2026 NPPES data Emergency Medicine Physician NPI 1659339380 MD
Verify on CMS →

FRANK GAUDIO, MD

Emergency Medicine Physician in WHEELING, West Virginia. 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
49
Medicare Part D claims · 36 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
94.1061/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

FRANK GAUDIO, MD reported a CMS MIPS final score of 94.1061/100 — above the 83.1 national average — and filed 49 Medicare Part D claims in 2023.

94.1061/100
MIPS score · +11 vs avg
49
Part D claims, 2023
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.

FRANK GAUDIO, MD's MIPS score vs every scored U.S. clinician

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

94 Top 25% higher than 75% 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)

FRANK GAUDIO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 FRANK GAUDIO, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/02/2006

NPI 1659339380

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

49 86% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

94.1061/100 11.006100000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Emergency Medicine Physician compares to other specialties among West Virginia providers

West Virginia providers

Emergency Medicine Physician share within West Virginia

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

Medicare quality performance — MIPS

FRANK GAUDIO, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
94.1061/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 94.1061/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Emergency Medicine Physician) — 94.1061/100 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).

FRANK GAUDIO, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 1025 MARKET ST, WHEELING, WV, 26003, with a listed phone of (304) 231-2104. NPI 1659339380 was issued on 05/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAUDIO 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 49 prescription claims written by this provider, covering 36 Medicare beneficiaries and totaling roughly $326 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1061/100 for the 2023 performance year (Quality 78.4655), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

1025 MARKET ST
WHEELING, WV 26003

Provider Details

NPI 1659339380
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 05/02/2006

CMS Quality Score (MIPS)

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

94.1061
Final Score
Avg: 83.1
78.4655
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Medicare Part D Prescribing Data

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

49
Total Claims
$326
Total Drug Cost
36
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
52
Total Day Supply
543
Generic Drug Cost
$290
Antibiotic Claims
22

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
1.12
Gender Split
67% female / 33% male

Emergency Medicine Physician Overview

How FRANK GAUDIO, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

FRANK GAUDIO, MD's 49 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as GAUDIO.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is FRANK GAUDIO, MD's specialty?
FRANK GAUDIO, MD specializes in Emergency Medicine Physician and practices in WHEELING, West Virginia. Credentials: MD.
How much does FRANK GAUDIO, MD prescribe under Medicare Part D?
In 2023, FRANK GAUDIO, MD wrote 49 Medicare Part D claims totaling $326 in drug costs for 36 beneficiaries.
What is FRANK GAUDIO, MD's Medicare quality score?
FRANK GAUDIO, MD has a CMS MIPS Final Score of 94.1061/100 (Quality: 78.4655). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is FRANK GAUDIO, MD located?
FRANK GAUDIO, MD is located at 1025 MARKET ST, WHEELING, WV, 26003. Phone: (304) 231-2104.
What is FRANK GAUDIO, MD's NPI number?
FRANK GAUDIO, MD's National Provider Identifier (NPI) is 1659339380, issued on 05/02/2006.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
Does FRANK GAUDIO, MD accept Medicare?
FRANK GAUDIO, MD appears in CMS Medicare data with 49 Part D claims and 36 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FRANK GAUDIO, MD's credentials?
FRANK GAUDIO, MD's NPI is 1659339380 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