2026 NPPES data Pediatrics Physician NPI 1043836265 MD
Verify on CMS →

HANNAH GADWAY, MD

Pediatrics Physician in ROYAL OAK, 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
126
Medicare Part D claims · 33 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

HANNAH GADWAY, MD filed 126 Medicare Part D claims in 2023 as a Pediatrics Physician in ROYAL OAK, Michigan, prescribing 75% generic.

126
Part D claims, 2023
75%
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.

HANNAH GADWAY, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

126 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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)

HANNAH GADWAY, MD 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 HANNAH GADWAY, MD?

Quality data not reported

NPI registry status

Active

Issued 06/23/2020

NPI 1043836265

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

126 83% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Michigan

How Pediatrics Physician compares to other specialties among Michigan providers

Michigan providers

Pediatrics Physician share within Michigan

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Pediatrics 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).

HANNAH GADWAY, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 3601 W THIRTEEN MILE RD, ROYAL OAK, MI, 48073, with a listed phone of (248) 551-6489. NPI 1043836265 was issued on 06/23/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GADWAY 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 126 prescription claims written by this provider, covering 33 Medicare beneficiaries and totaling roughly $16K in drug spend, split 25% brand-name and 75% 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

3601 W THIRTEEN MILE RD
ROYAL OAK, MI 48073

Provider Details

NPI 1043836265
Specialty Pediatrics Physician
Credentials MD
Gender Female
NPI Issued 06/23/2020

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 HANNAH GADWAY, MD. To verify HANNAH GADWAY, MD'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 · Above average

HANNAH GADWAY, MD — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 126 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.

126
Total Claims
$16K
Total Drug Cost
33
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
188
Total Day Supply
5,264
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$14K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
67.9 years
Avg HCC Risk Score
2.65
Gender Split
64% female / 36% male
Age Distribution
<65: 13, 65-74: N/A, 75-84: N/A, 85+: N/A

Pediatrics Physician Overview

How HANNAH GADWAY, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

HANNAH GADWAY, MD's 126 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Michigan

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

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

Frequently Asked Questions

What is HANNAH GADWAY, MD's specialty?
HANNAH GADWAY, MD specializes in Pediatrics Physician and practices in ROYAL OAK, Michigan. Credentials: MD.
How much does HANNAH GADWAY, MD prescribe under Medicare Part D?
In 2023, HANNAH GADWAY, MD wrote 126 Medicare Part D claims totaling $16K in drug costs for 33 beneficiaries.
Where is HANNAH GADWAY, MD located?
HANNAH GADWAY, MD is located at 3601 W THIRTEEN MILE RD, ROYAL OAK, MI, 48073. Phone: (248) 551-6489.
What is HANNAH GADWAY, MD's NPI number?
HANNAH GADWAY, MD's National Provider Identifier (NPI) is 1043836265, issued on 06/23/2020.
Does HANNAH GADWAY, MD prescribe more brand-name or generic drugs?
HANNAH GADWAY, MD's prescribing is 25% brand-name and 75% generic drugs by claim count, with $14K in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
Does HANNAH GADWAY, MD accept Medicare?
HANNAH GADWAY, MD appears in CMS Medicare data with 126 Part D claims and 33 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HANNAH GADWAY, MD's credentials?
HANNAH GADWAY, MD's NPI is 1043836265 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.
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