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2026 NPPES data Infectious Disease Physician NPI 1366436263 M.D.
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Joseph Gathe, M.D.

Infectious Disease Physician in Houston, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 8,537 in Infectious Disease 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
12K
Medicare Part D claims · 648 beneficiaries · Infectious Disease Physician avg: 807
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
39.9/100
▼ 44 pts below national avg 83.5 · Below average
Industry payments
$135.7K
221 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Joseph Gathe, M.D. reported a CMS MIPS final score of 39.9/100 - below the 83.5 national average - and filed 11,690 Medicare Part D claims in 2024.

39.9/100
MIPS score · -44 vs avg
12K
Part D claims, 2024
59%
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.

Federal trust snapshot

What official records show about Joseph Gathe, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1366436263), first enumerated 09/07/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 11,690 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 39.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Industry payment transparency

    $135.7K in reported industry payments (221 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Joseph Gathe, M.D.'s individual license status. Verify directly with the state medical board.

    Source: TMB annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1366436263 · Infectious Disease Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-HEAVY · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1366436263
  • ENUM-LEGACY 2005
  • TAX-MID 9K Infectious Disease
  • MIPS-LOW 39.9/100
  • RX-HEAVY 12K claims
  • BOOK-LIGHT 544 in Texas
  • PHOTO-FINISH Julie Antique · ±0.5

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Joseph Gathe, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

40 ≥ 4th percentile 4% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). This entry sits in this band. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Joseph Gathe, M.D. sits

This provider among infectious disease physician peers

Across the 2,130 infectious disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joseph Gathe, M.D. writes more Part D claims than 99% of them and scores higher on MIPS quality than 4% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.647.370.994.5Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 22Joseph Gathe, M.D., Part D claim volume, percentile in specialty: 99 · MIPS quality, percentile: 4
Part D claim volume vs MIPS quality, by specialty percentile

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

✓
Board certification likely (heuristic, not verified)

Joseph Gathe, 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 Joseph Gathe, M.D.?

Below national average

NPI registry status

Active

Issued 09/07/2005

NPI 1366436263

Primary specialty

Infectious Disease Physician

Mid-sized

8,537 US NPIs in this specialty

Medicare Part D claims

11,690 14× vs specialty avg

2024 prescription claims

Specialty avg: 807

MIPS final score

39.9/100 43.6 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in Texas

How Infectious Disease Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician6%Student in an Organized Heal…5.3%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.3%Speech-Language Pathologist3.9%Infectious Disease Physician0.1%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Joseph Gathe, M.D.'s 2023 MIPS final score plotted against the Infectious Disease Physician national average

Below national average
MIPS Final Score
39.9/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%39.9%
MIPS final score (Infectious Disease Physician) - 39.9/100 vs national avg 83.5
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).

Practice Address

4900 FANNIN ST
Houston, TX 77004
(713) 526-9821

Provider Details

NPI 1366436263
Specialty Infectious Disease Physician
Credentials M.D.
Gender Male
NPI Issued 09/07/2005

CMS Quality Score (MIPS)

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

39.8521
Final Score
Measured-score avg: 83.5
40
Quality
49.857
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 Joseph Gathe, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$135.7K

Largest payer

Gilead Sciences, 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 Joseph Gathe, M.D.. To verify Joseph Gathe, M.D.'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 · Above average

Joseph Gathe, M.D. - brand share 41.0%
Infectious Disease Physician average

41% brand-name claims vs 59% generic, on 11,690 2024 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 2024.

