2026 NPPES data Internal Medicine Physician NPI 1194784009 MD
Verify on CMS →

Gerald Martin, MD

Internal Medicine Physician in Brevard, North Carolina.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal 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
11K
Medicare Part D claims · 399 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
34.7/100
▼ 48 pts below national avg 83.1 · Below average

What the federal data shows

Gerald Martin, MD reported a CMS MIPS final score of 34.7/100 - below the 83.1 national average - and filed 11,243 Medicare Part D claims in 2023.

34.7/100
MIPS score · -48 vs avg
11K
Part D claims, 2023
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.

Gerald Martin, MD's MIPS score vs every scored U.S. clinician

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

35 3rd percentile higher than 3% 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%). This entry sits in this band. 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+: 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

Where Gerald Martin, MD sits

This provider among internal medicine physician peers

Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Gerald Martin, MD writes more Part D claims than 94% of them and scores higher on MIPS quality than 4% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentile
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Gerald Martin, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Gerald Martin, 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 Martin, MD?

Below national average

NPI registry status

Active

Issued 03/20/2006

NPI 1194784009

Primary specialty

Internal Medicine Physician

High-volume

172,737 US NPIs in this specialty

Medicare Part D claims

11,243 314% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

34.7/100 48.4 pts vs avg

Below average band

vs 83.1 national avg

Specialty distribution in North Carolina

How Internal Medicine Physician compares to other specialties among North Carolina providers

North Carolina providers
Clinical Social Worker7.1%Behavior Technician6.4%Pharmacist5%Student in an Organized Heal…4.5%Physical Therapist4.3%Physician Assistant4.2%Internal Medicine Physician2.5%
Largest specialties in North Carolina (% of in-state providers)

Medicare quality performance, MIPS

Gerald Martin, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
34.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) - 34.7/100 vs national avg 83.1

0%100%National avg83%34.7%
MIPS final score (Internal Medicine Physician) - 34.7/100 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).

Gerald Martin, MD appears in the CMS NPPES registry as an Internal Medicine Physician provider holding MD credentials at 317 CHESTNUT ST, Brevard, NC, 28712, with a listed phone of (828) 862-3360. NPI 1194784009 was issued on 03/20/2006.

Medicare Part D records for calendar year 2023 show 11,243 prescription claims written by this provider, covering 399 Medicare beneficiaries and totaling roughly $671K in drug spend, split 10% brand-name and 89% generic by claim count, with an opioid prescribing rate of 6.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 34.7/100 for the 2023 performance year (Quality 26.7, Cost 53.3), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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

317 CHESTNUT ST
Brevard, NC 28712

Provider Details

NPI 1194784009
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 03/20/2006

CMS Quality Score (MIPS)

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

34.6595
Final Score
Avg: 83.1
26.6667
Quality
53.3095
Cost

Reporting: Individual

Brand vs generic prescribing mix · Typical

Gerald Martin, MD - brand share 10.0%
Internal Medicine Physician average

10% brand-name claims vs 89% generic, on 11,243 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.

11,243
Total Claims
$671K
Total Drug Cost
399
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
20,770
Total Day Supply
595,074
Brand vs Generic
10% brand / 89% generic
Brand Drug Cost
$458K
Generic Drug Cost
$210K
Opioid Claims
765 (6.8% rate)
Antibiotic Claims
499

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
1.03
Gender Split
58% female / 42% male
Age Distribution
<65: 53, 65-74: 150, 75-84: 148, 85+: 48

Top Prescribed Drugs (Medicare Part D)

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

What Gerald Martin, MD 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
Levothyroxine Sodium
506
Atorvastatin Calcium
427
Gabapentin
363
Omeprazole
354
Metoprolol Succinate
350
Alprazolam
286
Amlodipine Besylate
273
Simvastatin
254
Oxycodone Hcl
233
Prednisone
219

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

Internal Medicine Physician Overview

How Gerald Martin, MD fits within the Internal Medicine Physician landscape nationally.

172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Gerald Martin, MD's 11,243 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Martin.

Compare Internal 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 North Carolina medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal 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.

Frequently Asked Questions

What is Gerald Martin, MD's specialty?
Gerald Martin, MD specializes in Internal Medicine Physician and practices in Brevard, North Carolina. Credentials: MD.
How much does Gerald Martin, MD prescribe under Medicare Part D?
In 2023, Gerald Martin, MD wrote 11,243 Medicare Part D claims totaling $671K in drug costs for 399 beneficiaries.
What is Gerald Martin, MD's Medicare quality score?
Gerald Martin, MD has a CMS MIPS Final Score of 34.7/100 (Quality: 26.7, Cost: 53.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Gerald Martin, MD located?
Gerald Martin, MD is located at 317 CHESTNUT ST, Brevard, NC, 28712. Phone: (828) 862-3360.
What is Gerald Martin, MD's NPI number?
Gerald Martin, MD's National Provider Identifier (NPI) is 1194784009, issued on 03/20/2006.
Does Gerald Martin, MD prescribe more brand-name or generic drugs?
Gerald Martin, MD's prescribing is 10% brand-name and 89% generic drugs by claim count, with $458K in brand drug costs.
Does Gerald Martin, MD prescribe opioids?
Yes, Gerald Martin, MD had 765 opioid claims in 2023 with an opioid prescribing rate of 6.8%.
How many Internal Medicine Physician providers are there in the US?
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Gerald Martin, MD prescribe most often?
Based on 2023 Medicare Part D data, Gerald Martin, MD's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gerald Martin, MD accept Medicare?
Gerald Martin, MD appears in CMS Medicare data with 11,243 Part D claims and 399 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gerald Martin, MD's credentials?
Gerald Martin, MD's NPI is 1194784009 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 (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 editorial process.

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 May 2026.