2026 NPPES data Addiction Medicine (Anesthesiology) Physician NPI 1558672014 DO, MBA, DABAM
Verify on CMS →

GARY THEOFILIS, DO, MBA, DABAM

Addiction Medicine (Anesthesiology) Physician in CUMMING, Georgia. 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
2K
Medicare Part D claims · 94 beneficiaries · Addiction Medicine (Anesthesiology) Physician avg: 814

What the federal data shows

GARY THEOFILIS, DO, MBA, DABAM filed 2,011 Medicare Part D claims in 2023 as a Addiction Medicine (Anesthesiology) Physician in CUMMING, Georgia.

2K
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.

GARY THEOFILIS, DO, MBA, DABAM's Medicare Part D volume vs every U.S. prescriber

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

2,011 Top 16% higher than 84% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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)

GARY THEOFILIS, DO, MBA, DABAM 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 GARY THEOFILIS, DO, MBA, DABAM?

Quality data not reported

NPI registry status

Active

Issued 06/29/2010

NPI 1558672014

Primary specialty

Addiction Medicine (Anesthesiology) Physician

Rare

129 US NPIs in this specialty

Medicare Part D claims

2,011 147% vs specialty avg

2023 prescription claims

Specialty avg: 814

Specialty distribution in Georgia

How Addiction Medicine (Anesthesiology) Physician compares to other specialties among Georgia providers

Georgia providers

Addiction Medicine (Anesthesiology) Physician share within Georgia

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

Specialty board-certification context

Estimated specialty board-certified rate — Addiction Medicine (Anesthesiology) Physician (ABMS / AOA reference)

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

Est. board-certified rate (Addiction Medicine (Anesthesiology) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Addiction Medicine (Anesthesiology) 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 THEOFILIS, DO, MBA, DABAM appears in the CMS NPPES registry as a Addiction Medicine (Anesthesiology) Physician provider holding DO, MBA, DABAM credentials at 6125 BROADWATER TRL, CUMMING, GA, 30040, with a listed phone of (412) 477-4493. NPI 1558672014 was issued on 06/29/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what THEOFILIS 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 2,011 prescription claims written by this provider, covering 94 Medicare beneficiaries and totaling roughly $67K in drug spend, with an opioid prescribing rate of 32.7%. 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.

Addiction Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 129 enrolled providers across 36 states and an average of 814 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

6125 BROADWATER TRL
CUMMING, GA 30040

Provider Details

NPI 1558672014
Specialty Addiction Medicine (Anesthesiology) Physician
Credentials DO, MBA, DABAM
Gender Male
NPI Issued 06/29/2010

Medicare Part D Prescribing Data

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

2,011
Total Claims
$67K
Total Drug Cost
94
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,190
Total Day Supply
62,788
Generic Drug Cost
$47K
Opioid Claims
658 (32.7% rate)
Antibiotic Claims
34

Patient Demographics

Average Patient Age
61.7 years
Avg HCC Risk Score
1.19
Gender Split
56% female / 44% male
Age Distribution
<65: 55, 65-74: 31, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What GARY THEOFILIS, DO, MBA, DABAM 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
Oxycodone Hcl
308
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
259
Tizanidine Hcl
177
Lisinopril
131
Amlodipine Besylate
121
Topiramate
72
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
58
Losartan Potassium
54
Pantoprazole Sodium
51
Gabapentin
48

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

Addiction Medicine (Anesthesiology) Physician Overview

How GARY THEOFILIS, DO, MBA, DABAM fits within the Addiction Medicine (Anesthesiology) Physician landscape nationally.

129
Addiction Medicine (Anesthesiology) Physician Providers in US
36
States with Addiction Medicine (Anesthesiology) Physician
814
Avg Claims per Provider

GARY THEOFILIS, DO, MBA, DABAM's 2,011 claims are above the specialty average of 814.

Nearby Addiction Medicine (Anesthesiology) Physician Providers in Georgia

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

Compare Addiction Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GARY THEOFILIS, DO, MBA, DABAM's specialty?
GARY THEOFILIS, DO, MBA, DABAM specializes in Addiction Medicine (Anesthesiology) Physician and practices in CUMMING, Georgia. Credentials: DO, MBA, DABAM.
How much does GARY THEOFILIS, DO, MBA, DABAM prescribe under Medicare Part D?
In 2023, GARY THEOFILIS, DO, MBA, DABAM wrote 2,011 Medicare Part D claims totaling $67K in drug costs for 94 beneficiaries.
Where is GARY THEOFILIS, DO, MBA, DABAM located?
GARY THEOFILIS, DO, MBA, DABAM is located at 6125 BROADWATER TRL, CUMMING, GA, 30040. Phone: (412) 477-4493.
What is GARY THEOFILIS, DO, MBA, DABAM's NPI number?
GARY THEOFILIS, DO, MBA, DABAM's National Provider Identifier (NPI) is 1558672014, issued on 06/29/2010.
Does GARY THEOFILIS, DO, MBA, DABAM prescribe opioids?
Yes, GARY THEOFILIS, DO, MBA, DABAM had 658 opioid claims in 2023 with an opioid prescribing rate of 32.7%.
How many Addiction Medicine (Anesthesiology) Physician providers are there in the US?
There are 129 Addiction Medicine (Anesthesiology) Physician providers across 36 states in the US. The average Addiction Medicine (Anesthesiology) Physician provider writes 814 Medicare Part D claims per year.
What drugs does GARY THEOFILIS, DO, MBA, DABAM prescribe most often?
Based on 2023 Medicare Part D data, GARY THEOFILIS, DO, MBA, DABAM's most frequently prescribed drugs include Oxycodone Hcl, Oxycodone-Acetaminophen, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GARY THEOFILIS, DO, MBA, DABAM accept Medicare?
GARY THEOFILIS, DO, MBA, DABAM appears in CMS Medicare data with 2,011 Part D claims and 94 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GARY THEOFILIS, DO, MBA, DABAM's credentials?
GARY THEOFILIS, DO, MBA, DABAM's NPI is 1558672014 with credentials DO, MBA, DABAM. 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