278-0319. Providers update this record themselves, so call before visiting.
How can I verify Donna Clay Gerhardstein, MD's license?
NPPES lists Kentucky license number 26552, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Donna Clay Gerhardstein, MD prescribe under Medicare Part D?
In 2024, Donna Clay Gerhardstein, MD had 681 Medicare Part D claims for 140 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Donna Clay Gerhardstein, MD's MIPS final score?
The 2023 MIPS final score is 95.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.