2026 NPPES data Family Medicine Physician NPI 1972580405 DO
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Elizabeth Gernhardt, DO

Family Medicine Physician in Forty Fort, Pennsylvania. 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
8K
Medicare Part D claims · 420 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
23.2/100
▼ 60 pts below national avg 83.1 · [object Object]
Industry payments
$339.4
21 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Elizabeth Gernhardt, DO reported a CMS MIPS final score of 23.2/100 — below the 83.1 national average — and filed 8,266 Medicare Part D claims in 2023.

23.2/100
MIPS score · -60 vs avg
8K
Part D claims, 2023
91%
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.

Elizabeth Gernhardt, DO's MIPS score vs every scored U.S. clinician

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

23 3rd percentile higher than 3% 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%). This entry sits in this band. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 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

Board certification likely (heuristic — not verified)

Elizabeth Gernhardt, DO 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 Elizabeth Gernhardt, DO?

Below national average

NPI registry status

Active

Issued 12/27/2005

NPI 1972580405

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

8,266 142% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

23.2/100 59.9 pts vs avg

Below average band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Family Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Family Medicine Physician share within Pennsylvania

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

Medicare quality performance — MIPS

Elizabeth Gernhardt, DO's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
23.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 23.2/100 vs national avg 83.1

0%100%National avg83%23.2%
MIPS final score (Family Medicine Physician) — 23.2/100 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).

Elizabeth Gernhardt, DO appears in the CMS NPPES registry as a Family Medicine Physician provider holding DO credentials at 1732 WYOMING AVE, Forty Fort, PA, 18704, with a listed phone of (570) 331-9134. NPI 1972580405 was issued on 12/27/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Gernhardt 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 8,266 prescription claims written by this provider, covering 420 Medicare beneficiaries and totaling roughly $515K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 0.9%. 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 23.2/100 for the 2023 performance year (Quality 30, Cost 37.2), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 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

1732 WYOMING AVE
Forty Fort, PA 18704

Provider Details

NPI 1972580405
Specialty Family Medicine Physician
Credentials DO
Gender Female
NPI Issued 12/27/2005

CMS Quality Score (MIPS)

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

23.1531
Final Score
Avg: 83.1
30
Quality
37.177
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Elizabeth Gernhardt, DO 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.

Phoenix Rehabilitation And Health Services Inc
Cranberry Township, PA

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 Elizabeth Gernhardt, DO. Source: openpaymentsdata.cms.gov.

Total received

$339

Largest payer

Novo Nordisk 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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to Elizabeth Gernhardt, DO. To verify Elizabeth Gernhardt, DO's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Elizabeth Gernhardt, DO — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 8,266 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.

8,266
Total Claims
$515K
Total Drug Cost
420
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,064
Total Day Supply
440,260
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$360K
Generic Drug Cost
$152K
Opioid Claims
72 (0.9% rate)
Antibiotic Claims
141

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.07
Gender Split
72% female / 28% male
Age Distribution
<65: 39, 65-74: 191, 75-84: 140, 85+: 50

Top Prescribed Drugs (Medicare Part D)

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

What Elizabeth Gernhardt, DO 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
Simvastatin
374
Levothyroxine Sodium
336
Metoprolol Succinate
273
Omeprazole
273
Atorvastatin Calcium
250
Losartan Potassium
224
Hydrochlorothiazide
211
Amlodipine Besylate
196
Gabapentin
179
Famotidine
164

* 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 Elizabeth Gernhardt, DO fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Elizabeth Gernhardt, DO's 8,266 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Pennsylvania

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

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 Pennsylvania 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.

Frequently Asked Questions

What is Elizabeth Gernhardt, DO's specialty?
Elizabeth Gernhardt, DO specializes in Family Medicine Physician and practices in Forty Fort, Pennsylvania. Credentials: DO.
How much does Elizabeth Gernhardt, DO prescribe under Medicare Part D?
In 2023, Elizabeth Gernhardt, DO wrote 8,266 Medicare Part D claims totaling $515K in drug costs for 420 beneficiaries.
What is Elizabeth Gernhardt, DO's Medicare quality score?
Elizabeth Gernhardt, DO has a CMS MIPS Final Score of 23.2/100 (Quality: 30, Cost: 37.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Elizabeth Gernhardt, DO located?
Elizabeth Gernhardt, DO is located at 1732 WYOMING AVE, Forty Fort, PA, 18704. Phone: (570) 331-9134.
What is Elizabeth Gernhardt, DO's NPI number?
Elizabeth Gernhardt, DO's National Provider Identifier (NPI) is 1972580405, issued on 12/27/2005.
Does Elizabeth Gernhardt, DO prescribe more brand-name or generic drugs?
Elizabeth Gernhardt, DO's prescribing is 9% brand-name and 91% generic drugs by claim count, with $360K in brand drug costs.
Does Elizabeth Gernhardt, DO prescribe opioids?
Yes, Elizabeth Gernhardt, DO had 72 opioid claims in 2023 with an opioid prescribing rate of 0.9%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 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 Elizabeth Gernhardt, DO prescribe most often?
Based on 2023 Medicare Part D data, Elizabeth Gernhardt, DO's most frequently prescribed drugs include Simvastatin, Levothyroxine Sodium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Elizabeth Gernhardt, DO accept Medicare?
Elizabeth Gernhardt, DO appears in CMS Medicare data with 8,266 Part D claims and 420 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Elizabeth Gernhardt, DO's credentials?
Elizabeth Gernhardt, DO's NPI is 1972580405 with credentials DO. 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