2026 NPPES data Surgery Physician NPI 1285740118 M.D.
Verify on CMS →

JACK FRALINGER, M.D.

Surgery Physician in GALLUP, New Mexico. 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
94
Medicare Part D claims · 31 beneficiaries · Surgery Physician avg: 169
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.1296/100
▼ 10 pts below national avg 83.1 · [object Object]

What the federal data shows

JACK FRALINGER, M.D. reported a CMS MIPS final score of 73.1296/100 — below the 83.1 national average — and filed 94 Medicare Part D claims in 2023.

73.1296/100
MIPS score · -10 vs avg
94
Part D claims, 2023
88%
generic prescribing
Likely
board-certified (heuristic)

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.

JACK FRALINGER, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

73 11th percentile higher than 11% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

JACK FRALINGER, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JACK FRALINGER, M.D.?

Below national average

NPI registry status

Active

Issued 08/22/2006

NPI 1285740118

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

94 44% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

73.1296/100 9.970399999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Mexico

How Surgery Physician compares to other specialties among New Mexico providers

New Mexico providers

Surgery Physician share within New Mexico

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
73.1296/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 73.1296/100 vs national avg 83.1

0%100%National avg83%73.1%
MIPS final score (Surgery Physician) — 73.1296/100 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).

JACK FRALINGER, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 516 E. NIZHONI BLVD., GALLUP, NM, 87301, with a listed phone of (505) 722-1000. NPI 1285740118 was issued on 08/22/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FRALINGER 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 94 prescription claims written by this provider, covering 31 Medicare beneficiaries and totaling roughly $6K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 36.2%. 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 73.1296/100 for the 2023 performance year (Quality 69.6371, Cost 49.4306), 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

516 E. NIZHONI BLVD.
GALLUP, NM 87301

Provider Details

NPI 1285740118
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 08/22/2006

CMS Quality Score (MIPS)

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

73.1296
Final Score
Avg: 83.1
69.6371
Quality
49.4306
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where JACK FRALINGER, 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.

DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
GALLUP, NM

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

JACK FRALINGER, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 94 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.

94
Total Claims
$6K
Total Drug Cost
31
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
102
Total Day Supply
1,185
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$1K
Generic Drug Cost
$5K
Opioid Claims
34 (36.2% rate)
Antibiotic Claims
20

Patient Demographics

Average Patient Age
68.5 years
Avg HCC Risk Score
1.28
Gender Split
45% female / 55% 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
32
Naloxone Hcl
17

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

Surgery Physician Overview

How JACK FRALINGER, 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

JACK FRALINGER, M.D.'s 94 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as FRALINGER.

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

Frequently Asked Questions

What is JACK FRALINGER, M.D.'s specialty?
JACK FRALINGER, M.D. specializes in Surgery Physician and practices in GALLUP, New Mexico. Credentials: M.D..
How much does JACK FRALINGER, M.D. prescribe under Medicare Part D?
In 2023, JACK FRALINGER, M.D. wrote 94 Medicare Part D claims totaling $6K in drug costs for 31 beneficiaries.
What is JACK FRALINGER, M.D.'s Medicare quality score?
JACK FRALINGER, M.D. has a CMS MIPS Final Score of 73.1296/100 (Quality: 69.6371, Cost: 49.4306). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JACK FRALINGER, M.D. located?
JACK FRALINGER, M.D. is located at 516 E. NIZHONI BLVD., GALLUP, NM, 87301. Phone: (505) 722-1000.
What is JACK FRALINGER, M.D.'s NPI number?
JACK FRALINGER, M.D.'s National Provider Identifier (NPI) is 1285740118, issued on 08/22/2006.
Does JACK FRALINGER, M.D. prescribe more brand-name or generic drugs?
JACK FRALINGER, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $1K in brand drug costs.
Does JACK FRALINGER, M.D. prescribe opioids?
Yes, JACK FRALINGER, M.D. had 34 opioid claims in 2023 with an opioid prescribing rate of 36.2%.
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 JACK FRALINGER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JACK FRALINGER, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Naloxone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JACK FRALINGER, M.D. accept Medicare?
JACK FRALINGER, M.D. appears in CMS Medicare data with 94 Part D claims and 31 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JACK FRALINGER, M.D.'s credentials?
JACK FRALINGER, M.D.'s NPI is 1285740118 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