2026 NPPES data Psychiatry Physician NPI 1134210271 M.D
Verify on CMS →

Jose Gamez, M.D

Psychiatry Physician in Hialeah, Florida. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 53,104 in Psychiatry Physician, 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
8K
Medicare Part D claims · 568 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · Penalty band
Industry payments
$117.3K
200 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Jose Gamez, M.D reported a CMS MIPS final score of 0/100 - below the 83.1 national average - and filed 7,699 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
8K
Part D claims, 2023
91%
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.

Jose Gamez, 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

0 0th percentile higher than 0% of 477,587 scored providers

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

Where Jose Gamez, M.D sits

This provider among psychiatry physician peers

Across the 4,659 psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jose Gamez, M.D writes more Part D claims than 97% of them and scores higher on MIPS quality than 0% - placing this provider in the high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 40Jose Gamez, M.D-Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one psychiatry physician peer from a representative sample of 60; the gold marker is Jose Gamez, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Jose Gamez, M.D 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 Jose Gamez, M.D?

Below national average

NPI registry status

Active

Issued 09/27/2006

NPI 1134210271

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

7,699 vs specialty avg

2023 prescription claims

Specialty avg: 1,038

MIPS final score

0/100 83.1 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in Florida

How Psychiatry Physician compares to other specialties among Florida providers

Florida providers

Largest specialties in Florida (% of in-state providers)

Behavior Technician - 16.1%Behavior Technician16.1%Mental Health Counselor - 4.8%Mental Health Counselor4.8%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Pharmacist - 4.2%Pharmacist4.2%Student in an Organized Health Care Education/Training Program - 3.8%Student in an Organized Health Care Education/Training Program3.8%Physical Therapist - 3.1%Physical Therapist3.1%Psychiatry Physician - 0.5%Psychiatry Physician0.5%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance, MIPS

Jose Gamez, M.D's 2023 MIPS final score plotted against the Psychiatry Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatry Physician) - 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Psychiatry Physician) - 0/100 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).

Jose Gamez, M.D appears in the CMS NPPES registry as a Psychiatry Physician provider holding M.D credentials at 7100 WEST 20TH AVENUE, Hialeah, FL, 33016, with a listed phone of (305) 820-3381. NPI 1134210271 was issued on 09/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Gamez 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 7,699 prescription claims written by this provider, covering 568 Medicare beneficiaries and totaling roughly $2.4 million in drug spend, split 9% brand-name and 91% 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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

7100 WEST 20TH AVENUE
Hialeah, FL 33016

Provider Details

NPI 1134210271
Specialty Psychiatry Physician
Credentials M.D
Gender Male
NPI Issued 09/27/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

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 Jose Gamez, M.D. Source: openpaymentsdata.cms.gov.

Total received

$117.3K

Largest payer

Neurocrine Biosciences, 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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Jose Gamez, M.D. To verify Jose Gamez, M.D's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Jose Gamez, M.D - brand share 9.0%
Psychiatry Physician average

9% brand-name claims vs 91% generic, on 7,699 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.

7,699
Total Claims
$2.4M
Total Drug Cost
568
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,146
Total Day Supply
249,130
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$2.2M
Generic Drug Cost
$239K

Patient Demographics

Average Patient Age
77.2 years
Avg HCC Risk Score
2.52
Gender Split
70% female / 30% male
Age Distribution
<65: 75, 65-74: 126, 75-84: 177, 85+: 190

Top Prescribed Drugs (Medicare Part D)

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

What Jose Gamez, M.D 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
Clonazepam
1,199
Alprazolam
772
Temazepam
767
Lorazepam
591
Zolpidem Tartrate
532
Quetiapine Fumarate
472
Trazodone Hcl
414
Sertraline Hcl
241
Ingrezza
Valbenazine Tosylate
174
Mirtazapine
145

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

Psychiatry Physician Overview

How Jose Gamez, M.D fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

Jose Gamez, M.D's 7,699 claims are above the specialty average of 1,038.

Nearby Psychiatry Physician Providers in Florida

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

Compare Psychiatry Physician 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 Florida medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Psychiatry Physician 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.

Frequently Asked Questions

What is Jose Gamez, M.D's specialty?
Jose Gamez, M.D specializes in Psychiatry Physician and practices in Hialeah, Florida. Credentials: M.D.
How much does Jose Gamez, M.D prescribe under Medicare Part D?
In 2023, Jose Gamez, M.D wrote 7,699 Medicare Part D claims totaling $2.4M in drug costs for 568 beneficiaries.
What is Jose Gamez, M.D's Medicare quality score?
Jose Gamez, M.D has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jose Gamez, M.D located?
Jose Gamez, M.D is located at 7100 WEST 20TH AVENUE, Hialeah, FL, 33016. Phone: (305) 820-3381.
What is Jose Gamez, M.D's NPI number?
Jose Gamez, M.D's National Provider Identifier (NPI) is 1134210271, issued on 09/27/2006.
Does Jose Gamez, M.D prescribe more brand-name or generic drugs?
Jose Gamez, M.D's prescribing is 9% brand-name and 91% generic drugs by claim count, with $2.2M in brand drug costs.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does Jose Gamez, M.D prescribe most often?
Based on 2023 Medicare Part D data, Jose Gamez, M.D's most frequently prescribed drugs include Clonazepam, Alprazolam, Temazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jose Gamez, M.D accept Medicare?
Jose Gamez, M.D appears in CMS Medicare data with 7,699 Part D claims and 568 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jose Gamez, M.D's credentials?
Jose Gamez, M.D's NPI is 1134210271 with credentials 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

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.