2026 NPPES data Dermatology Physician NPI 1518329804 M.D.
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GEFEI ZHU, M.D.

Dermatology Physician in PORTLAND, Oregon. 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
649
Medicare Part D claims · 272 beneficiaries · Dermatology Physician avg: 729
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.7624/100
▲ 5 pts above national avg 83.1 · [object Object]

What the federal data shows

GEFEI ZHU, M.D. reported a CMS MIPS final score of 87.7624/100 — above the 83.1 national average — and filed 649 Medicare Part D claims in 2023.

87.7624/100
MIPS score · +5 vs avg
649
Part D claims, 2023
96%
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.

GEFEI ZHU, 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

88 Top 46% higher than 54% 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)

GEFEI ZHU, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 GEFEI ZHU, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 03/24/2016

NPI 1518329804

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

649 11% vs specialty avg

2023 prescription claims

Specialty avg: 729

MIPS final score

87.7624/100 4.662400000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Oregon

How Dermatology Physician compares to other specialties among Oregon providers

Oregon providers

Dermatology Physician share within Oregon

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

Medicare quality performance — MIPS

GEFEI ZHU, M.D.'s 2023 MIPS final score plotted against the Dermatology Physician national average

High performer (top quartile)
MIPS Final Score
87.7624/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatology Physician) — 87.7624/100 vs national avg 83.1

0%100%National avg83%87.8%
MIPS final score (Dermatology Physician) — 87.7624/100 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).

GEFEI ZHU, M.D. appears in the CMS NPPES registry as a Dermatology Physician provider holding M.D. credentials at 417 SW 117TH AVE STE 100, PORTLAND, OR, 97225, with a listed phone of (503) 216-8980. NPI 1518329804 was issued on 03/24/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ZHU 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 649 prescription claims written by this provider, covering 272 Medicare beneficiaries and totaling roughly $200K in drug spend, split 4% brand-name and 96% 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 87.7624/100 for the 2023 performance year (Quality 85.1748, Cost 74.0332), compared with the national average of 83.1.

Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 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

417 SW 117TH AVE STE 100
PORTLAND, OR 97225

Provider Details

NPI 1518329804
Specialty Dermatology Physician
Credentials M.D.
Gender Male
NPI Issued 03/24/2016

CMS Quality Score (MIPS)

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

87.7624
Final Score
Avg: 83.1
85.1748
Quality
74.0332
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GEFEI ZHU, M.D. 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.

PROVIDENCE HEALTH AND SERVICES OREGON
PORTLAND, OR

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

GEFEI ZHU, M.D. — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 649 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.

649
Total Claims
$200K
Total Drug Cost
272
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
775
Total Day Supply
19,477
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$177K
Generic Drug Cost
$24K
Antibiotic Claims
75

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.16
Gender Split
50% female / 50% male
Age Distribution
<65: 20, 65-74: 124, 75-84: 99, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

What GEFEI ZHU, M.D. 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
Ketoconazole
66
Hydrocortisone
65
Triamcinolone Acetonide
59
Fluocinonide
52
Fluorouracil
45
Clobetasol Propionate
38
Mupirocin
35
Cephalexin
31
Doxycycline Hyclate
27
Econazole Nitrate
17

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

Dermatology Physician Overview

How GEFEI ZHU, M.D. fits within the Dermatology Physician landscape nationally.

14,610
Dermatology Physician Providers in US
53
States with Dermatology Physician
729
Avg Claims per Provider

GEFEI ZHU, M.D.'s 649 claims are below the specialty average of 729.

Nearby Dermatology Physician Providers in Oregon

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

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

Frequently Asked Questions

What is GEFEI ZHU, M.D.'s specialty?
GEFEI ZHU, M.D. specializes in Dermatology Physician and practices in PORTLAND, Oregon. Credentials: M.D..
How much does GEFEI ZHU, M.D. prescribe under Medicare Part D?
In 2023, GEFEI ZHU, M.D. wrote 649 Medicare Part D claims totaling $200K in drug costs for 272 beneficiaries.
What is GEFEI ZHU, M.D.'s Medicare quality score?
GEFEI ZHU, M.D. has a CMS MIPS Final Score of 87.7624/100 (Quality: 85.1748, Cost: 74.0332). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GEFEI ZHU, M.D. located?
GEFEI ZHU, M.D. is located at 417 SW 117TH AVE STE 100, PORTLAND, OR, 97225. Phone: (503) 216-8980.
What is GEFEI ZHU, M.D.'s NPI number?
GEFEI ZHU, M.D.'s National Provider Identifier (NPI) is 1518329804, issued on 03/24/2016.
Does GEFEI ZHU, M.D. prescribe more brand-name or generic drugs?
GEFEI ZHU, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $177K in brand drug costs.
How many Dermatology Physician providers are there in the US?
There are 14,610 Dermatology Physician providers across 53 states in the US. The average Dermatology Physician provider writes 729 Medicare Part D claims per year.
What drugs does GEFEI ZHU, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GEFEI ZHU, M.D.'s most frequently prescribed drugs include Ketoconazole, Hydrocortisone, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GEFEI ZHU, M.D. accept Medicare?
GEFEI ZHU, M.D. appears in CMS Medicare data with 649 Part D claims and 272 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GEFEI ZHU, M.D.'s credentials?
GEFEI ZHU, M.D.'s NPI is 1518329804 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.
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