2026 NPPES data Pediatric Neurodevelopmental Disabilities Physician NPI 1386686467 M.D.
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GERALD RAYMOND, M.D.

Pediatric Neurodevelopmental Disabilities Physician in BALTIMORE, Maryland. 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
49
Medicare Part D claims · Pediatric Neurodevelopmental Disabilities Physician avg: 386
Generic prescribing
22%
generic claims · 78% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.3962/100
▼ 9 pts below national avg 83.1 · [object Object]
Industry payments
$95.15
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GERALD RAYMOND, M.D. is a Pediatric Neurodevelopmental Disabilities Physician ([object Object]) practicing in BALTIMORE, Maryland with a Medicare Part D prescribing footprint of 49 claims — 78% brand-name prescribing . Their CMS MIPS Final Score of 74.3962/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $95.15 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

GERALD RAYMOND, M.D. reported a CMS MIPS final score of 74.3962/100 — below the 83.1 national average — and filed 49 Medicare Part D claims in 2023.

74.3962/100
MIPS score · -9 vs avg
49
Part D claims, 2023
22%
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 RAYMOND, 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

74 12th percentile higher than 12% 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%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

GERALD RAYMOND, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

GERALD RAYMOND, M.D. at a glance

Below national average

NPI registry status

Active

Issued 06/12/2006

NPI 1386686467

Primary specialty

Pediatric Neurodevelopmental Disabilities Physician

Rare

285 US NPIs in this specialty

Medicare Part D claims

49 87% vs specialty avg

2023 prescription claims

Specialty avg: 386

MIPS final score

74.3962/100 8.703800000000001% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Maryland

How Pediatric Neurodevelopmental Disabilities Physician compares to other specialties among Maryland providers

Maryland providers

Pediatric Neurodevelopmental Disabilities Physician share within Maryland

1. Pediatric Neurodevelopmental Disabilities Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Neurodevelopmental Disabilities Physician share within Maryland

Medicare quality performance — MIPS

GERALD RAYMOND, M.D.'s 2023 MIPS final score plotted against the Pediatric Neurodevelopmental Disabilities Physician national average

Below national average
MIPS Final Score
74.3962/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Neurodevelopmental Disabilities Physician) — 74.3962/100 vs national avg 83.1

0%100%National avg83%74.4%
MIPS final score (Pediatric Neurodevelopmental Disabilities Physician) — 74.3962/100 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).

GERALD RAYMOND, M.D. is a Pediatric Neurodevelopmental Disabilities Physician provider practicing in BALTIMORE, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1386686467. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

GERALD RAYMOND, M.D. appears in the CMS NPPES registry as a Pediatric Neurodevelopmental Disabilities Physician provider holding M.D. credentials at 600 N WOLFE ST, BALTIMORE, MD, 21287, with a listed phone of (410) 955-3071. NPI 1386686467 was issued on 06/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAYMOND 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 49 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1.6 million in drug spend, split 78% brand-name and 22% 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 74.3962/100 for the 2023 performance year (Quality 64.7185, Cost 52.4354), compared with the national average of 83.1.

Pediatric Neurodevelopmental Disabilities Physician is a narrow specialty nationwide, with 285 enrolled providers across 41 states and an average of 386 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

600 N WOLFE ST
BALTIMORE, MD 21287

Provider Details

NPI 1386686467
Specialty Pediatric Neurodevelopmental Disabilities Physician
Credentials M.D.
Gender Male
NPI Issued 06/12/2006

CMS Quality Score (MIPS)

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

74.3962
Final Score
Avg: 83.1
64.7185
Quality
52.4354
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GERALD RAYMOND, 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.

JOHNS HOPKINS UNIVERSITY
BALTIMORE, MD
KENNEDY KRIEGER ASSOCIATES
BALTIMORE, MD

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 GERALD RAYMOND, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$95

Largest payer

GENZYME CORPORATION

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 · Brand-heavy

GERALD RAYMOND, M.D. — brand share 78.0%
Specialty average (est.)

78% brand-name claims vs 22% generic, on 49 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.

49
Total Claims
$1.6M
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
51
Total Day Supply
1,505
Brand vs Generic
78% brand / 22% generic
Brand Drug Cost
$1.5M
Generic Drug Cost
$41K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
45.1 years
Avg HCC Risk Score
1.36

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Xifaxan
Rifaximin
13

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

Pediatric Neurodevelopmental Disabilities Physician Overview

How GERALD RAYMOND, M.D. fits within the Pediatric Neurodevelopmental Disabilities Physician landscape nationally.

285
Pediatric Neurodevelopmental Disabilities Physician Providers in US
41
States with Pediatric Neurodevelopmental Disabilities Physician
386
Avg Claims per Provider

GERALD RAYMOND, M.D.'s 49 claims are below the specialty average of 386.

Nearby Pediatric Neurodevelopmental Disabilities Physician Providers in Maryland

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

Compare Pediatric Neurodevelopmental Disabilities Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GERALD RAYMOND, M.D.'s specialty?
GERALD RAYMOND, M.D. specializes in Pediatric Neurodevelopmental Disabilities Physician and practices in BALTIMORE, Maryland. Credentials: M.D..
How much does GERALD RAYMOND, M.D. prescribe under Medicare Part D?
In 2023, GERALD RAYMOND, M.D. wrote 49 Medicare Part D claims totaling $1.6M in drug costs for N/A beneficiaries.
What is GERALD RAYMOND, M.D.'s Medicare quality score?
GERALD RAYMOND, M.D. has a CMS MIPS Final Score of 74.3962/100 (Quality: 64.7185, Cost: 52.4354). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GERALD RAYMOND, M.D. located?
GERALD RAYMOND, M.D. is located at 600 N WOLFE ST, BALTIMORE, MD, 21287. Phone: (410) 955-3071.
What is GERALD RAYMOND, M.D.'s NPI number?
GERALD RAYMOND, M.D.'s National Provider Identifier (NPI) is 1386686467, issued on 06/12/2006.
Does GERALD RAYMOND, M.D. prescribe more brand-name or generic drugs?
GERALD RAYMOND, M.D.'s prescribing is 78% brand-name and 22% generic drugs by claim count, with $1.5M in brand drug costs.
How many Pediatric Neurodevelopmental Disabilities Physician providers are there in the US?
There are 285 Pediatric Neurodevelopmental Disabilities Physician providers across 41 states in the US. The average Pediatric Neurodevelopmental Disabilities Physician provider writes 386 Medicare Part D claims per year.
What drugs does GERALD RAYMOND, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GERALD RAYMOND, M.D.'s most frequently prescribed drugs include Xifaxan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GERALD RAYMOND, M.D. accept Medicare?
GERALD RAYMOND, M.D. appears in CMS Medicare data with 49 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GERALD RAYMOND, M.D.'s credentials?
GERALD RAYMOND, M.D.'s NPI is 1386686467 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