2026 NPPES data Rheumatology Physician NPI 1710970199 MD
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JOHN GOMEZ, MD

Rheumatology Physician in HUMBLE, Texas. 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
3K
Medicare Part D claims · 549 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
17.9856/100
▼ 65 pts below national avg 83.1 · [object Object]
Industry payments
$1.4K
74 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN GOMEZ, MD reported a CMS MIPS final score of 17.9856/100 — below the 83.1 national average — and filed 3,368 Medicare Part D claims in 2023.

17.9856/100
MIPS score · -65 vs avg
3K
Part D claims, 2023
87%
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.

JOHN GOMEZ, MD's MIPS score vs every scored U.S. clinician

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

18 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 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)

JOHN GOMEZ, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 JOHN GOMEZ, MD?

Below national average

NPI registry status

Active

Issued 08/31/2005

NPI 1710970199

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

3,368 64% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

17.9856/100 65.11439999999999% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Texas

How Rheumatology Physician compares to other specialties among Texas providers

Texas providers

Rheumatology Physician share within Texas

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within Texas

Medicare quality performance — MIPS

JOHN GOMEZ, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average

Below national average
MIPS Final Score
17.9856/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 17.9856/100 vs national avg 83.1

0%100%National avg83%18%
MIPS final score (Rheumatology Physician) — 17.9856/100 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).

JOHN GOMEZ, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 18955 N MEMORIAL DR STE 77338, HUMBLE, TX, 77338, with a listed phone of (832) 530-4159. NPI 1710970199 was issued on 08/31/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOMEZ 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 3,368 prescription claims written by this provider, covering 549 Medicare beneficiaries and totaling roughly $2.6 million in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 15.4%. 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 17.9856/100 for the 2023 performance year (Quality 0, Cost 59.952), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

18955 N MEMORIAL DR STE 77338
HUMBLE, TX 77338

Provider Details

NPI 1710970199
Specialty Rheumatology Physician
Credentials MD
Gender Male
NPI Issued 08/31/2005

CMS Quality Score (MIPS)

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

17.9856
Final Score
Avg: 83.1
0
Quality
59.952
Cost

Reporting: Individual

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 GOMEZ, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.4K

Largest payer

Amgen 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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to JOHN GOMEZ, MD. To verify JOHN GOMEZ, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JOHN GOMEZ, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 3,368 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.

3,368
Total Claims
$2.6M
Total Drug Cost
549
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,889
Total Day Supply
172,598
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$2.5M
Generic Drug Cost
$110K
Opioid Claims
520 (15.4% rate)
Antibiotic Claims
29

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.71
Gender Split
79% female / 21% male
Age Distribution
<65: 96, 65-74: 267, 75-84: 156, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

What JOHN GOMEZ, 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
Prednisone
521
Methotrexate
Methotrexate Sodium
345
Hydroxychloroquine Sulfate
292
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
278
Leflunomide
123
Tramadol Hcl
122
Acetaminophen-Codeine
Acetaminophen With Codeine
84
Meloxicam
84
Pregabalin
76
Gabapentin
72

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

Rheumatology Physician Overview

How JOHN GOMEZ, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

JOHN GOMEZ, MD's 3,368 claims are above the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Texas

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

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN GOMEZ, MD's specialty?
JOHN GOMEZ, MD specializes in Rheumatology Physician and practices in HUMBLE, Texas. Credentials: MD.
How much does JOHN GOMEZ, MD prescribe under Medicare Part D?
In 2023, JOHN GOMEZ, MD wrote 3,368 Medicare Part D claims totaling $2.6M in drug costs for 549 beneficiaries.
What is JOHN GOMEZ, MD's Medicare quality score?
JOHN GOMEZ, MD has a CMS MIPS Final Score of 17.9856/100 (Quality: 0, Cost: 59.952). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN GOMEZ, MD located?
JOHN GOMEZ, MD is located at 18955 N MEMORIAL DR STE 77338, HUMBLE, TX, 77338. Phone: (832) 530-4159.
What is JOHN GOMEZ, MD's NPI number?
JOHN GOMEZ, MD's National Provider Identifier (NPI) is 1710970199, issued on 08/31/2005.
Does JOHN GOMEZ, MD prescribe more brand-name or generic drugs?
JOHN GOMEZ, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $2.5M in brand drug costs.
Does JOHN GOMEZ, MD prescribe opioids?
Yes, JOHN GOMEZ, MD had 520 opioid claims in 2023 with an opioid prescribing rate of 15.4%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does JOHN GOMEZ, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN GOMEZ, MD's most frequently prescribed drugs include Prednisone, Methotrexate, Hydroxychloroquine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN GOMEZ, MD accept Medicare?
JOHN GOMEZ, MD appears in CMS Medicare data with 3,368 Part D claims and 549 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN GOMEZ, MD's credentials?
JOHN GOMEZ, MD's NPI is 1710970199 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