NPPES file of Aug 9, 2026

Joshua Thomas Gautney, MD

Pulmonary Disease Physician · Birmingham, AL

Joshua Thomas Gautney, MD is a pulmonary disease physician with a practice address in Birmingham, Alabama, and NPI 1346602752, issued on Mar 24, 2016. Check the license (Alabama MD.38143, as entered in NPPES) on the Alabama Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1346602752
Name
Joshua Thomas Gautney
Credential
MD
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
MD.38143 AL
Self-reported in NPPES; status is on the state search
Practice location
100 Pilot Medical Dr, Birmingham, AL 35235
Phone
(205) 854-8084
Enumerated
Mar 24, 2016
Record last updated
Jul 25, 2023
Medicare enrollment
Enrolled (PECOS I20190826001484); accepts Medicare assignment
Medical or professional school
University Of Alabama School Of Medicine, 2016
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 100 Pilot Medical Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Joshua Cockrell, M.D.Interventional Cardiology Physician1104037027
  2. Brian Flowers, MDCardiovascular Disease Physician1013129105
  3. Amy Hill, CRNPFamily Nurse Practitioner1326403577
  4. Arisha LakhaniNurse Practitioner1053011486
  5. Stephanie Lange, CRNPNurse Practitioner1457692568
  6. William Lopez, M.D.Gastroenterology Physician1013998228

Verify Joshua Thomas Gautney in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersAlabama Board of Medical Examiners
    Search for license MD.38143
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Alabama license search

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3.6 times the Medicare Part D claims of the average pulmonary disease physician in 2024

5,176 Medicare Part D claims for 662 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 49% of claims.

  1. Joshua Gautney5,176
  2. Specialty average1,425

Most prescribed

  1. Trelegy Ellipta971 claims
  2. Albuterol Sulfate Hfa787 claims
  3. Furosemide388 claims
  4. Pantoprazole Sodium260 claims
  5. Prednisone216 claims
  6. Anoro Ellipta201 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 96.2 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score74.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $539.37

33 payments; by number, the most common kind was food and beverage; the largest payer was Insmed, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Joshua Gautney$539.37
  2. Specialty average$5,159.88

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Vincentian Physician Services LLCBirmingham, AL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Joshua Thomas Gautney among 219 pulmonary disease physician records in Alabama

Joshua Thomas Gautney, MD is one of 219 pulmonary disease physician records with a practice address in Alabama. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 82% of them.

  • NPI issued2016 · 82% of these records are older, 13% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 80% of these records are
  • Graduated2016 · median 2003 among the 176 with a school on file
  • Record last updated2023 · 44% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Alabama practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in Alabama

There are 219 pulmonary disease physician records in Alabama.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Gerald Dey, M.D.Birmingham, AL 352351922020502
  2. Brian Flanagan, M.D.Birmingham, AL 352351154524247
  3. Maria Johnson, M.D.Birmingham, AL 352351962422162
  4. William Smith, D.O.Birmingham, AL 352351669933792
  5. Thomas Vines, M.D.Birmingham, AL 352351083634281
  6. Zain Cawasji, M.B.B.S.Birmingham, AL 352331326429127
  7. Steven Fox, M.D.Birmingham, AL 352331497134357
  8. Sheetal GandotraBirmingham, AL 352331245585496

Common questions

What is Joshua Thomas Gautney, MD's NPI number?

Joshua Thomas Gautney, MD's National Provider Identifier (NPI) is 1346602752, issued on Mar 24, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Joshua Thomas Gautney, MD located?

The NPPES record lists a practice address at 100 Pilot Medical Dr, Birmingham, AL, 35235. Phone: (205) 854-8084. Providers update this record themselves, so call before visiting.

How can I verify Joshua Thomas Gautney, MD's license?

NPPES lists Alabama license number MD.38143, as entered by the provider. Search the Alabama Board of Medical Examiners at https://www.albme.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Joshua Thomas Gautney, MD prescribe under Medicare Part D?

In 2024, Joshua Thomas Gautney, MD had 5,176 Medicare Part D claims for 662 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Joshua Thomas Gautney, MD's MIPS final score?

The 2023 MIPS final score is 96.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.