NPI registry status
Active
2026 NPPES data Pediatric Neurodevelopmental Disabilities Physician NPI 1386686467 M.D.
Verify on CMS → Gerald Raymond, M.D.
Pediatric Neurodevelopmental Disabilities Physician in Baltimore, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 286 in Pediatric Neurodevelopmental Disabilities 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
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
74.4/100
▼ 9 pts below national avg 83.1 · Mid-tier
Industry payments
$95.15
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Gerald Raymond, M.D. reported a CMS MIPS final score of 74.4/100 - below the 83.1 national average - and filed 49 Medicare Part D claims in 2023.
- 74.4/100
- 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
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 Raymond, M.D. sits
This provider among pediatric neurodevelopmental disabilities physician peers
Across the 17 pediatric neurodevelopmental disabilities physician providers who report both Medicare Part D prescribing and a MIPS quality score, Gerald Raymond, M.D. writes more Part D claims than 41% of them and scores higher on MIPS quality than 24% - placing this provider in the lower-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
Each dot is one pediatric neurodevelopmental disabilities physician peer from a representative sample of 16; the gold marker is Gerald Raymond, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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).
What does the federal data show about Gerald Raymond, M.D.?
Below national averagePrimary specialty
Pediatric Neurodevelopmental Disabilities Physician
Medicare Part D claims
49 87% vs specialty avg
MIPS final score
74.4/100 8.7 pts vs avg
Specialty distribution in Maryland
How Pediatric Neurodevelopmental Disabilities Physician compares to other specialties among Maryland providers
Medicare quality performance, MIPS
Gerald Raymond, M.D.'s 2023 MIPS final score plotted against the Pediatric Neurodevelopmental Disabilities Physician national average
- MIPS Final Score
- 74.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Neurodevelopmental Disabilities Physician) - 74.4/100 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 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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 74.4/100 for the 2023 performance year (Quality 64.7, Cost 52.4), compared with the national average of 83.1.
Pediatric Neurodevelopmental Disabilities Physician is a narrow specialty nationwide, with 286 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
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%
Pediatric Neurodevelopmental Disabilities Physician average
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.
More Pediatric Neurodevelopmental Disabilities Physician in MD →
All providers in Maryland →
Compare specialties →
Pediatric Neurodevelopmental Disabilities Physician Overview
How Gerald Raymond, M.D. fits within the Pediatric Neurodevelopmental Disabilities Physician landscape nationally.
286
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.
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 Maryland medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Neurodevelopmental Disabilities 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.
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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 74.4/100 (Quality: 64.7, Cost: 52.4). 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 286 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
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 PlainDoctor editorial team.
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.