2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1659577799 M.D.
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DORIAN GOMEZ, M.D.

Sleep Medicine (Internal Medicine) Physician in NEWBURGH, New York. 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
3K
Medicare Part D claims · 451 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
43%
generic claims · 57% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.1164/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$107.74
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DORIAN GOMEZ, M.D. reported a CMS MIPS final score of 91.1164/100 — above the 83.1 national average — and filed 3,218 Medicare Part D claims in 2023.

91.1164/100
MIPS score · +8 vs avg
3K
Part D claims, 2023
43%
generic prescribing
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.

DORIAN GOMEZ, 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

91 Top 37% higher than 63% 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)

DORIAN GOMEZ, 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 DORIAN GOMEZ, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/25/2007

NPI 1659577799

Primary specialty

Sleep Medicine (Internal Medicine) Physician

Niche

857 US NPIs in this specialty

Medicare Part D claims

3,218 146% vs specialty avg

2023 prescription claims

Specialty avg: 1,310

MIPS final score

91.1164/100 8.016400000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Sleep Medicine (Internal Medicine) Physician compares to other specialties among New York providers

New York providers

Sleep Medicine (Internal Medicine) Physician share within New York

1. Sleep Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Internal Medicine) Physician share within New York

Medicare quality performance — MIPS

DORIAN GOMEZ, M.D.'s 2023 MIPS final score plotted against the Sleep Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
91.1164/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 91.1164/100 vs national avg 83.1

0%100%National avg83%91.1%
MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 91.1164/100 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).

DORIAN GOMEZ, M.D. appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding M.D. credentials at 1200 ROUTE 300, NEWBURGH, NY, 12550, with a listed phone of (845) 703-6999. NPI 1659577799 was issued on 06/25/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOMEZ 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 3,218 prescription claims written by this provider, covering 451 Medicare beneficiaries and totaling roughly $990K in drug spend, split 57% brand-name and 43% generic by claim count. 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 91.1164/100 for the 2023 performance year (Quality 68.7112, Cost 98.4291), compared with the national average of 83.1.

Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 857 enrolled providers across 52 states and an average of 1,310 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

1200 ROUTE 300
NEWBURGH, NY 12550

Provider Details

NPI 1659577799
Specialty Sleep Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 06/25/2007

CMS Quality Score (MIPS)

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

91.1164
Final Score
Avg: 83.1
68.7112
Quality
98.4291
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DORIAN GOMEZ, 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.

CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
MIDDLETOWN, 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 DORIAN GOMEZ, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$108

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.

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 DORIAN GOMEZ, M.D.. To verify DORIAN GOMEZ, M.D.'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.

Brand vs generic prescribing mix · Brand-heavy

DORIAN GOMEZ, M.D. — brand share 57.0%
Specialty average (est.)

57% brand-name claims vs 43% generic, on 3,218 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

3,218
Total Claims
$990K
Total Drug Cost
451
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,835
Total Day Supply
101,845
Brand vs Generic
57% brand / 43% generic
Brand Drug Cost
$952K
Antibiotic Claims
88

Patient Demographics

Average Patient Age
68.7 years
Avg HCC Risk Score
1.98
Gender Split
60% female / 40% male
Age Distribution
<65: 122, 65-74: 187, 75-84: 116, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

What DORIAN GOMEZ, 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
Albuterol Sulfate Hfa
Albuterol Sulfate
633
Symbicort
Budesonide/Formoterol Fumarate
284
Montelukast Sodium
269
Incruse Ellipta
Umeclidinium Bromide
262
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
218
Prednisone
172
Fluticasone Propionate
144
Breo Ellipta
Fluticasone/Vilanterol
142
Advair Diskus
Fluticasone Propion/Salmeterol
104
Ventolin Hfa
Albuterol Sulfate
83

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

Sleep Medicine (Internal Medicine) Physician Overview

How DORIAN GOMEZ, M.D. fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.

857
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider

DORIAN GOMEZ, M.D.'s 3,218 claims are above the specialty average of 1,310.

Nearby Sleep Medicine (Internal Medicine) Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as GOMEZ.

Compare Sleep Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DORIAN GOMEZ, M.D.'s specialty?
DORIAN GOMEZ, M.D. specializes in Sleep Medicine (Internal Medicine) Physician and practices in NEWBURGH, New York. Credentials: M.D..
How much does DORIAN GOMEZ, M.D. prescribe under Medicare Part D?
In 2023, DORIAN GOMEZ, M.D. wrote 3,218 Medicare Part D claims totaling $990K in drug costs for 451 beneficiaries.
What is DORIAN GOMEZ, M.D.'s Medicare quality score?
DORIAN GOMEZ, M.D. has a CMS MIPS Final Score of 91.1164/100 (Quality: 68.7112, Cost: 98.4291). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DORIAN GOMEZ, M.D. located?
DORIAN GOMEZ, M.D. is located at 1200 ROUTE 300, NEWBURGH, NY, 12550. Phone: (845) 703-6999.
What is DORIAN GOMEZ, M.D.'s NPI number?
DORIAN GOMEZ, M.D.'s National Provider Identifier (NPI) is 1659577799, issued on 06/25/2007.
Does DORIAN GOMEZ, M.D. prescribe more brand-name or generic drugs?
DORIAN GOMEZ, M.D.'s prescribing is 57% brand-name and 43% generic drugs by claim count, with $952K in brand drug costs.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US?
There are 857 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does DORIAN GOMEZ, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DORIAN GOMEZ, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Symbicort, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DORIAN GOMEZ, M.D. accept Medicare?
DORIAN GOMEZ, M.D. appears in CMS Medicare data with 3,218 Part D claims and 451 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DORIAN GOMEZ, M.D.'s credentials?
DORIAN GOMEZ, M.D.'s NPI is 1659577799 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