NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1053500223 M.D
Verify on CMS → Gary Schuster, M.D
Sports Medicine (Family Medicine) Physician in Bellevue, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,087 in Sports Medicine (Family Medicine) Physician, 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
4K
Medicare Part D claims · 305 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
6.1/100
▼ 77 pts below national avg 83.1 · Penalty band
Industry payments
$2.5K
109 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Gary Schuster, M.D reported a CMS MIPS final score of 6.1/100 - below the 83.1 national average - and filed 4,492 Medicare Part D claims in 2023.
- 6.1/100
- MIPS score · -77 vs avg
- 4K
- Part D claims, 2023
- 85%
- 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 Schuster, M.D's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
6 2nd percentile higher than 2% 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 Gary Schuster, M.D sits
This provider among sports medicine (family medicine) physician peers
Across the 571 sports medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Gary Schuster, M.D writes more Part D claims than 94% of them and scores higher on MIPS quality than 2% - placing this provider in the high-volume, lower-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 sports medicine (family medicine) physician peer from a representative sample of 60; the gold marker is Gary Schuster, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Gary Schuster, M.D 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 Schuster, M.D?
Below national averagePrimary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
4,492 262% vs specialty avg
MIPS final score
6.1/100 77 pts vs avg
Specialty distribution in Washington
How Sports Medicine (Family Medicine) Physician compares to other specialties among Washington providers
Medicare quality performance, MIPS
Gary Schuster, M.D's 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 6.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Family Medicine) Physician) - 6.1/100 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).
Gary Schuster, M.D appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding M.D credentials at 1600 116TH AVE NE, Bellevue, WA, 98004, with a listed phone of (206) 215-2288. NPI 1053500223 was issued on 10/23/2007.
Medicare Part D records for calendar year 2023 show 4,492 prescription claims written by this provider, covering 305 Medicare beneficiaries and totaling roughly $593K in drug spend, split 14% brand-name and 85% generic by claim count, with an opioid prescribing rate of 1.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 6.1/100 for the 2023 performance year (Quality 0, Cost 20.3), compared with the national average of 83.1.
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
Provider Details
| NPI | 1053500223 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | M.D |
| Gender | Male |
| NPI Issued | 10/23/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
6.0856
Final Score
Avg: 83.1
0
Quality
20.2854
Cost
Reporting: Individual
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 Gary Schuster, M.D. Source: openpaymentsdata.cms.gov.
Total received
$2.5K
Largest payer
PFIZER 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.
License & disciplinary context - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Gary Schuster, M.D. To verify Gary Schuster, M.D's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases
WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Gary Schuster, M.D - brand share 14.0%
Sports Medicine (Family Medicine) Physician average
14% brand-name claims vs 85% generic, on 4,492 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.
4,492
Total Claims
$593K
Total Drug Cost
305
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 9,980
- Total Day Supply
- 288,482
- Brand vs Generic
- 14% brand / 85% generic
- Brand Drug Cost
- $485K
- Generic Drug Cost
- $106K
- Opioid Claims
- 81 (1.8% rate)
- Antibiotic Claims
- 207
Patient Demographics
- Average Patient Age
- 74.2 years
- Avg HCC Risk Score
- 0.93
- Gender Split
- 43% female / 57% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Gary Schuster, M.D prescribes most
Top Medicare Part D drugs by claim count, 2023
- Rosuvastatin Calcium
Rosuvastatin Calcium
301 claims
- Atorvastatin Calcium
Atorvastatin Calcium
237 claims
- Ezetimibe
Ezetimibe
193 claims
- Levothyroxine Sodium
Levothyroxine Sodium
178 claims
- Metformin Hcl
Metformin Hcl
161 claims
- Amlodipine Besylate
Amlodipine Besylate
131 claims
- Repatha Sureclick 118
Repatha Sureclick
118 claims
- Omeprazole 105
Omeprazole
105 claims
| Drug | Claims |
|---|---|
| Rosuvastatin Calcium | 301 |
| Atorvastatin Calcium | 237 |
| Ezetimibe | 193 |
| Levothyroxine Sodium | 178 |
| Metformin Hcl | 161 |
| Amlodipine Besylate | 131 |
| Repatha Sureclick Evolocumab | 118 |
| Omeprazole | 105 |
| Allopurinol | 95 |
| Hydrochlorothiazide | 85 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Family Medicine) Physician in WA →
All providers in Washington →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How Gary Schuster, M.D 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
Gary Schuster, M.D's 4,492 claims are above the specialty average of 1,242.
Nearby Sports Medicine (Family Medicine) Physician Providers in Washington
Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Schuster.
Dr. Eric Anderson
M.D.
Spokane, WA
Dr. Jared Anderson
MD
Arlington, WA
Dr. John Beard
MD
Mukilteo, WA
Dr. Blair Becker
M.D.
Seattle, WA
Dr. William Callahan
MD
Federal Way, WA
Compare Sports Medicine (Family Medicine) Physician 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 Washington medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Family Medicine) Physician 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.
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Frequently Asked Questions
What is Gary Schuster, M.D's specialty? ▼
Gary Schuster, M.D specializes in Sports Medicine (Family Medicine) Physician and practices in Bellevue, Washington. Credentials: M.D.
How much does Gary Schuster, M.D prescribe under Medicare Part D? ▼
In 2023, Gary Schuster, M.D wrote 4,492 Medicare Part D claims totaling $593K in drug costs for 305 beneficiaries.
What is Gary Schuster, M.D's Medicare quality score? ▼
Gary Schuster, M.D has a CMS MIPS Final Score of 6.1/100 (Quality: 0, Cost: 20.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Gary Schuster, M.D located? ▼
Gary Schuster, M.D is located at 1600 116TH AVE NE, Bellevue, WA, 98004. Phone: (206) 215-2288.
What is Gary Schuster, M.D's NPI number? ▼
Gary Schuster, M.D's National Provider Identifier (NPI) is 1053500223, issued on 10/23/2007.
Does Gary Schuster, M.D prescribe more brand-name or generic drugs? ▼
Gary Schuster, M.D's prescribing is 14% brand-name and 85% generic drugs by claim count, with $485K in brand drug costs.
Does Gary Schuster, M.D prescribe opioids? ▼
Yes, Gary Schuster, M.D had 81 opioid claims in 2023 with an opioid prescribing rate of 1.8%.
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.
What drugs does Gary Schuster, M.D prescribe most often? ▼
Based on 2023 Medicare Part D data, Gary Schuster, M.D's most frequently prescribed drugs include Rosuvastatin Calcium, Atorvastatin Calcium, Ezetimibe. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gary Schuster, M.D accept Medicare? ▼
Gary Schuster, M.D appears in CMS Medicare data with 4,492 Part D claims and 305 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gary Schuster, M.D's credentials? ▼
Gary Schuster, M.D's NPI is 1053500223 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
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.