2026 NPPES data Surgery Physician NPI 1134501679 M.D.
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GUSTAVO HUERTA, M.D.

Surgery Physician in LEXINGTON, Kentucky. 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
170
Medicare Part D claims · 90 beneficiaries · Surgery Physician avg: 169
MIPS score
94.2169/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$201.59
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GUSTAVO HUERTA, M.D. is a Surgery Physician ([object Object]) practicing in LEXINGTON, Kentucky with a Medicare Part D prescribing footprint of 170 claims across 90 beneficiaries . Their CMS MIPS Final Score of 94.2169/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $201.59 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: GUSTAVO HUERTA, M.D. reported a CMS MIPS final score of 94.2169 out of 100, above the 83.1 national average, and filed 170 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)

GUSTAVO HUERTA, 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).

GUSTAVO HUERTA, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/21/2015

NPI 1134501679

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

170 1% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

94.2169/100 11.116900000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Surgery Physician compares to other specialties among Kentucky providers

Kentucky providers

Surgery Physician share within Kentucky

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

Medicare quality performance — MIPS

GUSTAVO HUERTA, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

High performer (top quartile)
MIPS Final Score
94.2169/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 94.2169/100 vs national avg 83.1

0%100%National avg83%94.2%
MIPS final score (Surgery Physician) — 94.2169/100 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).

GUSTAVO HUERTA, M.D. is a Surgery Physician provider practicing in LEXINGTON, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1134501679. 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.

GUSTAVO HUERTA, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 1760 NICHOLASVILLE RD STE 202, LEXINGTON, KY, 40503, with a listed phone of (859) 277-5711. NPI 1134501679 was issued on 06/21/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HUERTA 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 170 prescription claims written by this provider, covering 90 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 47.1%. 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 94.2169/100 for the 2023 performance year (Quality 90.2825, Cost 93.6795), 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

1760 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503

Provider Details

NPI 1134501679
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 06/21/2015

CMS Quality Score (MIPS)

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

94.2169
Final Score
Avg: 83.1
90.2825
Quality
93.6795
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where GUSTAVO HUERTA, 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.

BAPTIST HEALTH MEDICAL GROUP INC
LEXINGTON, KY
LEXINGTON SURGICAL SPECIALISTS
LEXINGTON, KY

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 GUSTAVO HUERTA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$202

Largest payer

INTUITIVE SURGICAL, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

170
Total Claims
$1K
Total Drug Cost
90
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
171
Total Day Supply
740
Generic Drug Cost
$857
Opioid Claims
80 (47.1% rate)

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
0.92
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ondansetron Hcl
61
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
55
Tramadol Hcl
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 GUSTAVO HUERTA, M.D. fits within the Surgery Physician landscape nationally.

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

GUSTAVO HUERTA, M.D.'s 170 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Kentucky

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

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

Frequently Asked Questions

What is GUSTAVO HUERTA, M.D.'s specialty?
GUSTAVO HUERTA, M.D. specializes in Surgery Physician and practices in LEXINGTON, Kentucky. Credentials: M.D..
How much does GUSTAVO HUERTA, M.D. prescribe under Medicare Part D?
In 2023, GUSTAVO HUERTA, M.D. wrote 170 Medicare Part D claims totaling $1K in drug costs for 90 beneficiaries.
What is GUSTAVO HUERTA, M.D.'s Medicare quality score?
GUSTAVO HUERTA, M.D. has a CMS MIPS Final Score of 94.2169/100 (Quality: 90.2825, Cost: 93.6795). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GUSTAVO HUERTA, M.D. located?
GUSTAVO HUERTA, M.D. is located at 1760 NICHOLASVILLE RD STE 202, LEXINGTON, KY, 40503. Phone: (859) 277-5711.
What is GUSTAVO HUERTA, M.D.'s NPI number?
GUSTAVO HUERTA, M.D.'s National Provider Identifier (NPI) is 1134501679, issued on 06/21/2015.
Does GUSTAVO HUERTA, M.D. prescribe opioids?
Yes, GUSTAVO HUERTA, M.D. had 80 opioid claims in 2023 with an opioid prescribing rate of 47.1%.
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 GUSTAVO HUERTA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GUSTAVO HUERTA, M.D.'s most frequently prescribed drugs include Ondansetron Hcl, Oxycodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GUSTAVO HUERTA, M.D. accept Medicare?
GUSTAVO HUERTA, M.D. appears in CMS Medicare data with 170 Part D claims and 90 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GUSTAVO HUERTA, M.D.'s credentials?
GUSTAVO HUERTA, M.D.'s NPI is 1134501679 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