11,690
Total Claims
$16.8M
Total Drug Cost
648
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,456.467
Total Day Supply
435,070
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$16.0M
Generic Drug Cost
$867K
Opioid Claims
89 (0.8% rate)
Antibiotic Claims
780

Patient Demographics

Average Patient Age
65.4 years
Avg HCC Risk Score
2.15
Gender Split
30% female / 70% male
Age Distribution
<65: 240, 65-74: 305, 75-84: 88, 85+: 15

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Joseph Gathe, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Biktarvy
Bictegrav/Emtricit/Tenofov Ala
1,062
Prezcobix
Darunavir/Cobicistat
601
Symtuza
Darunavir/Cob/Emtri/Tenof Alaf
411
Amlodipine Besylate
 257
Genvoya
Elviteg/Cob/Emtri/Tenof Alafen
255
Tivicay
Dolutegravir Sodium
253
Descovy
Emtricitabine/Tenofov Alafenam
251
Ritonavir
 230
Triumeq
Abacavir/Dolutegravir/Lamivudi
205
Dovato
Dolutegravir Sodium/Lamivudine
186

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

More Infectious Disease Physician in TX → All providers in Texas → Compare specialties →

Infectious Disease Physician Overview

How Joseph Gathe, M.D. fits within the Infectious Disease Physician landscape nationally.

8,537
Infectious Disease Physician Providers in US
54
States with Infectious Disease Physician
807
Avg Claims per Provider

Joseph Gathe, M.D.'s 11,690 claims are above the specialty average of 807.

Nationwide Infectious Disease Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Gathe, both outside Texas so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (39.9 here).

Julie Antique 40.4 TN Neville Mobarakai 39.2 NY David Wheeler 41 VA Amardeep Sodhi 37.4 AZ

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Rebecca Littaua Hopewell, VA William McCormack Brooklyn, NY Stephen Francis Charlotte, NC Irfan Hafiz Huntley, IL

Nearby Infectious Disease Physician Providers in Texas

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

One of 544 Infectious Disease Physician providers enrolled in Texas, 5 are shown here.

Dr. Jordan Abel
M.D.
San Antonio, TX
Dr. Oladapo Abodunde
M.D.
McKinney, TX
Dr. Leny Abraham
MD
Dallas, TX
Dr. Ahmed Abubaker
MD
Dallas, TX
Dr. Ashish Acharya
M.D.
Grapevine, TX

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

Frequently Asked Questions

What is Joseph Gathe, M.D.'s specialty? ▼
Joseph Gathe, M.D. specializes in Infectious Disease Physician and practices in Houston, Texas. Credentials: M.D..
How much does Joseph Gathe, M.D. prescribe under Medicare Part D? ▼
In 2024, Joseph Gathe, M.D. wrote 11,690 Medicare Part D claims totaling $16.8M in drug costs for 648 beneficiaries.
What is Joseph Gathe, M.D.'s Medicare quality score? ▼
Joseph Gathe, M.D. has a CMS MIPS Final Score of 39.9/100 (Quality: 40, Cost: 49.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joseph Gathe, M.D. located? ▼
Joseph Gathe, M.D. is located at 4900 FANNIN ST, Houston, TX, 77004. Phone: (713) 526-9821.
What is Joseph Gathe, M.D.'s NPI number? ▼
Joseph Gathe, M.D.'s National Provider Identifier (NPI) is 1366436263, issued on 09/07/2005.
Does Joseph Gathe, M.D. prescribe more brand-name or generic drugs? ▼
Joseph Gathe, M.D.'s prescribing is 41% brand-name and 59% generic drugs by claim count, with $16.0M in brand drug costs.
Does Joseph Gathe, M.D. prescribe opioids? ▼
Yes, Joseph Gathe, M.D. had 89 opioid claims in 2024 with an opioid prescribing rate of 0.8%.
How many Infectious Disease Physician providers are there in the US? ▼
There are 8,537 Infectious Disease Physician providers across 54 states in the US. The average Infectious Disease Physician provider writes 807 Medicare Part D claims per year.
What drugs does Joseph Gathe, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Joseph Gathe, M.D.'s most frequently prescribed drugs include Biktarvy, Prezcobix, Symtuza. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joseph Gathe, M.D. accept Medicare? ▼
Joseph Gathe, M.D. appears in CMS Medicare data with 11,690 Part D claims and 648 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joseph Gathe, M.D.'s credentials? ▼
Joseph Gathe, M.D.'s NPI is 1366436263 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

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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.