2026 NPPES data Surgery Physician NPI 1417362955 M.D.
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JUSTIN GAUTHIER, M.D.

Surgery Physician in NEW LONDON, Connecticut. 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
72
Medicare Part D claims · 41 beneficiaries · Surgery Physician avg: 169
MIPS score
93.2757/100
▲ 10 pts above national avg 83.1 · [object Object]
What the federal data reveals: JUSTIN GAUTHIER, M.D. is a Surgery Physician ([object Object]) practicing in NEW LONDON, Connecticut with a Medicare Part D prescribing footprint of 72 claims across 41 beneficiaries . Their CMS MIPS Final Score of 93.2757/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JUSTIN GAUTHIER, M.D. reported a CMS MIPS final score of 93.2757 out of 100, above the 83.1 national average, and filed 72 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JUSTIN GAUTHIER, M.D. 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).

JUSTIN GAUTHIER, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/23/2014

NPI 1417362955

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

72 57% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

93.2757/100 10.175700000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Connecticut

How Surgery Physician compares to other specialties among Connecticut providers

Connecticut providers

Surgery Physician share within Connecticut

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

Medicare quality performance — MIPS

JUSTIN GAUTHIER, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

High performer (top quartile)
MIPS Final Score
93.2757/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 93.2757/100 vs national avg 83.1

0%100%National avg83%93.3%
MIPS final score (Surgery Physician) — 93.2757/100 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).

JUSTIN GAUTHIER, M.D. is a Surgery Physician provider practicing in NEW LONDON, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1417362955. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JUSTIN GAUTHIER, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 365 MONTAUK AVE, NEW LONDON, CT, 06320, with a listed phone of (860) 442-0711. NPI 1417362955 was issued on 06/23/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAUTHIER 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 72 prescription claims written by this provider, covering 41 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 30.6%. 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 93.2757/100 for the 2023 performance year (Quality 81.7219), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

365 MONTAUK AVE
NEW LONDON, CT 06320

Provider Details

NPI 1417362955
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 06/23/2014

CMS Quality Score (MIPS)

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

93.2757
Final Score
Avg: 83.1
81.7219
Quality
78.0315
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JUSTIN GAUTHIER, M.D. 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.

NORTHEAST MEDICAL GROUP INC
NEW LONDON, CT

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

72
Total Claims
$1K
Total Drug Cost
41
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
74
Total Day Supply
556
Generic Drug Cost
$752
Opioid Claims
22 (30.6% rate)
Antibiotic Claims
34

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.42
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
11

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

Surgery Physician Overview

How JUSTIN GAUTHIER, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

JUSTIN GAUTHIER, M.D.'s 72 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Connecticut

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

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

Frequently Asked Questions

What is JUSTIN GAUTHIER, M.D.'s specialty?
JUSTIN GAUTHIER, M.D. specializes in Surgery Physician and practices in NEW LONDON, Connecticut. Credentials: M.D..
How much does JUSTIN GAUTHIER, M.D. prescribe under Medicare Part D?
In 2023, JUSTIN GAUTHIER, M.D. wrote 72 Medicare Part D claims totaling $1K in drug costs for 41 beneficiaries.
What is JUSTIN GAUTHIER, M.D.'s Medicare quality score?
JUSTIN GAUTHIER, M.D. has a CMS MIPS Final Score of 93.2757/100 (Quality: 81.7219). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JUSTIN GAUTHIER, M.D. located?
JUSTIN GAUTHIER, M.D. is located at 365 MONTAUK AVE, NEW LONDON, CT, 06320. Phone: (860) 442-0711.
What is JUSTIN GAUTHIER, M.D.'s NPI number?
JUSTIN GAUTHIER, M.D.'s National Provider Identifier (NPI) is 1417362955, issued on 06/23/2014.
Does JUSTIN GAUTHIER, M.D. prescribe opioids?
Yes, JUSTIN GAUTHIER, M.D. had 22 opioid claims in 2023 with an opioid prescribing rate of 30.6%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does JUSTIN GAUTHIER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JUSTIN GAUTHIER, M.D.'s most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUSTIN GAUTHIER, M.D. accept Medicare?
JUSTIN GAUTHIER, M.D. appears in CMS Medicare data with 72 Part D claims and 41 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTIN GAUTHIER, M.D.'s credentials?
JUSTIN GAUTHIER, M.D.'s NPI is 1417362955 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