2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1528156460 D.O.
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GAIL SHIRLEY, D.O.

Sports Medicine (Family Medicine) Physician in STROUDSBURG, 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
20
Medicare Part D claims · Sports Medicine (Family Medicine) Physician avg: 1K

What the federal data shows

GAIL SHIRLEY, D.O. filed 20 Medicare Part D claims in 2023 as a Sports Medicine (Family Medicine) Physician in STROUDSBURG, Pennsylvania.

20
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 SHIRLEY, D.O.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

20 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

GAIL SHIRLEY, D.O. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about GAIL SHIRLEY, D.O.?

Quality data not reported

NPI registry status

Active

Issued 10/10/2006

NPI 1528156460

Primary specialty

Sports Medicine (Family Medicine) Physician

Niche

2,087 US NPIs in this specialty

Medicare Part D claims

20 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,242

Specialty distribution in Pennsylvania

How Sports Medicine (Family Medicine) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Sports Medicine (Family Medicine) Physician share within Pennsylvania

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

Specialty board-certification context

Estimated specialty board-certified rate — Sports Medicine (Family Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sports Medicine (Family Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Sports Medicine (Family Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sports Medicine (Family Medicine) Physician) — 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).

GAIL SHIRLEY, D.O. appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding D.O. credentials at RTE 611 & FRANTZ RD. BARTONSVILLE PLAZA, 7, STROUDSBURG, PA, 18360, with a listed phone of (570) 476-3700. NPI 1528156460 was issued on 10/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHIRLEY 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 20 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $284 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.

Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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

RTE 611 & FRANTZ RD. BARTONSVILLE PLAZA, 7
STROUDSBURG, PA 18360

Provider Details

NPI 1528156460
Specialty Sports Medicine (Family Medicine) Physician
Credentials D.O.
Gender Female
NPI Issued 10/10/2006

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 GAIL SHIRLEY, D.O.. To verify GAIL SHIRLEY, D.O.'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.

Medicare Part D Prescribing Data

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

20
Total Claims
$284
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
50
Total Day Supply
1,431
Generic Drug Cost
$246

Patient Demographics

Average Patient Age
82.5 years
Avg HCC Risk Score
2.17

Sports Medicine (Family Medicine) Physician Overview

How GAIL SHIRLEY, D.O. fits within the Sports Medicine (Family Medicine) Physician landscape nationally.

2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider

GAIL SHIRLEY, D.O.'s 20 claims are below the specialty average of 1,242.

Nearby Sports Medicine (Family Medicine) Physician Providers in Pennsylvania

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

Compare Sports Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GAIL SHIRLEY, D.O.'s specialty?
GAIL SHIRLEY, D.O. specializes in Sports Medicine (Family Medicine) Physician and practices in STROUDSBURG, Pennsylvania. Credentials: D.O..
How much does GAIL SHIRLEY, D.O. prescribe under Medicare Part D?
In 2023, GAIL SHIRLEY, D.O. wrote 20 Medicare Part D claims totaling $284 in drug costs for N/A beneficiaries.
Where is GAIL SHIRLEY, D.O. located?
GAIL SHIRLEY, D.O. is located at RTE 611 & FRANTZ RD. BARTONSVILLE PLAZA, 7, STROUDSBURG, PA, 18360. Phone: (570) 476-3700.
What is GAIL SHIRLEY, D.O.'s NPI number?
GAIL SHIRLEY, D.O.'s National Provider Identifier (NPI) is 1528156460, issued on 10/10/2006.
How many Sports Medicine (Family Medicine) Physician providers are there in the US?
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
Does GAIL SHIRLEY, D.O. accept Medicare?
GAIL SHIRLEY, D.O. appears in CMS Medicare data with 20 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GAIL SHIRLEY, D.O.'s credentials?
GAIL SHIRLEY, D.O.'s NPI is 1528156460 with credentials D.O.. 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