2026 NPPES data Neurology Physician NPI 1053387316 M.D.
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GIGI GIRGIS, M.D.

Neurology Physician in WALTHAM, Massachusetts. 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
4K
Medicare Part D claims · 483 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$168.65
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GIGI GIRGIS, M.D. is a Neurology Physician ([object Object]) practicing in WALTHAM, Massachusetts with a Medicare Part D prescribing footprint of 4K claims across 483 beneficiaries — 6% brand-name prescribing . Industry payments of $168.65 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: GIGI GIRGIS, M.D. filed 4,168 Medicare Part D claims in 2023 across WALTHAM, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

GIGI GIRGIS, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 02/27/2006

NPI 1053387316

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

4,168 218% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

Specialty distribution in Massachusetts

How Neurology Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Neurology Physician share within Massachusetts

1. Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Neurology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Neurology Physician ABMS/AOA estimate

Est. board-certified rate (Neurology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Neurology Physician) — ABMS / AOA estimate

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).

GIGI GIRGIS, M.D. is a Neurology Physician provider practicing in WALTHAM, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1053387316. 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.

GIGI GIRGIS, M.D. appears in the CMS NPPES registry as a Neurology Physician provider holding M.D. credentials at 20 HOPE AVE, WALTHAM, MA, 02453, with a listed phone of (781) 647-3550. NPI 1053387316 was issued on 02/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GIRGIS 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 4,168 prescription claims written by this provider, covering 483 Medicare beneficiaries and totaling roughly $644K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 0.6%. 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.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

20 HOPE AVE
WALTHAM, MA 02453

Provider Details

NPI 1053387316
Specialty Neurology Physician
Credentials M.D.
Gender Female
NPI Issued 02/27/2006

Hospital and facility affiliations

Facilities where GIGI GIRGIS, 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.

PHYSIOTHERAPY ASSOCIATES INC
SOUTH DENNIS, MA
SELECT REHABILITATION, LLC
GLENVIEW, IL

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 GIGI GIRGIS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$169

Largest payer

Amneal Pharmaceuticals LLC

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to GIGI GIRGIS, M.D.. To verify GIGI GIRGIS, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

GIGI GIRGIS, M.D. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 4,168 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.

4,168
Total Claims
$644K
Total Drug Cost
483
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,147
Total Day Supply
209,318
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$429K
Generic Drug Cost
$214K
Opioid Claims
23 (0.6% rate)

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.30
Gender Split
63% female / 37% male
Age Distribution
<65: 51, 65-74: 157, 75-84: 206, 85+: 69

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Memantine Hcl
352
Gabapentin
294
Escitalopram Oxalate
234
Donepezil Hcl
177
Clonazepam
160
Levetiracetam
156
Duloxetine Hcl
132
Lamotrigine
121
Carbidopa-Levodopa
Carbidopa/Levodopa
100
Trazodone Hcl
96

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

Neurology Physician Overview

How GIGI GIRGIS, M.D. fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

GIGI GIRGIS, M.D.'s 4,168 claims are above the specialty average of 1,309.

Nearby Neurology Physician Providers in Massachusetts

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

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

Frequently Asked Questions

What is GIGI GIRGIS, M.D.'s specialty?
GIGI GIRGIS, M.D. specializes in Neurology Physician and practices in WALTHAM, Massachusetts. Credentials: M.D..
How much does GIGI GIRGIS, M.D. prescribe under Medicare Part D?
In 2023, GIGI GIRGIS, M.D. wrote 4,168 Medicare Part D claims totaling $644K in drug costs for 483 beneficiaries.
Where is GIGI GIRGIS, M.D. located?
GIGI GIRGIS, M.D. is located at 20 HOPE AVE, WALTHAM, MA, 02453. Phone: (781) 647-3550.
What is GIGI GIRGIS, M.D.'s NPI number?
GIGI GIRGIS, M.D.'s National Provider Identifier (NPI) is 1053387316, issued on 02/27/2006.
Does GIGI GIRGIS, M.D. prescribe more brand-name or generic drugs?
GIGI GIRGIS, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $429K in brand drug costs.
Does GIGI GIRGIS, M.D. prescribe opioids?
Yes, GIGI GIRGIS, M.D. had 23 opioid claims in 2023 with an opioid prescribing rate of 0.6%.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does GIGI GIRGIS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GIGI GIRGIS, M.D.'s most frequently prescribed drugs include Memantine Hcl, Gabapentin, Escitalopram Oxalate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GIGI GIRGIS, M.D. accept Medicare?
GIGI GIRGIS, M.D. appears in CMS Medicare data with 4,168 Part D claims and 483 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GIGI GIRGIS, M.D.'s credentials?
GIGI GIRGIS, M.D.'s NPI is 1053387316 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.
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