2026 NPPES data Surgery Physician NPI 1184696593 MD
Verify on CMS →

GERHARDT WINKEL, MD

Surgery Physician in MONROE, North Carolina. 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
587
Medicare Part D claims · 232 beneficiaries · Surgery Physician avg: 169
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.3578/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$101.17
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GERHARDT WINKEL, MD reported a CMS MIPS final score of 95.3578/100 — above the 83.1 national average — and filed 587 Medicare Part D claims in 2023.

95.3578/100
MIPS score · +12 vs avg
587
Part D claims, 2023
88%
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.

GERHARDT WINKEL, MD's MIPS score vs every scored U.S. clinician

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

95 Top 21% higher than 79% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

GERHARDT WINKEL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 GERHARDT WINKEL, MD?

High performer (top quartile)

NPI registry status

Active

Issued 02/02/2006

NPI 1184696593

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

587 247% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

95.3578/100 12.257800000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Surgery Physician compares to other specialties among North Carolina providers

North Carolina providers

Surgery Physician share within North Carolina

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within North Carolina

Medicare quality performance — MIPS

GERHARDT WINKEL, MD's 2023 MIPS final score plotted against the Surgery Physician national average

High performer (top quartile)
MIPS Final Score
95.3578/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 95.3578/100 vs national avg 83.1

0%100%National avg83%95.4%
MIPS final score (Surgery Physician) — 95.3578/100 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).

GERHARDT WINKEL, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 1423 E FRANKLIN ST, MONROE, NC, 28112, with a listed phone of (704) 290-5020. NPI 1184696593 was issued on 02/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WINKEL 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 587 prescription claims written by this provider, covering 232 Medicare beneficiaries and totaling roughly $195K in drug spend, split 12% brand-name and 88% 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 95.3578/100 for the 2023 performance year (Quality 84.2235), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

1423 E FRANKLIN ST
MONROE, NC 28112

Provider Details

NPI 1184696593
Specialty Surgery Physician
Credentials MD
Gender Male
NPI Issued 02/02/2006

CMS Quality Score (MIPS)

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

95.3578
Final Score
Avg: 83.1
84.2235
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where GERHARDT WINKEL, MD 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.

CAROLINAS PHYSICIANS NETWORK INC
MONROE, NC

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 GERHARDT WINKEL, MD. Source: openpaymentsdata.cms.gov.

Total received

$101

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 · Typical

GERHARDT WINKEL, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 587 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.

587
Total Claims
$195K
Total Drug Cost
232
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
603
Total Day Supply
11,767
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$48K
Generic Drug Cost
$147K
Antibiotic Claims
490

Patient Demographics

Average Patient Age
68.4 years
Avg HCC Risk Score
3.04
Gender Split
46% female / 54% male
Age Distribution
<65: 74, 65-74: 89, 75-84: 51, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What GERHARDT WINKEL, 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
Doxycycline Monohydrate
121
Clindamycin Hcl
98
Ciprofloxacin Hcl
51
Streptomycin Sulfate
48
Flucytosine
33
Linezolid
31
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
31
Vancomycin Hcl
26
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
24
Doxycycline Hyclate
16

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

Surgery Physician Overview

How GERHARDT WINKEL, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

GERHARDT WINKEL, MD's 587 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in North Carolina

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

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GERHARDT WINKEL, MD's specialty?
GERHARDT WINKEL, MD specializes in Surgery Physician and practices in MONROE, North Carolina. Credentials: MD.
How much does GERHARDT WINKEL, MD prescribe under Medicare Part D?
In 2023, GERHARDT WINKEL, MD wrote 587 Medicare Part D claims totaling $195K in drug costs for 232 beneficiaries.
What is GERHARDT WINKEL, MD's Medicare quality score?
GERHARDT WINKEL, MD has a CMS MIPS Final Score of 95.3578/100 (Quality: 84.2235). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GERHARDT WINKEL, MD located?
GERHARDT WINKEL, MD is located at 1423 E FRANKLIN ST, MONROE, NC, 28112. Phone: (704) 290-5020.
What is GERHARDT WINKEL, MD's NPI number?
GERHARDT WINKEL, MD's National Provider Identifier (NPI) is 1184696593, issued on 02/02/2006.
Does GERHARDT WINKEL, MD prescribe more brand-name or generic drugs?
GERHARDT WINKEL, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $48K in brand drug costs.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does GERHARDT WINKEL, MD prescribe most often?
Based on 2023 Medicare Part D data, GERHARDT WINKEL, MD's most frequently prescribed drugs include Doxycycline Monohydrate, Clindamycin Hcl, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GERHARDT WINKEL, MD accept Medicare?
GERHARDT WINKEL, MD appears in CMS Medicare data with 587 Part D claims and 232 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GERHARDT WINKEL, MD's credentials?
GERHARDT WINKEL, MD's NPI is 1184696593 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

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