2026 NPPES data Pulmonary Disease Physician NPI 1922114768 MD
Verify on CMS →

JAMES GAPINSKI, MD

Pulmonary Disease Physician in GREEN BAY, Wisconsin. 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
1K
Medicare Part D claims · 163 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

JAMES GAPINSKI, MD filed 1,419 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in GREEN BAY, Wisconsin, prescribing 85% generic.

1K
Part D claims, 2023
85%
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.

JAMES GAPINSKI, MD's Medicare Part D volume vs every U.S. prescriber

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

1,419 Top 20% higher than 80% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). This entry sits in this band. 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 certification likely (heuristic — not verified)

JAMES GAPINSKI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 JAMES GAPINSKI, MD?

Quality data not reported

NPI registry status

Active

Issued 08/22/2006

NPI 1922114768

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,419 3% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Wisconsin

How Pulmonary Disease Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Pulmonary Disease Physician share within Wisconsin

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Wisconsin

Specialty board-certification context

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

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

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

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

JAMES GAPINSKI, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 2845 GREENBRIER RD, GREEN BAY, WI, 54308, with a listed phone of (920) 288-8100. NPI 1922114768 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 GAPINSKI 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 1,419 prescription claims written by this provider, covering 163 Medicare beneficiaries and totaling roughly $527K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 4.7%. 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.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

2845 GREENBRIER RD
GREEN BAY, WI 54308

Provider Details

NPI 1922114768
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 08/22/2006

Hospital and facility affiliations

Facilities where JAMES GAPINSKI, MD 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.

AURORA MEDICAL GROUP, INC.
GREEN BAY, WI

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

JAMES GAPINSKI, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 1,419 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.

1,419
Total Claims
$527K
Total Drug Cost
163
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,770
Total Day Supply
52,167
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$496K
Generic Drug Cost
$31K
Opioid Claims
67 (4.7% rate)

Patient Demographics

Average Patient Age
65.8 years
Avg HCC Risk Score
1.44
Gender Split
60% female / 40% male
Age Distribution
<65: 63, 65-74: 72, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What JAMES GAPINSKI, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Zolpidem Tartrate
218
Doxepin Hcl
135
Clonazepam
96
Pramipexole Dihydrochloride
Pramipexole Di-Hcl
94
Dextroamphetamine-Amphetamine
Dextroamphetamine/Amphetamine
92
Methylphenidate Hcl
85
Eszopiclone
82
Zaleplon
80
Triazolam
72
Temazepam
57

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

Pulmonary Disease Physician Overview

How JAMES GAPINSKI, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

JAMES GAPINSKI, MD's 1,419 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Wisconsin

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES GAPINSKI, MD's specialty?
JAMES GAPINSKI, MD specializes in Pulmonary Disease Physician and practices in GREEN BAY, Wisconsin. Credentials: MD.
How much does JAMES GAPINSKI, MD prescribe under Medicare Part D?
In 2023, JAMES GAPINSKI, MD wrote 1,419 Medicare Part D claims totaling $527K in drug costs for 163 beneficiaries.
Where is JAMES GAPINSKI, MD located?
JAMES GAPINSKI, MD is located at 2845 GREENBRIER RD, GREEN BAY, WI, 54308. Phone: (920) 288-8100.
What is JAMES GAPINSKI, MD's NPI number?
JAMES GAPINSKI, MD's National Provider Identifier (NPI) is 1922114768, issued on 08/22/2006.
Does JAMES GAPINSKI, MD prescribe more brand-name or generic drugs?
JAMES GAPINSKI, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $496K in brand drug costs.
Does JAMES GAPINSKI, MD prescribe opioids?
Yes, JAMES GAPINSKI, MD had 67 opioid claims in 2023 with an opioid prescribing rate of 4.7%.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does JAMES GAPINSKI, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES GAPINSKI, MD's most frequently prescribed drugs include Zolpidem Tartrate, Doxepin Hcl, Clonazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES GAPINSKI, MD accept Medicare?
JAMES GAPINSKI, MD appears in CMS Medicare data with 1,419 Part D claims and 163 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES GAPINSKI, MD's credentials?
JAMES GAPINSKI, MD's NPI is 1922114768 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