2026 NPPES data Podiatrist NPI 1144668666 DPM
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GEMMA ENGLISH, DPM

Podiatrist in BRASELTON, 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
196
Medicare Part D claims · 115 beneficiaries · Podiatrist avg: 304
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$831.27
18 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GEMMA ENGLISH, DPM reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 196 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
196
Part D claims, 2023
92%
generic prescribing
$831.27
industry payments (Sunshine Act)

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.

GEMMA ENGLISH, DPM's MIPS score vs every scored U.S. clinician

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

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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

What does the federal data show about GEMMA ENGLISH, DPM?

Below national average

NPI registry status

Active

Issued 06/06/2013

NPI 1144668666

Primary specialty

Podiatrist

Mid-sized

10,498 US NPIs in this specialty

Medicare Part D claims

196 36% vs specialty avg

2023 prescription claims

Specialty avg: 304

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Georgia

How Podiatrist compares to other specialties among Georgia providers

Georgia providers

Podiatrist share within Georgia

1. Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Podiatrist share within Georgia

Medicare quality performance — MIPS

GEMMA ENGLISH, DPM's 2023 MIPS final score plotted against the Podiatrist national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Podiatrist) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Podiatrist) — 0/100 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).

GEMMA ENGLISH, DPM appears in the CMS NPPES registry as a Podiatrist provider holding DPM credentials at 1515 RIVER PL STE 370, BRASELTON, GA, 30517, with a listed phone of (770) 648-5040. NPI 1144668666 was issued on 06/06/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ENGLISH 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 196 prescription claims written by this provider, covering 115 Medicare beneficiaries and totaling roughly $27K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 12.2%. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Podiatrist is a mid-sized specialty nationwide, with 10,498 enrolled providers across 54 states and an average of 304 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

1515 RIVER PL STE 370
BRASELTON, GA 30517

Provider Details

NPI 1144668666
Specialty Podiatrist
Credentials DPM
Gender Female
NPI Issued 06/06/2013

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where GEMMA ENGLISH, DPM 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.

COURTNEY GLENN, DPM LLC
BRASELTON, GA
GEORGIALINA PHYSICAL THERAPY ASSOCIATES LLC
AUGUSTA, GA

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

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 GEMMA ENGLISH, DPM. Source: openpaymentsdata.cms.gov.

Total received

$831

Largest payer

Smith+Nephew, 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.

Brand vs generic prescribing mix · Generic-heavy

GEMMA ENGLISH, DPM — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 196 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.

196
Total Claims
$27K
Total Drug Cost
115
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
217
Total Day Supply
4,207
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$17K
Generic Drug Cost
$10K
Opioid Claims
24 (12.2% rate)
Antibiotic Claims
58

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.75
Gender Split
55% female / 45% male

Top Prescribed Drugs (Medicare Part D)

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

What GEMMA ENGLISH, DPM 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
Gabapentin
47
Cephalexin
24
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
22

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

Podiatrist Overview

How GEMMA ENGLISH, DPM fits within the Podiatrist landscape nationally.

10,498
Podiatrist Providers in US
54
States with Podiatrist
304
Avg Claims per Provider

GEMMA ENGLISH, DPM's 196 claims are below the specialty average of 304.

Nearby Podiatrist Providers in Georgia

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

Compare Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is GEMMA ENGLISH, DPM's specialty?
GEMMA ENGLISH, DPM specializes in Podiatrist and practices in BRASELTON, Georgia. Credentials: DPM.
How much does GEMMA ENGLISH, DPM prescribe under Medicare Part D?
In 2023, GEMMA ENGLISH, DPM wrote 196 Medicare Part D claims totaling $27K in drug costs for 115 beneficiaries.
What is GEMMA ENGLISH, DPM's Medicare quality score?
GEMMA ENGLISH, DPM has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GEMMA ENGLISH, DPM located?
GEMMA ENGLISH, DPM is located at 1515 RIVER PL STE 370, BRASELTON, GA, 30517. Phone: (770) 648-5040.
What is GEMMA ENGLISH, DPM's NPI number?
GEMMA ENGLISH, DPM's National Provider Identifier (NPI) is 1144668666, issued on 06/06/2013.
Does GEMMA ENGLISH, DPM prescribe more brand-name or generic drugs?
GEMMA ENGLISH, DPM's prescribing is 8% brand-name and 92% generic drugs by claim count, with $17K in brand drug costs.
Does GEMMA ENGLISH, DPM prescribe opioids?
Yes, GEMMA ENGLISH, DPM had 24 opioid claims in 2023 with an opioid prescribing rate of 12.2%.
How many Podiatrist providers are there in the US?
There are 10,498 Podiatrist providers across 54 states in the US. The average Podiatrist provider writes 304 Medicare Part D claims per year.
What drugs does GEMMA ENGLISH, DPM prescribe most often?
Based on 2023 Medicare Part D data, GEMMA ENGLISH, DPM's most frequently prescribed drugs include Gabapentin, Cephalexin, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GEMMA ENGLISH, DPM accept Medicare?
GEMMA ENGLISH, DPM appears in CMS Medicare data with 196 Part D claims and 115 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GEMMA ENGLISH, DPM's credentials?
GEMMA ENGLISH, DPM's NPI is 1144668666 with credentials DPM. 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