2026 NPPES data Urology Physician NPI 1750347753 MD
Verify on CMS →

Edward Gheiler, MD

Urology Physician in Hialeah, Florida. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,350 in Urology 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
7K
Medicare Part D claims · 2K beneficiaries · Urology Physician avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$175.6K
168 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Edward Gheiler, MD reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 6,948 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
7K
Part D claims, 2023
83%
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.

Edward Gheiler, MD's MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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+: 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

Where Edward Gheiler, MD sits

This provider among urology physician peers

Across the 4,623 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Edward Gheiler, MD writes more Part D claims than 99% of them and scores higher on MIPS quality than 12% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 87Edward Gheiler, MD-Part D claim volume, percentile in specialty: 99 · MIPS quality, percentile: 12
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one urology physician peer from a representative sample of 60; the gold marker is Edward Gheiler, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Edward Gheiler, MD 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 Edward Gheiler, MD?

Below national average

NPI registry status

Active

Issued 04/26/2006

NPI 1750347753

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

6,948 vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

75/100 8.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Urology Physician compares to other specialties among Florida providers

Florida providers

Largest specialties in Florida (% of in-state providers)

Behavior Technician - 16.1%Behavior Technician16.1%Mental Health Counselor - 4.8%Mental Health Counselor4.8%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Pharmacist - 4.2%Pharmacist4.2%Student in an Organized Health Care Education/Training Program - 3.8%Student in an Organized Health Care Education/Training Program3.8%Physical Therapist - 3.1%Physical Therapist3.1%Urology Physician - 0.2%Urology Physician0.2%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance, MIPS

Edward Gheiler, MD's 2023 MIPS final score plotted against the Urology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) - 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Urology Physician) - 75/100 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).

Edward Gheiler, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 2140 W 68TH ST, Hialeah, FL, 33016, with a listed phone of (305) 822-7227. NPI 1750347753 was issued on 04/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Gheiler 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 6,948 prescription claims written by this provider, covering 1,880 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 5.5%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

2140 W 68TH ST
Hialeah, FL 33016

Provider Details

NPI 1750347753
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 04/26/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where Edward Gheiler, MD 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.

Urology Specialist Group LLC
Hialeah, FL

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 Edward Gheiler, MD. Source: openpaymentsdata.cms.gov.

Total received

$175.6K

Largest payer

Boston Scientific Corporation

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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Edward Gheiler, MD. To verify Edward Gheiler, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Edward Gheiler, MD - brand share 17.0%
Urology Physician average

17% brand-name claims vs 83% generic, on 6,948 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.

6,948
Total Claims
$1.4M
Total Drug Cost
1,880
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,672
Total Day Supply
274,797
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$158K
Opioid Claims
379 (5.5% rate)
Antibiotic Claims
1,152

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
1.98
Gender Split
14% female / 86% male
Age Distribution
<65: 93, 65-74: 866, 75-84: 688, 85+: 233

Top Prescribed Drugs (Medicare Part D)

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

What Edward Gheiler, MD 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
Tamsulosin Hcl
1,437
Testosterone Cypionate
951
Cefuroxime
Cefuroxime Axetil
632
Myrbetriq
Mirabegron
595
Acetaminophen-Codeine
Acetaminophen With Codeine
379
Tadalafil
285
Sildenafil Citrate
282
Gemtesa
Vibegron
267
Finasteride
157
Celecoxib
152

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

Urology Physician Overview

How Edward Gheiler, MD fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

Edward Gheiler, MD's 6,948 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in Florida

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

Compare Urology 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 Florida medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Urology 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.

Frequently Asked Questions

What is Edward Gheiler, MD's specialty?
Edward Gheiler, MD specializes in Urology Physician and practices in Hialeah, Florida. Credentials: MD.
How much does Edward Gheiler, MD prescribe under Medicare Part D?
In 2023, Edward Gheiler, MD wrote 6,948 Medicare Part D claims totaling $1.4M in drug costs for 1,880 beneficiaries.
What is Edward Gheiler, MD's Medicare quality score?
Edward Gheiler, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Edward Gheiler, MD located?
Edward Gheiler, MD is located at 2140 W 68TH ST, Hialeah, FL, 33016. Phone: (305) 822-7227.
What is Edward Gheiler, MD's NPI number?
Edward Gheiler, MD's National Provider Identifier (NPI) is 1750347753, issued on 04/26/2006.
Does Edward Gheiler, MD prescribe more brand-name or generic drugs?
Edward Gheiler, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $1.2M in brand drug costs.
Does Edward Gheiler, MD prescribe opioids?
Yes, Edward Gheiler, MD had 379 opioid claims in 2023 with an opioid prescribing rate of 5.5%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does Edward Gheiler, MD prescribe most often?
Based on 2023 Medicare Part D data, Edward Gheiler, MD's most frequently prescribed drugs include Tamsulosin Hcl, Testosterone Cypionate, Cefuroxime. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Edward Gheiler, MD accept Medicare?
Edward Gheiler, MD appears in CMS Medicare data with 6,948 Part D claims and 1,880 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Edward Gheiler, MD's credentials?
Edward Gheiler, MD's NPI is 1750347753 with credentials MD. 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

Compiled from official public sources by the PlainDoctor editorial team.