2026 NPPES data Family Medicine Physician NPI 1376541912 MD
Verify on CMS →

JOHN GIL, MD

Family Medicine Physician in ROCKY POINT, New York. 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
7K
Medicare Part D claims · 571 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.1K
43 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN GIL, MD is a Family Medicine Physician ([object Object]) practicing in ROCKY POINT, New York with a Medicare Part D prescribing footprint of 7K claims across 571 beneficiaries — 11% brand-name prescribing . Industry payments of $1.1K across 43 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN GIL, MD filed 6,522 Medicare Part D claims in 2023 across ROCKY POINT, New York. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOHN GIL, 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).

JOHN GIL, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 07/08/2005

NPI 1376541912

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

6,522 91% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in New York

How Family Medicine Physician compares to other specialties among New York providers

New York providers

Family Medicine Physician share within New York

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

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

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

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine 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).

JOHN GIL, MD is a Family Medicine Physician provider practicing in ROCKY POINT, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1376541912. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOHN GIL, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 575 ROUTE 25A, ROCKY POINT, NY, 11778, with a listed phone of (631) 821-9000. NPI 1376541912 was issued on 07/08/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GIL 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 6,522 prescription claims written by this provider, covering 571 Medicare beneficiaries and totaling roughly $770K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 3.3%. 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

575 ROUTE 25A
ROCKY POINT, NY 11778

Provider Details

NPI 1376541912
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/08/2005

Hospital and facility affiliations

Facilities where JOHN GIL, 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.

NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
PORT JEFFERSON STATION, NY

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 JOHN GIL, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Lilly USA, LLC

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.

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to JOHN GIL, MD. To verify JOHN GIL, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JOHN GIL, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 6,522 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.

6,522
Total Claims
$770K
Total Drug Cost
571
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,401
Total Day Supply
448,133
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$617K
Generic Drug Cost
$153K
Opioid Claims
218 (3.3% rate)
Antibiotic Claims
355

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.05
Gender Split
50% female / 50% male
Age Distribution
<65: 54, 65-74: 258, 75-84: 193, 85+: 66

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
354
Amlodipine Besylate
236
Levothyroxine Sodium
228
Metoprolol Succinate
201
Alprazolam
175
Rosuvastatin Calcium
120
Losartan Potassium
117
Simvastatin
117
Zolpidem Tartrate
115
Fluticasone Propionate
103

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

Family Medicine Physician Overview

How JOHN GIL, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

JOHN GIL, MD's 6,522 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in New York

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN GIL, MD's specialty?
JOHN GIL, MD specializes in Family Medicine Physician and practices in ROCKY POINT, New York. Credentials: MD.
How much does JOHN GIL, MD prescribe under Medicare Part D?
In 2023, JOHN GIL, MD wrote 6,522 Medicare Part D claims totaling $770K in drug costs for 571 beneficiaries.
Where is JOHN GIL, MD located?
JOHN GIL, MD is located at 575 ROUTE 25A, ROCKY POINT, NY, 11778. Phone: (631) 821-9000.
What is JOHN GIL, MD's NPI number?
JOHN GIL, MD's National Provider Identifier (NPI) is 1376541912, issued on 07/08/2005.
Does JOHN GIL, MD prescribe more brand-name or generic drugs?
JOHN GIL, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $617K in brand drug costs.
Does JOHN GIL, MD prescribe opioids?
Yes, JOHN GIL, MD had 218 opioid claims in 2023 with an opioid prescribing rate of 3.3%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does JOHN GIL, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN GIL, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN GIL, MD accept Medicare?
JOHN GIL, MD appears in CMS Medicare data with 6,522 Part D claims and 571 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN GIL, MD's credentials?
JOHN GIL, MD's NPI is 1376541912 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