NPI registry status
Active
2026 NPPES data Oral and Maxillofacial Surgery (Dentist) NPI 1073898516 D.M.D.
Verify on CMS → James Gates, D.M.D.
Oral and Maxillofacial Surgery (Dentist) in Philadelphia, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 7,631 in Oral and Maxillofacial Surgery (Dentist), 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
41
Medicare Part D claims · 22 beneficiaries · Oral and Maxillofacial Surgery (Dentist) avg: 378
MIPS score
31/100
▼ 52 pts below national avg 83.1 · Below average
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
James Gates, D.M.D. reported a CMS MIPS final score of 31/100 - below the 83.1 national average - and filed 41 Medicare Part D claims in 2023.
- 31/100
- MIPS score · -52 vs avg
- 41
- Part D claims, 2023
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 Gates, D.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
31 3rd percentile higher than 3% of 477,587 scored providers
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
Where James Gates, D.M.D. sits
This provider among oral and maxillofacial surgery (dentist) peers
Across the 122 oral and maxillofacial surgery (dentist) providers who report both Medicare Part D prescribing and a MIPS quality score, James Gates, D.M.D. writes more Part D claims than 24% of them and scores higher on MIPS quality than 1% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one oral and maxillofacial surgery (dentist) peer from a representative sample of 60; the gold marker is James Gates, D.M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about James Gates, D.M.D.?
Below national averagePrimary specialty
Oral and Maxillofacial Surgery (Dentist)
Medicare Part D claims
41 89% vs specialty avg
MIPS final score
31/100 52.1 pts vs avg
Specialty distribution in Pennsylvania
How Oral and Maxillofacial Surgery (Dentist) compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
James Gates, D.M.D.'s 2023 MIPS final score plotted against the Oral and Maxillofacial Surgery (Dentist) national average
- MIPS Final Score
- 31/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Oral and Maxillofacial Surgery (Dentist)) - 31/100 vs national avg 83.1
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).
James Gates, D.M.D. appears in the CMS NPPES registry as a Oral and Maxillofacial Surgery (Dentist) provider holding D.M.D. credentials at 3400 CIVIC CENTER BLVD FL 4, Philadelphia, PA, 19104, with a listed phone of (215) 662-3580. NPI 1073898516 was issued on 10/16/2011.
Medicare Part D records for calendar year 2023 show 41 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $3K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 31/100 for the 2023 performance year (Quality 10.6, Cost 55.2), compared with the national average of 83.1.
Oral and Maxillofacial Surgery (Dentist) is a mid-sized specialty nationwide, with 7,631 enrolled providers across 52 states and an average of 378 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 | 1073898516 |
|---|---|
| Specialty | Oral and Maxillofacial Surgery (Dentist) |
| Credentials | D.M.D. |
| Gender | Male |
| NPI Issued | 10/16/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
30.9895
Final Score
Avg: 83.1
10.615
Quality
55.2004
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where James Gates, D.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.
University OF Penn-Medical Group
Philadelphia, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Pennsylvania PA-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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to James Gates, D.M.D.. To verify James Gates, D.M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
41
Total Claims
$3K
Total Drug Cost
22
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 43
- Total Day Supply
- 604
- Generic Drug Cost
- $259
- Antibiotic Claims
- 14
Patient Demographics
- Average Patient Age
- 67.2 years
- Avg HCC Risk Score
- 1.29
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Chlorhexidine Gluconate | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Oral and Maxillofacial Surgery (Dentist) in PA →
All providers in Pennsylvania →
Compare specialties →
Oral and Maxillofacial Surgery (Dentist) Overview
How James Gates, D.M.D. fits within the Oral and Maxillofacial Surgery (Dentist) landscape nationally.
7,631
Oral and Maxillofacial Surgery (Dentist) Providers in US
52
States with Oral and Maxillofacial Surgery (Dentist)
378
Avg Claims per Provider
James Gates, D.M.D.'s 41 claims are below the specialty average of 378.
Nearby Oral and Maxillofacial Surgery (Dentist) Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Gates.
Dr. Nabil Abaza
DMD
Philadelphia, PA
Dr. Lena Abu-Najem
DDS
Pittsburgh, PA
Dr. Maxwell Adams
D.D.S.
Lancaster, PA
Dr. Thomas Adel
DMD, MD
Scranton, PA
Dr. Edward Adlesic
MS DMD
Pittsburgh, PA
Compare Oral and Maxillofacial Surgery (Dentist) 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Oral and Maxillofacial Surgery (Dentist) 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 Pennsylvania
Frequently Asked Questions
What is James Gates, D.M.D.'s specialty? ▼
James Gates, D.M.D. specializes in Oral and Maxillofacial Surgery (Dentist) and practices in Philadelphia, Pennsylvania. Credentials: D.M.D..
How much does James Gates, D.M.D. prescribe under Medicare Part D? ▼
In 2023, James Gates, D.M.D. wrote 41 Medicare Part D claims totaling $3K in drug costs for 22 beneficiaries.
What is James Gates, D.M.D.'s Medicare quality score? ▼
James Gates, D.M.D. has a CMS MIPS Final Score of 31/100 (Quality: 10.6, Cost: 55.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Gates, D.M.D. located? ▼
James Gates, D.M.D. is located at 3400 CIVIC CENTER BLVD FL 4, Philadelphia, PA, 19104. Phone: (215) 662-3580.
What is James Gates, D.M.D.'s NPI number? ▼
James Gates, D.M.D.'s National Provider Identifier (NPI) is 1073898516, issued on 10/16/2011.
How many Oral and Maxillofacial Surgery (Dentist) providers are there in the US? ▼
There are 7,631 Oral and Maxillofacial Surgery (Dentist) providers across 52 states in the US. The average Oral and Maxillofacial Surgery (Dentist) provider writes 378 Medicare Part D claims per year.
What drugs does James Gates, D.M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, James Gates, D.M.D.'s most frequently prescribed drugs include Chlorhexidine Gluconate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Gates, D.M.D. accept Medicare? ▼
James Gates, D.M.D. appears in CMS Medicare data with 41 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Gates, D.M.D.'s credentials? ▼
James Gates, D.M.D.'s NPI is 1073898516 with credentials D.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 (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
Compiled from official public sources by the PlainDoctor editorial team.