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2026 NPPES data Surgery Physician NPI 1285740118 M.D.
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Jack Fralinger, M.D.

Surgery Physician in Gallup, New Mexico.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,778 in Surgery 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
100
Medicare Part D claims · 29 beneficiaries · Surgery Physician avg: 174
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.1/100
▼ 10 pts below national avg 83.5 · Mid-tier
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Jack Fralinger, M.D. reported a CMS MIPS final score of 73.1/100 - below the 83.5 national average - and filed 100 Medicare Part D claims in 2024.

73.1/100
MIPS score · -10 vs avg
100
Part D claims, 2024
89%
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.

Federal trust snapshot

What official records show about Jack Fralinger, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1285740118), first enumerated 08/22/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 100 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 73.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1285740118 · Surgery Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1285740118
  • ENUM-LEGACY 2006
  • TAX-MID 37K Surgery Physician
  • MIPS-LOW 73.1/100
  • RX-LIGHT 100
  • BOOK-THIN 232 in New Mexico
  • PHOTO-FINISH James Bordelon · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Jack Fralinger, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

73 ≥ 11th percentile 11% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Jack Fralinger, M.D. sits

This provider among surgery physician peers

Across the 7,271 surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jack Fralinger, M.D. writes more Part D claims than 53% of them and scores higher on MIPS quality than 10% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.845.768.591.3Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 75Jack Fralinger, M.D., Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 10
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one surgery physician peer from a representative sample of 60; the gold marker is Jack Fralinger, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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

36,778 US NPIs in this specialty

Medicare Part D claims

100 43% vs specialty avg

2024 prescription claims

Specialty avg: 174

MIPS final score

73.1/100 10.4 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in New Mexico

How Surgery Physician compares to other specialties among New Mexico providers

New Mexico providers
Behavior Technician10%Case Manager/Care Coordinator6%Mental Health Counselor4.9%Student in an Organized Heal…4%Clinical Social Worker3.9%Counselor3.7%Surgery Physician0.4%
Largest specialties in New Mexico (% of in-state providers)

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
73.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%73.1%
MIPS final score (Surgery Physician) - 73.1/100 vs national avg 83.5
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).

Practice Address

516 E. NIZHONI BLVD.
Gallup, NM 87301
(505) 722-1000

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
Measured-score avg: 83.5
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 11.0%
Surgery Physician average

11% brand-name claims vs 89% generic, on 100 2024 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 2024.

100
Total Claims
$10K
Total Drug Cost
29
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
110
Total Day Supply
1,519
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$8K
Generic Drug Cost
$2K
Opioid Claims
24 (24.0% rate)
Antibiotic Claims
30

Patient Demographics

Average Patient Age
67.0 years
Avg HCC Risk Score
2.21
Age Distribution
<65: 11, 65-74: N/A, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Jack Fralinger, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
23
Cephalexin
 15
Naloxone Hcl
 11

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

More Surgery Physician in NM → All providers in New Mexico → Compare specialties →

Surgery Physician Overview

How Jack Fralinger, M.D. fits within the Surgery Physician landscape nationally.

36,778
Surgery Physician Providers in US
56
States with Surgery Physician
174
Avg Claims per Provider

Jack Fralinger, M.D.'s 100 claims are below the specialty average of 174.

Nationwide Surgery Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Fralinger, both outside New Mexico so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (73.1 here).

Justine Broecker 73.1 FL Benjamin Chaney 73.1 IL Michael Jarvis 73.1 AZ James Bordelon 73.1 LA

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Andrew Smith Cleveland, OH Edward Mercogliano Nutley, NJ John Kramer Pawleys Island, SC Hernan Vargas Fairfax, VA

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.

One of 232 Surgery Physician providers enrolled in New Mexico, 5 are shown here.

Dr. William Abbott
MD
Albuquerque, NM
Dr. Sophia Abdulhai
MD
Gallup, NM
Dr. Akbar Ali
MD
Roswell, NM
Dr. Cyrus Ali
M.D.
Santa Fe, NM
Dr. Hossam Alslaim
MD
Albuquerque, NM

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 2024, Jack Fralinger, M.D. wrote 100 Medicare Part D claims totaling $10K in drug costs for 29 beneficiaries.
What is Jack Fralinger, M.D.'s Medicare quality score? ▼
Jack Fralinger, M.D. has a CMS MIPS Final Score of 73.1/100 (Quality: 69.6, Cost: 49.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 11% brand-name and 89% generic drugs by claim count, with $8K in brand drug costs.
Does Jack Fralinger, M.D. prescribe opioids? ▼
Yes, Jack Fralinger, M.D. had 24 opioid claims in 2024 with an opioid prescribing rate of 24.0%.
How many Surgery Physician providers are there in the US? ▼
There are 36,778 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 174 Medicare Part D claims per year.
What drugs does Jack Fralinger, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Jack Fralinger, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Cephalexin, 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 100 Part D claims and 29 Medicare beneficiaries in 2024. 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

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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.