2026 NPPES data Procedural Dermatology Physician NPI 1912054115 D.O
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GREGORY PIRO, D.O

Procedural Dermatology Physician in HOWELL, Michigan. 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
1K
Medicare Part D claims · 582 beneficiaries · Procedural Dermatology Physician avg: 664
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$24.02
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GREGORY PIRO, D.O is a Procedural Dermatology Physician ([object Object]) practicing in HOWELL, Michigan with a Medicare Part D prescribing footprint of 1K claims across 582 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $24.02 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: GREGORY PIRO, D.O reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 1,418 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

GREGORY PIRO, D.O 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).

GREGORY PIRO, D.O at a glance

Below national average

NPI registry status

Active

Issued 01/03/2007

NPI 1912054115

Primary specialty

Procedural Dermatology Physician

Niche

679 US NPIs in this specialty

Medicare Part D claims

1,418 114% vs specialty avg

2023 prescription claims

Specialty avg: 664

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Michigan

How Procedural Dermatology Physician compares to other specialties among Michigan providers

Michigan providers

Procedural Dermatology Physician share within Michigan

1. Procedural Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Procedural Dermatology Physician share within Michigan

Medicare quality performance — MIPS

GREGORY PIRO, D.O's 2023 MIPS final score plotted against the Procedural Dermatology Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Procedural Dermatology Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Procedural Dermatology Physician) — 0/100 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).

GREGORY PIRO, D.O is a Procedural Dermatology Physician provider practicing in HOWELL, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O. NPI: 1912054115. 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.

GREGORY PIRO, D.O appears in the CMS NPPES registry as a Procedural Dermatology Physician provider holding D.O credentials at 1155 BYRON RD, HOWELL, MI, 48843, with a listed phone of (517) 545-2300. NPI 1912054115 was issued on 01/03/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PIRO 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 1,418 prescription claims written by this provider, covering 582 Medicare beneficiaries and totaling roughly $107K in drug spend, split 6% brand-name and 94% 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Procedural Dermatology Physician is a narrow specialty nationwide, with 679 enrolled providers across 48 states and an average of 664 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

1155 BYRON RD
HOWELL, MI 48843

Provider Details

NPI 1912054115
Specialty Procedural Dermatology Physician
Credentials D.O
Gender Male
NPI Issued 01/03/2007

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

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 GREGORY PIRO, D.O. Source: openpaymentsdata.cms.gov.

Total received

$24

Largest payer

REVANCE THERAPEUTICS, 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.

License & disciplinary context — Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 — they are NOT specific to GREGORY PIRO, D.O. To verify GREGORY PIRO, D.O's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

GREGORY PIRO, D.O — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 1,418 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.

1,418
Total Claims
$107K
Total Drug Cost
582
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,742
Total Day Supply
45,493
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$67K
Generic Drug Cost
$40K
Antibiotic Claims
63

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.07
Gender Split
58% female / 42% male
Age Distribution
<65: 22, 65-74: 254, 75-84: 235, 85+: 71

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Triamcinolone Acetonide
258
Ketoconazole
167
Fluocinonide
148
Mupirocin
147
Metronidazole
127
Hydrocortisone
84
Clindamycin Phosphate
71
Clobetasol Propionate
49
Tretinoin
49
Econazole Nitrate
43

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

Procedural Dermatology Physician Overview

How GREGORY PIRO, D.O fits within the Procedural Dermatology Physician landscape nationally.

679
Procedural Dermatology Physician Providers in US
48
States with Procedural Dermatology Physician
664
Avg Claims per Provider

GREGORY PIRO, D.O's 1,418 claims are above the specialty average of 664.

Nearby Procedural Dermatology Physician Providers in Michigan

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

Compare Procedural Dermatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GREGORY PIRO, D.O's specialty?
GREGORY PIRO, D.O specializes in Procedural Dermatology Physician and practices in HOWELL, Michigan. Credentials: D.O.
How much does GREGORY PIRO, D.O prescribe under Medicare Part D?
In 2023, GREGORY PIRO, D.O wrote 1,418 Medicare Part D claims totaling $107K in drug costs for 582 beneficiaries.
What is GREGORY PIRO, D.O's Medicare quality score?
GREGORY PIRO, D.O has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GREGORY PIRO, D.O located?
GREGORY PIRO, D.O is located at 1155 BYRON RD, HOWELL, MI, 48843. Phone: (517) 545-2300.
What is GREGORY PIRO, D.O's NPI number?
GREGORY PIRO, D.O's National Provider Identifier (NPI) is 1912054115, issued on 01/03/2007.
Does GREGORY PIRO, D.O prescribe more brand-name or generic drugs?
GREGORY PIRO, D.O's prescribing is 6% brand-name and 94% generic drugs by claim count, with $67K in brand drug costs.
How many Procedural Dermatology Physician providers are there in the US?
There are 679 Procedural Dermatology Physician providers across 48 states in the US. The average Procedural Dermatology Physician provider writes 664 Medicare Part D claims per year.
What drugs does GREGORY PIRO, D.O prescribe most often?
Based on 2023 Medicare Part D data, GREGORY PIRO, D.O's most frequently prescribed drugs include Triamcinolone Acetonide, Ketoconazole, Fluocinonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GREGORY PIRO, D.O accept Medicare?
GREGORY PIRO, D.O appears in CMS Medicare data with 1,418 Part D claims and 582 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GREGORY PIRO, D.O's credentials?
GREGORY PIRO, D.O's NPI is 1912054115 with credentials D.O. 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