2026 NPPES data Gastroenterology Physician NPI 1821070376 DO FACP
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GARTH GARRAMONE, DO FACP

Gastroenterology Physician in NEW BERN, North Carolina. 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 · 213 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
47.5964/100
▼ 36 pts below national avg 83.1 · [object Object]
Industry payments
$73.07
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GARTH GARRAMONE, DO FACP reported a CMS MIPS final score of 47.5964/100 — below the 83.1 national average — and filed 1,032 Medicare Part D claims in 2023.

47.5964/100
MIPS score · -36 vs avg
1K
Part D claims, 2023
89%
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.

GARTH GARRAMONE, DO FACP's MIPS score vs every scored U.S. clinician

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

48 4th percentile higher than 4% 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%). This entry sits in this band. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

GARTH GARRAMONE, DO FACP practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 GARTH GARRAMONE, DO FACP?

Below national average

NPI registry status

Active

Issued 11/18/2005

NPI 1821070376

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

1,032 24% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

47.5964/100 35.50359999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in North Carolina

How Gastroenterology Physician compares to other specialties among North Carolina providers

North Carolina providers

Gastroenterology Physician share within North Carolina

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

Medicare quality performance — MIPS

GARTH GARRAMONE, DO FACP's 2023 MIPS final score plotted against the Gastroenterology Physician national average

Below national average
MIPS Final Score
47.5964/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 47.5964/100 vs national avg 83.1

0%100%National avg83%47.6%
MIPS final score (Gastroenterology Physician) — 47.5964/100 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).

GARTH GARRAMONE, DO FACP appears in the CMS NPPES registry as a Gastroenterology Physician provider holding DO FACP credentials at 2604 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC, 28562, with a listed phone of (252) 636-4502. NPI 1821070376 was issued on 11/18/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARRAMONE 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 1,032 prescription claims written by this provider, covering 213 Medicare beneficiaries and totaling roughly $450K in drug spend, split 11% brand-name and 89% 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 47.5964/100 for the 2023 performance year (Quality 43.4876, Cost 65.1672), 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

2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562

Provider Details

NPI 1821070376
Specialty Gastroenterology Physician
Credentials DO FACP
Gender Male
NPI Issued 11/18/2005

CMS Quality Score (MIPS)

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

47.5964
Final Score
Avg: 83.1
43.4876
Quality
65.1672
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GARTH GARRAMONE, DO FACP 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.

SARATOGA SCHENECTADY GASTROENTEROLOGY ASSOCIATES, PC
BURNT HILLS, NY
ST. MARY'S HEALTHCARE
AMSTERDAM, NY

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 GARTH GARRAMONE, DO FACP. Source: openpaymentsdata.cms.gov.

Total received

$73

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

GARTH GARRAMONE, DO FACP — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 1,032 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.

1,032
Total Claims
$450K
Total Drug Cost
213
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,698
Total Day Supply
50,033
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$381K
Generic Drug Cost
$69K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.28
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

What GARTH GARRAMONE, DO FACP 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
Pantoprazole Sodium
293
Omeprazole
191
Dicyclomine Hcl
77
Colestipol Hcl
72
Sucralfate
59
Metoclopramide Hcl
34
Linzess
Linaclotide
31
Humira(Cf) Pen
Adalimumab
26
Budesonide Ec
Budesonide
25
Esomeprazole Magnesium
24

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

Gastroenterology Physician Overview

How GARTH GARRAMONE, DO FACP fits within the Gastroenterology Physician landscape nationally.

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

GARTH GARRAMONE, DO FACP's 1,032 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as GARRAMONE.

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

Frequently Asked Questions

What is GARTH GARRAMONE, DO FACP's specialty?
GARTH GARRAMONE, DO FACP specializes in Gastroenterology Physician and practices in NEW BERN, North Carolina. Credentials: DO FACP.
How much does GARTH GARRAMONE, DO FACP prescribe under Medicare Part D?
In 2023, GARTH GARRAMONE, DO FACP wrote 1,032 Medicare Part D claims totaling $450K in drug costs for 213 beneficiaries.
What is GARTH GARRAMONE, DO FACP's Medicare quality score?
GARTH GARRAMONE, DO FACP has a CMS MIPS Final Score of 47.5964/100 (Quality: 43.4876, Cost: 65.1672). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GARTH GARRAMONE, DO FACP located?
GARTH GARRAMONE, DO FACP is located at 2604 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC, 28562. Phone: (252) 636-4502.
What is GARTH GARRAMONE, DO FACP's NPI number?
GARTH GARRAMONE, DO FACP's National Provider Identifier (NPI) is 1821070376, issued on 11/18/2005.
Does GARTH GARRAMONE, DO FACP prescribe more brand-name or generic drugs?
GARTH GARRAMONE, DO FACP's prescribing is 11% brand-name and 89% generic drugs by claim count, with $381K 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 GARTH GARRAMONE, DO FACP prescribe most often?
Based on 2023 Medicare Part D data, GARTH GARRAMONE, DO FACP's most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Dicyclomine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GARTH GARRAMONE, DO FACP accept Medicare?
GARTH GARRAMONE, DO FACP appears in CMS Medicare data with 1,032 Part D claims and 213 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GARTH GARRAMONE, DO FACP's credentials?
GARTH GARRAMONE, DO FACP's NPI is 1821070376 with credentials DO FACP. 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