2026 NPPES data Nurse Practitioner NPI 1427693415
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ERIK GUMBS

Nurse Practitioner in DOVER, Delaware. 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
59
Medicare Part D claims · 17 beneficiaries · Nurse Practitioner avg: 1K
What the federal data reveals: ERIK GUMBS is a Nurse Practitioner ([object Object]) practicing in DOVER, Delaware with a Medicare Part D prescribing footprint of 59 claims across 17 beneficiaries .

What stands out: ERIK GUMBS filed 59 Medicare Part D claims in 2023 across DOVER, Delaware. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ERIK GUMBS at a glance

Quality data not reported

NPI registry status

Active

Issued 11/13/2019

NPI 1427693415

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

59 95% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

Specialty distribution in Delaware

How Nurse Practitioner compares to other specialties among Delaware providers

Delaware providers

Nurse Practitioner share within Delaware

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Delaware

Specialty board-certification context

Estimated specialty board-certified rate — Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

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).

ERIK GUMBS is a Nurse Practitioner provider practicing in DOVER, Delaware, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1427693415. 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.

ERIK GUMBS appears in the CMS NPPES registry as a Nurse Practitioner provider at 805 RIVER RD, DOVER, DE, 19901, with a listed phone of (303) 857-5060. NPI 1427693415 was issued on 11/13/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUMBS 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 59 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $895 in drug spend. 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.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

805 RIVER RD
DOVER, DE 19901

Provider Details

NPI 1427693415
Specialty Nurse Practitioner
Gender Male
NPI Issued 11/13/2019

Medicare Part D Prescribing Data

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

59
Total Claims
$895
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
59
Total Day Supply
1,694
Brand Drug Cost
$0
Generic Drug Cost
$895

Patient Demographics

Average Patient Age
58.1 years
Avg HCC Risk Score
1.48

Nurse Practitioner Overview

How ERIK GUMBS fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

ERIK GUMBS's 59 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Delaware

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

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is ERIK GUMBS's specialty?
ERIK GUMBS specializes in Nurse Practitioner and practices in DOVER, Delaware.
How much does ERIK GUMBS prescribe under Medicare Part D?
In 2023, ERIK GUMBS wrote 59 Medicare Part D claims totaling $895 in drug costs for 17 beneficiaries.
Where is ERIK GUMBS located?
ERIK GUMBS is located at 805 RIVER RD, DOVER, DE, 19901. Phone: (303) 857-5060.
What is ERIK GUMBS's NPI number?
ERIK GUMBS's National Provider Identifier (NPI) is 1427693415, issued on 11/13/2019.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
Does ERIK GUMBS accept Medicare?
ERIK GUMBS appears in CMS Medicare data with 59 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ERIK GUMBS's credentials?
ERIK GUMBS's NPI is 1427693415. 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.
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