NPI registry status
Active
2026 NPPES data Athletic Trainer NPI 1407894116 PA-C
Verify on CMS → Gail Schmalz, PA-C
Athletic Trainer in Rockport, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 48,161 in Athletic Trainer, 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
132
Medicare Part D claims · 88 beneficiaries · Athletic Trainer avg: 427
MIPS score
98.1/100
▲ 15 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Gail Schmalz, PA-C reported a CMS MIPS final score of 98.1/100 - above the 83.1 national average - and filed 132 Medicare Part D claims in 2023.
- 98.1/100
- MIPS score · +15 vs avg
- 132
- Part D claims, 2023
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 Schmalz, PA-C's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 11% higher than 89% of 477,587 scored providers
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 Gail Schmalz, PA-C sits
This provider among athletic trainer peers
Across the 171 athletic trainer providers who report both Medicare Part D prescribing and a MIPS quality score, Gail Schmalz, PA-C writes more Part D claims than 30% of them and scores higher on MIPS quality than 88% - placing this provider in the lower-volume, high-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
Each dot is one athletic trainer peer from a representative sample of 60; the gold marker is Gail Schmalz, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Gail Schmalz, PA-C?
High performer (top quartile)Primary specialty
Athletic Trainer
Medicare Part D claims
132 69% vs specialty avg
MIPS final score
98.1/100 15 pts vs avg
Specialty distribution in Maine
How Athletic Trainer compares to other specialties among Maine providers
Medicare quality performance, MIPS
Gail Schmalz, PA-C's 2023 MIPS final score plotted against the Athletic Trainer national average
- MIPS Final Score
- 98.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Athletic Trainer) - 98.1/100 vs national avg 83.1
How MIPS and board certification work
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 Schmalz, PA-C appears in the CMS NPPES registry as an Athletic Trainer provider holding PA-C credentials at 4 GLEN COVE DR, Rockport, ME, 04856, with a listed phone of (207) 921-5454. NPI 1407894116 was issued on 06/03/2006.
Medicare Part D records for calendar year 2023 show 132 prescription claims written by this provider, covering 88 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 71.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.1/100 for the 2023 performance year (Quality 86.1), compared with the national average of 83.1.
Athletic Trainer is a mid-sized specialty nationwide, with 48,161 enrolled providers across 54 states and an average of 427 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
Provider Details
| NPI | 1407894116 |
|---|---|
| Specialty | Athletic Trainer |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 06/03/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
98.0699
Final Score
Avg: 83.1
86.1398
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Gail Schmalz, PA-C 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.
Mainehealth
Portland, ME
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
132
Total Claims
$1K
Total Drug Cost
88
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 133
- Total Day Supply
- 920
- Generic Drug Cost
- $997
- Opioid Claims
- 94 (71.2% rate)
- Antibiotic Claims
- 16
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 0.90
- Gender Split
- 55% female / 45% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 75 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Athletic Trainer Overview
How Gail Schmalz, PA-C fits within the Athletic Trainer landscape nationally.
48,161
Athletic Trainer Providers in US
54
States with Athletic Trainer
427
Avg Claims per Provider
Gail Schmalz, PA-C's 132 claims are below the specialty average of 427.
Nearby Athletic Trainer Providers in Maine
Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as Schmalz.
Dr. Amy Adamo
MED, ATC, CSCS
Orono, ME
Dr. Jack Adams
ATC
Scarborough, ME
Emily Aimi
Biddeford, ME
Dr. Michael Aitken
ATC., LMT
West Gardiner, ME
Jason Ames
Portland, ME
Compare Athletic Trainer 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 Maine medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Athletic Trainer 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is Gail Schmalz, PA-C's specialty? ▼
Gail Schmalz, PA-C specializes in Athletic Trainer and practices in Rockport, Maine. Credentials: PA-C.
How much does Gail Schmalz, PA-C prescribe under Medicare Part D? ▼
In 2023, Gail Schmalz, PA-C wrote 132 Medicare Part D claims totaling $1K in drug costs for 88 beneficiaries.
What is Gail Schmalz, PA-C's Medicare quality score? ▼
Gail Schmalz, PA-C has a CMS MIPS Final Score of 98.1/100 (Quality: 86.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Gail Schmalz, PA-C located? ▼
Gail Schmalz, PA-C is located at 4 GLEN COVE DR, Rockport, ME, 04856. Phone: (207) 921-5454.
What is Gail Schmalz, PA-C's NPI number? ▼
Gail Schmalz, PA-C's National Provider Identifier (NPI) is 1407894116, issued on 06/03/2006.
Does Gail Schmalz, PA-C prescribe opioids? ▼
Yes, Gail Schmalz, PA-C had 94 opioid claims in 2023 with an opioid prescribing rate of 71.2%.
How many Athletic Trainer providers are there in the US? ▼
There are 48,161 Athletic Trainer providers across 54 states in the US. The average Athletic Trainer provider writes 427 Medicare Part D claims per year.
What drugs does Gail Schmalz, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Gail Schmalz, PA-C's most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gail Schmalz, PA-C accept Medicare? ▼
Gail Schmalz, PA-C appears in CMS Medicare data with 132 Part D claims and 88 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gail Schmalz, PA-C's credentials? ▼
Gail Schmalz, PA-C's NPI is 1407894116 with credentials PA-C. 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
View source datasets and methodology notes
- 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.