2026 NPPES data Gastroenterology Physician NPI 1275726697
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GAIL PORAT

Gastroenterology Physician in MARLTON, New Jersey. 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
1K
Medicare Part D claims · 434 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$747.98
64 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GAIL PORAT reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 1,395 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
1K
Part D claims, 2023
84%
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.

GAIL PORAT's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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)

GAIL PORAT 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 GAIL PORAT?

High performer (top quartile)

NPI registry status

Active

Issued 08/20/2007

NPI 1275726697

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

1,395 67% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Gastroenterology Physician compares to other specialties among New Jersey providers

New Jersey providers

Gastroenterology Physician share within New Jersey

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within New Jersey

Medicare quality performance — MIPS

GAIL PORAT's 2023 MIPS final score plotted against the Gastroenterology Physician national average

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

MIPS final score (Gastroenterology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Gastroenterology Physician) — 100/100 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).

GAIL PORAT appears in the CMS NPPES registry as a Gastroenterology Physician provider at 406 LIPPINCOTT DR STE E, MARLTON, NJ, 08053, with a listed phone of (856) 983-1900. NPI 1275726697 was issued on 08/20/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PORAT 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 1,395 prescription claims written by this provider, covering 434 Medicare beneficiaries and totaling roughly $519K in drug spend, split 16% brand-name and 84% 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

406 LIPPINCOTT DR STE E
MARLTON, NJ 08053

Provider Details

NPI 1275726697
Specialty Gastroenterology Physician
Gender Female
NPI Issued 08/20/2007

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GAIL PORAT 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.

ADVOCARE, LLC
HADDONFIELD, NJ

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 GAIL PORAT. Source: openpaymentsdata.cms.gov.

Total received

$748

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Typical

GAIL PORAT — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 1,395 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.

1,395
Total Claims
$519K
Total Drug Cost
434
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,128
Total Day Supply
89,950
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$431K
Generic Drug Cost
$88K
Antibiotic Claims
22

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
1.07
Gender Split
77% female / 23% male
Age Distribution
<65: 40, 65-74: 237, 75-84: 132, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

What GAIL PORAT 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
Omeprazole
383
Famotidine
205
Pantoprazole Sodium
178
Esomeprazole Magnesium
117
Plenvu
Peg3350/Sod Sul/Nacl/Kcl/Asb/C
65
Mesalamine
52
Dicyclomine Hcl
43
Colestipol Hcl
40
Lansoprazole
33
Linzess
Linaclotide
30

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

Gastroenterology Physician Overview

How GAIL PORAT fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

GAIL PORAT's 1,395 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in New Jersey

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

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GAIL PORAT's specialty?
GAIL PORAT specializes in Gastroenterology Physician and practices in MARLTON, New Jersey.
How much does GAIL PORAT prescribe under Medicare Part D?
In 2023, GAIL PORAT wrote 1,395 Medicare Part D claims totaling $519K in drug costs for 434 beneficiaries.
What is GAIL PORAT's Medicare quality score?
GAIL PORAT has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GAIL PORAT located?
GAIL PORAT is located at 406 LIPPINCOTT DR STE E, MARLTON, NJ, 08053. Phone: (856) 983-1900.
What is GAIL PORAT's NPI number?
GAIL PORAT's National Provider Identifier (NPI) is 1275726697, issued on 08/20/2007.
Does GAIL PORAT prescribe more brand-name or generic drugs?
GAIL PORAT's prescribing is 16% brand-name and 84% generic drugs by claim count, with $431K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does GAIL PORAT prescribe most often?
Based on 2023 Medicare Part D data, GAIL PORAT's most frequently prescribed drugs include Omeprazole, Famotidine, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GAIL PORAT accept Medicare?
GAIL PORAT appears in CMS Medicare data with 1,395 Part D claims and 434 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GAIL PORAT's credentials?
GAIL PORAT's NPI is 1275726697. 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