2026 NPPES data Plastic Surgery Physician NPI 1164409488 M.D.
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GARY CULBERTSON, M.D.

Plastic Surgery Physician in SUMTER, South 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
581
Medicare Part D claims · 118 beneficiaries · Plastic Surgery Physician avg: 84
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: GARY CULBERTSON, M.D. is a Plastic Surgery Physician ([object Object]) practicing in SUMTER, South Carolina with a Medicare Part D prescribing footprint of 581 claims across 118 beneficiaries — 3% brand-name prescribing .

What stands out: GARY CULBERTSON, M.D. filed 581 Medicare Part D claims in 2023 across SUMTER, South Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

GARY CULBERTSON, M.D. 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).

GARY CULBERTSON, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 12/28/2005

NPI 1164409488

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Medicare Part D claims

581 592% vs specialty avg

2023 prescription claims

Specialty avg: 84

Specialty distribution in South Carolina

How Plastic Surgery Physician compares to other specialties among South Carolina providers

South Carolina providers

Plastic Surgery Physician share within South Carolina

1. Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery Physician share within South Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Plastic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Plastic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Plastic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Plastic Surgery 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).

GARY CULBERTSON, M.D. is a Plastic Surgery Physician provider practicing in SUMTER, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1164409488. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

GARY CULBERTSON, M.D. appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding M.D. credentials at 18 MILLER RD, SUMTER, SC, 29150, with a listed phone of (803) 773-6361. NPI 1164409488 was issued on 12/28/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CULBERTSON 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 581 prescription claims written by this provider, covering 118 Medicare beneficiaries and totaling roughly $9K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 5.9%. 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.

Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,316 enrolled providers across 52 states and an average of 84 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

18 MILLER RD
SUMTER, SC 29150

Provider Details

NPI 1164409488
Specialty Plastic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 12/28/2005

Brand vs generic prescribing mix · Generic-heavy

GARY CULBERTSON, M.D. — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 581 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.

581
Total Claims
$9K
Total Drug Cost
118
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
589
Total Day Supply
8,812
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$942
Generic Drug Cost
$8K
Opioid Claims
34 (5.9% rate)
Antibiotic Claims
215

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.37
Gender Split
48% female / 52% male
Age Distribution
<65: 23, 65-74: 44, 75-84: 37, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levofloxacin
98
Meloxicam
58
Clindamycin Hcl
45
Fluocinonide
45
Triamcinolone Acetonide
44
Ondansetron Hcl
42
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
38
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
34
Ketoconazole
23
Methylprednisolone
18

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

Plastic Surgery Physician Overview

How GARY CULBERTSON, M.D. fits within the Plastic Surgery Physician landscape nationally.

5,316
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider

GARY CULBERTSON, M.D.'s 581 claims are above the specialty average of 84.

Nearby Plastic Surgery Physician Providers in South Carolina

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

Compare Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GARY CULBERTSON, M.D.'s specialty?
GARY CULBERTSON, M.D. specializes in Plastic Surgery Physician and practices in SUMTER, South Carolina. Credentials: M.D..
How much does GARY CULBERTSON, M.D. prescribe under Medicare Part D?
In 2023, GARY CULBERTSON, M.D. wrote 581 Medicare Part D claims totaling $9K in drug costs for 118 beneficiaries.
Where is GARY CULBERTSON, M.D. located?
GARY CULBERTSON, M.D. is located at 18 MILLER RD, SUMTER, SC, 29150. Phone: (803) 773-6361.
What is GARY CULBERTSON, M.D.'s NPI number?
GARY CULBERTSON, M.D.'s National Provider Identifier (NPI) is 1164409488, issued on 12/28/2005.
Does GARY CULBERTSON, M.D. prescribe more brand-name or generic drugs?
GARY CULBERTSON, M.D.'s prescribing is 3% brand-name and 97% generic drugs by claim count, with $942 in brand drug costs.
Does GARY CULBERTSON, M.D. prescribe opioids?
Yes, GARY CULBERTSON, M.D. had 34 opioid claims in 2023 with an opioid prescribing rate of 5.9%.
How many Plastic Surgery Physician providers are there in the US?
There are 5,316 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
What drugs does GARY CULBERTSON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GARY CULBERTSON, M.D.'s most frequently prescribed drugs include Levofloxacin, Meloxicam, Clindamycin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GARY CULBERTSON, M.D. accept Medicare?
GARY CULBERTSON, M.D. appears in CMS Medicare data with 581 Part D claims and 118 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GARY CULBERTSON, M.D.'s credentials?
GARY CULBERTSON, M.D.'s NPI is 1164409488 with credentials M.D.. 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