2026 NPPES data Family Medicine Physician NPI 1275558967 MD
Verify on CMS →

GARY COOMBER, MD

Family Medicine Physician in SANTA ROSA, California. 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
5K
Medicare Part D claims · 395 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.8451/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

GARY COOMBER, MD reported a CMS MIPS final score of 83.8451/100 — above the 83.1 national average — and filed 4,555 Medicare Part D claims in 2023.

83.8451/100
MIPS score · +1 vs avg
5K
Part D claims, 2023
88%
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.

GARY COOMBER, MD's MIPS score vs every scored U.S. clinician

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

84 42nd percentile higher than 42% 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%). This entry sits in this band. 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)

GARY COOMBER, 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 GARY COOMBER, MD?

Near national average

NPI registry status

Active

Issued 07/13/2006

NPI 1275558967

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

4,555 33% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

83.8451/100 0.7451000000000079% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Family Medicine Physician compares to other specialties among California providers

California providers

Family Medicine Physician share within California

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

Medicare quality performance — MIPS

GARY COOMBER, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
83.8451/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 83.8451/100 vs national avg 83.1

0%100%National avg83%83.8%
MIPS final score (Family Medicine Physician) — 83.8451/100 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).

GARY COOMBER, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 144 STONY POINT RD, SANTA ROSA, CA, 95401, with a listed phone of (707) 521-4500. NPI 1275558967 was issued on 07/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COOMBER 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 4,555 prescription claims written by this provider, covering 395 Medicare beneficiaries and totaling roughly $397K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 5.8%. 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 83.8451/100 for the 2023 performance year (Quality 84.5974, Cost 58.6394), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

144 STONY POINT RD
SANTA ROSA, CA 95401

Provider Details

NPI 1275558967
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/13/2006

CMS Quality Score (MIPS)

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

83.8451
Final Score
Avg: 83.1
84.5974
Quality
58.6394
Cost
100
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to GARY COOMBER, MD. To verify GARY COOMBER, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

GARY COOMBER, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 4,555 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.

4,555
Total Claims
$397K
Total Drug Cost
395
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,968
Total Day Supply
290,881
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$289K
Generic Drug Cost
$104K
Opioid Claims
262 (5.8% rate)
Antibiotic Claims
81

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.12
Gender Split
54% female / 46% male
Age Distribution
<65: 72, 65-74: 157, 75-84: 129, 85+: 37

Top Prescribed Drugs (Medicare Part D)

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

What GARY COOMBER, MD 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
Levothyroxine Sodium
214
Lisinopril
184
Gabapentin
170
Atorvastatin Calcium
165
Losartan Potassium
124
Simvastatin
110
Metformin Hcl Er
Metformin Hcl
108
Hydrochlorothiazide
101
Tamsulosin Hcl
97
Amlodipine Besylate
92

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

Family Medicine Physician Overview

How GARY COOMBER, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

GARY COOMBER, MD's 4,555 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in California

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

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

Frequently Asked Questions

What is GARY COOMBER, MD's specialty?
GARY COOMBER, MD specializes in Family Medicine Physician and practices in SANTA ROSA, California. Credentials: MD.
How much does GARY COOMBER, MD prescribe under Medicare Part D?
In 2023, GARY COOMBER, MD wrote 4,555 Medicare Part D claims totaling $397K in drug costs for 395 beneficiaries.
What is GARY COOMBER, MD's Medicare quality score?
GARY COOMBER, MD has a CMS MIPS Final Score of 83.8451/100 (Quality: 84.5974, Cost: 58.6394). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GARY COOMBER, MD located?
GARY COOMBER, MD is located at 144 STONY POINT RD, SANTA ROSA, CA, 95401. Phone: (707) 521-4500.
What is GARY COOMBER, MD's NPI number?
GARY COOMBER, MD's National Provider Identifier (NPI) is 1275558967, issued on 07/13/2006.
Does GARY COOMBER, MD prescribe more brand-name or generic drugs?
GARY COOMBER, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $289K in brand drug costs.
Does GARY COOMBER, MD prescribe opioids?
Yes, GARY COOMBER, MD had 262 opioid claims in 2023 with an opioid prescribing rate of 5.8%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does GARY COOMBER, MD prescribe most often?
Based on 2023 Medicare Part D data, GARY COOMBER, MD's most frequently prescribed drugs include Levothyroxine Sodium, Lisinopril, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GARY COOMBER, MD accept Medicare?
GARY COOMBER, MD appears in CMS Medicare data with 4,555 Part D claims and 395 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GARY COOMBER, MD's credentials?
GARY COOMBER, MD's NPI is 1275558967 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