2026 NPPES data Geriatric Medicine (Internal Medicine) Physician NPI 1518975366 MD
Verify on CMS →

JULIE GAMMACK, MD

Geriatric Medicine (Internal Medicine) Physician in ST LOUIS, Missouri. 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 · 335 beneficiaries · Geriatric Medicine (Internal Medicine) Physician avg: 4K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.5711/100
▼ 2 pts below national avg 83.1 · [object Object]

What the federal data shows

JULIE GAMMACK, MD reported a CMS MIPS final score of 81.5711/100 — below the 83.1 national average — and filed 7,151 Medicare Part D claims in 2023.

81.5711/100
MIPS score · -2 vs avg
7K
Part D claims, 2023
85%
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.

JULIE GAMMACK, MD's MIPS score vs every scored U.S. clinician

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

82 36th percentile higher than 36% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

JULIE GAMMACK, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 JULIE GAMMACK, MD?

Near national average

NPI registry status

Active

Issued 08/04/2006

NPI 1518975366

Primary specialty

Geriatric Medicine (Internal Medicine) Physician

Niche

4,161 US NPIs in this specialty

Medicare Part D claims

7,151 61% vs specialty avg

2023 prescription claims

Specialty avg: 4,450

MIPS final score

81.5711/100 1.528899999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Geriatric Medicine (Internal Medicine) Physician compares to other specialties among Missouri providers

Missouri providers

Geriatric Medicine (Internal Medicine) Physician share within Missouri

1. Geriatric Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Geriatric Medicine (Internal Medicine) Physician share within Missouri

Medicare quality performance — MIPS

JULIE GAMMACK, MD's 2023 MIPS final score plotted against the Geriatric Medicine (Internal Medicine) Physician national average

Near national average
MIPS Final Score
81.5711/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 81.5711/100 vs national avg 83.1

0%100%National avg83%81.6%
MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 81.5711/100 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).

JULIE GAMMACK, MD appears in the CMS NPPES registry as a Geriatric Medicine (Internal Medicine) Physician provider holding MD credentials at CENTER FOR SPECIALIZED MEDICINE, ST LOUIS, MO, 63104, with a listed phone of (314) 977-6055. NPI 1518975366 was issued on 08/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAMMACK 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 7,151 prescription claims written by this provider, covering 335 Medicare beneficiaries and totaling roughly $636K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 4.2%. 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 81.5711/100 for the 2023 performance year (Quality 76.0913, Cost 54.2831), compared with the national average of 83.1.

Geriatric Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 4,161 enrolled providers across 52 states and an average of 4,450 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

CENTER FOR SPECIALIZED MEDICINE
ST LOUIS, MO 63104

Provider Details

NPI 1518975366
Specialty Geriatric Medicine (Internal Medicine) Physician
Credentials MD
Gender Female
NPI Issued 08/04/2006

CMS Quality Score (MIPS)

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

81.5711
Final Score
Avg: 83.1
76.0913
Quality
54.2831
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JULIE GAMMACK, 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.

SSM HEALTH CARE GROUP
SAINT LOUIS, MO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

JULIE GAMMACK, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 7,151 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.

7,151
Total Claims
$636K
Total Drug Cost
335
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,968
Total Day Supply
263,176
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$351K
Generic Drug Cost
$285K
Opioid Claims
300 (4.2% rate)
Antibiotic Claims
118

Patient Demographics

Average Patient Age
78.7 years
Avg HCC Risk Score
2.17
Gender Split
59% female / 41% male
Age Distribution
<65: 21, 65-74: 102, 75-84: 111, 85+: 101

Top Prescribed Drugs (Medicare Part D)

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

What JULIE GAMMACK, 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
Atorvastatin Calcium
362
Lisinopril
305
Amlodipine Besylate
296
Gabapentin
219
Eliquis
Apixaban
218
Tamsulosin Hcl
175
Hydrochlorothiazide
173
Losartan Potassium
171
Trazodone Hcl
156
Metformin Hcl
150

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

Geriatric Medicine (Internal Medicine) Physician Overview

How JULIE GAMMACK, MD fits within the Geriatric Medicine (Internal Medicine) Physician landscape nationally.

4,161
Geriatric Medicine (Internal Medicine) Physician Providers in US
52
States with Geriatric Medicine (Internal Medicine) Physician
4,450
Avg Claims per Provider

JULIE GAMMACK, MD's 7,151 claims are above the specialty average of 4,450.

Nearby Geriatric Medicine (Internal Medicine) Physician Providers in Missouri

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

Compare Geriatric Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JULIE GAMMACK, MD's specialty?
JULIE GAMMACK, MD specializes in Geriatric Medicine (Internal Medicine) Physician and practices in ST LOUIS, Missouri. Credentials: MD.
How much does JULIE GAMMACK, MD prescribe under Medicare Part D?
In 2023, JULIE GAMMACK, MD wrote 7,151 Medicare Part D claims totaling $636K in drug costs for 335 beneficiaries.
What is JULIE GAMMACK, MD's Medicare quality score?
JULIE GAMMACK, MD has a CMS MIPS Final Score of 81.5711/100 (Quality: 76.0913, Cost: 54.2831). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JULIE GAMMACK, MD located?
JULIE GAMMACK, MD is located at CENTER FOR SPECIALIZED MEDICINE, ST LOUIS, MO, 63104. Phone: (314) 977-6055.
What is JULIE GAMMACK, MD's NPI number?
JULIE GAMMACK, MD's National Provider Identifier (NPI) is 1518975366, issued on 08/04/2006.
Does JULIE GAMMACK, MD prescribe more brand-name or generic drugs?
JULIE GAMMACK, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $351K in brand drug costs.
Does JULIE GAMMACK, MD prescribe opioids?
Yes, JULIE GAMMACK, MD had 300 opioid claims in 2023 with an opioid prescribing rate of 4.2%.
How many Geriatric Medicine (Internal Medicine) Physician providers are there in the US?
There are 4,161 Geriatric Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Internal Medicine) Physician provider writes 4,450 Medicare Part D claims per year.
What drugs does JULIE GAMMACK, MD prescribe most often?
Based on 2023 Medicare Part D data, JULIE GAMMACK, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JULIE GAMMACK, MD accept Medicare?
JULIE GAMMACK, MD appears in CMS Medicare data with 7,151 Part D claims and 335 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JULIE GAMMACK, MD's credentials?
JULIE GAMMACK, MD's NPI is 1518975366 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