2026 NPPES data Pulmonary Disease Physician NPI 1629040936 MD
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JIMMY GILBERT, MD

Pulmonary Disease Physician in MONTROSE, Colorado. 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
468
Medicare Part D claims · 133 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
41%
generic claims · 59% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
38.2896/100
▼ 45 pts below national avg 83.1 · [object Object]
Industry payments
$315.28
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JIMMY GILBERT, MD reported a CMS MIPS final score of 38.2896/100 — below the 83.1 national average — and filed 468 Medicare Part D claims in 2023.

38.2896/100
MIPS score · -45 vs avg
468
Part D claims, 2023
41%
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.

JIMMY GILBERT, MD's MIPS score vs every scored U.S. clinician

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

38 4th percentile higher than 4% 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%). This entry sits in this band. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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)

JIMMY GILBERT, MD 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 JIMMY GILBERT, MD?

Below national average

NPI registry status

Active

Issued 02/02/2006

NPI 1629040936

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

468 68% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

38.2896/100 44.810399999999994% pts

Below average band

vs 83.1 national avg

Specialty distribution in Colorado

How Pulmonary Disease Physician compares to other specialties among Colorado providers

Colorado providers

Pulmonary Disease Physician share within Colorado

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

Medicare quality performance — MIPS

JIMMY GILBERT, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

Below national average
MIPS Final Score
38.2896/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 38.2896/100 vs national avg 83.1

0%100%National avg83%38.3%
MIPS final score (Pulmonary Disease Physician) — 38.2896/100 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).

JIMMY GILBERT, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 904 S 4TH ST, MONTROSE, CO, 81401, with a listed phone of (970) 252-2800. NPI 1629040936 was issued on 02/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILBERT 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 468 prescription claims written by this provider, covering 133 Medicare beneficiaries and totaling roughly $384K in drug spend, split 59% brand-name and 41% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 38.2896/100 for the 2023 performance year (Quality 0, Cost 45.9653), compared with the national average of 83.1.

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

904 S 4TH ST
MONTROSE, CO 81401

Provider Details

NPI 1629040936
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 02/02/2006

CMS Quality Score (MIPS)

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

38.2896
Final Score
Avg: 83.1
0
Quality
45.9653
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JIMMY GILBERT, 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.

MONTROSE MEMORIAL HOSPITAL, INC
MOTNROSE, CO

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JIMMY GILBERT, MD. Source: openpaymentsdata.cms.gov.

Total received

$315

Largest payer

Inspire Medical Systems, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Brand-heavy

JIMMY GILBERT, MD — brand share 59.0%
Specialty average (est.)

59% brand-name claims vs 41% generic, on 468 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.

468
Total Claims
$384K
Total Drug Cost
133
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
680
Total Day Supply
18,714
Brand vs Generic
59% brand / 41% generic
Brand Drug Cost
$354K
Generic Drug Cost
$31K

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.41
Gender Split
48% female / 52% male

Top Prescribed Drugs (Medicare Part D)

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

What JIMMY GILBERT, 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
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
63
Albuterol Sulfate Hfa
Albuterol Sulfate
55
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
49
Zolpidem Tartrate
42
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
31
Montelukast Sodium
22
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
19
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
18
Breo Ellipta
Fluticasone/Vilanterol
16
Ipratropium Bromide
15

* 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 JIMMY GILBERT, 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

JIMMY GILBERT, MD's 468 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Colorado

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

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

Frequently Asked Questions

What is JIMMY GILBERT, MD's specialty?
JIMMY GILBERT, MD specializes in Pulmonary Disease Physician and practices in MONTROSE, Colorado. Credentials: MD.
How much does JIMMY GILBERT, MD prescribe under Medicare Part D?
In 2023, JIMMY GILBERT, MD wrote 468 Medicare Part D claims totaling $384K in drug costs for 133 beneficiaries.
What is JIMMY GILBERT, MD's Medicare quality score?
JIMMY GILBERT, MD has a CMS MIPS Final Score of 38.2896/100 (Quality: 0, Cost: 45.9653). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JIMMY GILBERT, MD located?
JIMMY GILBERT, MD is located at 904 S 4TH ST, MONTROSE, CO, 81401. Phone: (970) 252-2800.
What is JIMMY GILBERT, MD's NPI number?
JIMMY GILBERT, MD's National Provider Identifier (NPI) is 1629040936, issued on 02/02/2006.
Does JIMMY GILBERT, MD prescribe more brand-name or generic drugs?
JIMMY GILBERT, MD's prescribing is 59% brand-name and 41% generic drugs by claim count, with $354K in brand drug costs.
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 JIMMY GILBERT, MD prescribe most often?
Based on 2023 Medicare Part D data, JIMMY GILBERT, MD's most frequently prescribed drugs include Anoro Ellipta, Albuterol Sulfate Hfa, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JIMMY GILBERT, MD accept Medicare?
JIMMY GILBERT, MD appears in CMS Medicare data with 468 Part D claims and 133 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JIMMY GILBERT, MD's credentials?
JIMMY GILBERT, MD's NPI is 1629040936 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.
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