NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1285927525 CRNP
Verify on CMS → Gwendolyn Starkey, CRNP
Family Medicine Physician in Birmingham, Alabama.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,640 in Family Medicine 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
90
Medicare Part D claims · 46 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
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
Gwendolyn Starkey, CRNP filed 90 Medicare Part D claims in 2023 as a Family Medicine Physician in Birmingham, Alabama, prescribing 88% generic.
- 90
- Part D claims, 2023
- 88%
- generic prescribing
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.
Gwendolyn Starkey, CRNP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
90 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Gwendolyn Starkey, CRNP practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Gwendolyn Starkey, CRNP?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
90 97% vs specialty avg
Specialty distribution in Alabama
How Family Medicine Physician compares to other specialties among Alabama providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Medicine Physician. Verify directly:
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).
Gwendolyn Starkey, CRNP appears in the CMS NPPES registry as a Family Medicine Physician provider holding CRNP credentials at 2100 SOUTHBRIDGE PKWY, Birmingham, AL, 35209, with a listed phone of (205) 533-8902. NPI 1285927525 was issued on 05/19/2011.
Medicare Part D records for calendar year 2023 show 90 prescription claims written by this provider, covering 46 Medicare beneficiaries and totaling roughly $3K in drug spend, split 12% brand-name and 88% generic by claim count.
Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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 | 1285927525 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | CRNP |
| Gender | Female |
| NPI Issued | 05/19/2011 |
Brand vs generic prescribing mix · Typical
Gwendolyn Starkey, CRNP - brand share 12.0%
Family Medicine Physician average
12% brand-name claims vs 88% generic, on 90 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.
90
Total Claims
$3K
Total Drug Cost
46
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 115
- Total Day Supply
- 2,584
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $1K
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 19
Patient Demographics
- Average Patient Age
- 76.3 years
- Avg HCC Risk Score
- 3.43
- Gender Split
- 30% female / 70% male
Family Medicine Physician Overview
How Gwendolyn Starkey, CRNP fits within the Family Medicine Physician landscape nationally.
147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Gwendolyn Starkey, CRNP's 90 claims are below the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Alabama
Other clinicians with the same primary specialty enrolled in Alabama, drawn from the same CMS NPPES roster as Starkey.
Dr. Bahaa Abdelqader
DO
Mobile, AL
Dr. Sumayah Abed
MD
Hoover, AL
Dr. Charles Abney
M.D.
Tuscaloosa, AL
Dr. Jennifer Abt
DO
Montgomery, AL
Dr. Dakota Acton Jones
M.D.
Fayette, AL
Compare Family Medicine Physician nationally: see state-by-state distribution →
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 Alabama medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Medicine 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Alabama
Frequently Asked Questions
What is Gwendolyn Starkey, CRNP's specialty? ▼
Gwendolyn Starkey, CRNP specializes in Family Medicine Physician and practices in Birmingham, Alabama. Credentials: CRNP.
How much does Gwendolyn Starkey, CRNP prescribe under Medicare Part D? ▼
In 2023, Gwendolyn Starkey, CRNP wrote 90 Medicare Part D claims totaling $3K in drug costs for 46 beneficiaries.
Where is Gwendolyn Starkey, CRNP located? ▼
Gwendolyn Starkey, CRNP is located at 2100 SOUTHBRIDGE PKWY, Birmingham, AL, 35209. Phone: (205) 533-8902.
What is Gwendolyn Starkey, CRNP's NPI number? ▼
Gwendolyn Starkey, CRNP's National Provider Identifier (NPI) is 1285927525, issued on 05/19/2011.
Does Gwendolyn Starkey, CRNP prescribe more brand-name or generic drugs? ▼
Gwendolyn Starkey, CRNP's prescribing is 12% brand-name and 88% generic drugs by claim count, with $1K in brand drug costs.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
Does Gwendolyn Starkey, CRNP accept Medicare? ▼
Gwendolyn Starkey, CRNP appears in CMS Medicare data with 90 Part D claims and 46 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gwendolyn Starkey, CRNP's credentials? ▼
Gwendolyn Starkey, CRNP's NPI is 1285927525 with credentials CRNP. 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.
- 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.