NPI registry status
Active
2026 NPPES data Cardiovascular Disease Physician NPI 1922081900 MD
Verify on CMS → Gerald Koppes, MD
Cardiovascular Disease Physician in San Antonio, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,298 in Cardiovascular Disease 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
7K
Medicare Part D claims · 716 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
62.4/100
▼ 21 pts below national avg 83.5 · Mid-tier
Industry payments
$215.08
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Gerald Koppes, MD reported a CMS MIPS final score of 62.4/100 - below the 83.5 national average - and filed 6,507 Medicare Part D claims in 2024.
- 62.4/100
- MIPS score · -21 vs avg
- 7K
- Part D claims, 2024
- 89%
- 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.
Federal trust snapshot
What official records show about Gerald Koppes, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1922081900), first enumerated 11/23/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 6,507 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 62.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Industry payment transparency
$215.08 in reported industry payments (3 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Gerald Koppes, MD's individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1922081900 · Cardiovascular Disease Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1922081900
- ENUM-LEGACY 2005
- TAX-MID 25K Cardiovascular Disease
- MIPS-LOW 62.4/100
- RX-MID 6,507
- BOOK-LIGHT 1,578 in Texas
- PHOTO-FINISH Hani Douedi · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Kathleen Ward · …
Kathleen Ward
62.2 MIPS pts
- Koppes · this pr…
Koppes · this provider
62.4 MIPS pts
- Hani Douedi · near
Hani Douedi
62.4 MIPS pts
- Thomas Rizzo · n…
Thomas Rizzo
62.4 MIPS pts
- Jay Penafiel · h…
Jay Penafiel
62.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Gerald Koppes, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
62 ≥ 6th percentile 6% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Gerald Koppes, MD sits
This provider among cardiovascular disease physician peers
Across the 7,999 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Gerald Koppes, MD writes more Part D claims than 85% of them and scores higher on MIPS quality than 7% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is Gerald Koppes, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Gerald Koppes, MD 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 Gerald Koppes, MD?
Below national averagePrimary specialty
Cardiovascular Disease Physician
Medicare Part D claims
6,507 107% vs specialty avg
MIPS final score
62.4/100 21.1 pts vs avg
Specialty distribution in Texas
How Cardiovascular Disease Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Gerald Koppes, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average
- MIPS Final Score
- 62.4/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1922081900 |
|---|---|
| Specialty | Cardiovascular Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 11/23/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
62.3928
Final Score
Measured-score avg: 83.5
30
Quality
67.9761
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 Gerald Koppes, MD. Source: openpaymentsdata.cms.gov.
Total received
$215
Largest payer
Veryan Medical Incorporated
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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Gerald Koppes, MD. To verify Gerald Koppes, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Gerald Koppes, MD - brand share 11.0%
Cardiovascular Disease Physician average
11% brand-name claims vs 89% generic, on 6,507 2024 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 2024.
6,507
Total Claims
$817K
Total Drug Cost
716
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 17,169.233
- Total Day Supply
- 513,179
- Brand vs Generic
- 11% brand / 89% generic
- Brand Drug Cost
- $713K
- Generic Drug Cost
- $104K
- Antibiotic Claims
- 16
Patient Demographics
- Average Patient Age
- 77.3 years
- Avg HCC Risk Score
- 1.31
- Gender Split
- 37% female / 63% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Gerald Koppes, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
858 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
623 claims
- Metoprolol Succinate
Metoprolol Succinate
413 claims
- Losartan Potassium
Losartan Potassium
349 claims
- Spironolactone 314
Spironolactone
314 claims
- Ezetimibe 278
Ezetimibe
278 claims
- Amlodipine Besylate 230
Amlodipine Besylate
230 claims
- Flecainide Acetate 191
Flecainide Acetate
191 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 858 |
| Rosuvastatin Calcium | 623 |
| Metoprolol Succinate | 413 |
| Losartan Potassium | 349 |
| Spironolactone | 314 |
| Ezetimibe | 278 |
| Amlodipine Besylate | 230 |
| Flecainide Acetate | 191 |
| Clopidogrel Clopidogrel Bisulfate | 160 |
| Lisinopril | 154 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Cardiovascular Disease Physician Overview
How Gerald Koppes, MD fits within the Cardiovascular Disease Physician landscape nationally.
25,298
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,149
Avg Claims per Provider
Gerald Koppes, MD's 6,507 claims are above the specialty average of 3,149.
Nationwide Cardiovascular Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Koppes, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (62.4 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Cardiovascular Disease Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Koppes.
One of 1,578 Cardiovascular Disease Physician providers enrolled in Texas, 5 are shown here.
Dr. Aamir Abbas
M.D.
Houston, TX
Dr. Ismaile Abdalla
M.D.
Amarillo, TX
Dr. Yasir Abdul Ghaffar
M.D.
San Antonio, TX
Dr. Amer Abdulla
MD
Galveston, TX
Dr. Arif Abdullah
M.D.
Conroe, TX
Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Gerald Koppes, MD's specialty? ▼
Gerald Koppes, MD specializes in Cardiovascular Disease Physician and practices in San Antonio, Texas. Credentials: MD.
How much does Gerald Koppes, MD prescribe under Medicare Part D? ▼
In 2024, Gerald Koppes, MD wrote 6,507 Medicare Part D claims totaling $817K in drug costs for 716 beneficiaries.
What is Gerald Koppes, MD's Medicare quality score? ▼
Gerald Koppes, MD has a CMS MIPS Final Score of 62.4/100 (Quality: 30, Cost: 68). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Gerald Koppes, MD located? ▼
Gerald Koppes, MD is located at 525 OAK CENTRE DR STE 270, San Antonio, TX, 78258. Phone: (210) 270-2992.
What is Gerald Koppes, MD's NPI number? ▼
Gerald Koppes, MD's National Provider Identifier (NPI) is 1922081900, issued on 11/23/2005.
Does Gerald Koppes, MD prescribe more brand-name or generic drugs? ▼
Gerald Koppes, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $713K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US? ▼
There are 25,298 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,149 Medicare Part D claims per year.
What drugs does Gerald Koppes, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Gerald Koppes, MD's most frequently prescribed drugs include Atorvastatin Calcium, Rosuvastatin Calcium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gerald Koppes, MD accept Medicare? ▼
Gerald Koppes, MD appears in CMS Medicare data with 6,507 Part D claims and 716 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gerald Koppes, MD's credentials? ▼
Gerald Koppes, MD's NPI is 1922081900 with credentials MD. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.