2026 NPPES data Dental Hygienist NPI 1275943938 PA-C
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KAITLIN GILBERT, PA-C

Dental Hygienist in FREDERICKSBURG, Virginia. 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
734
Medicare Part D claims · 284 beneficiaries · Dental Hygienist avg: 114
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$3.7K
171 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KAITLIN GILBERT, PA-C reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 734 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
734
Part D claims, 2023
85%
generic prescribing
$3.7K
industry payments (Sunshine Act)

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.

KAITLIN GILBERT, PA-C's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

What does the federal data show about KAITLIN GILBERT, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 05/04/2014

NPI 1275943938

Primary specialty

Dental Hygienist

Mid-sized

15,486 US NPIs in this specialty

Medicare Part D claims

734 544% vs specialty avg

2023 prescription claims

Specialty avg: 114

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Dental Hygienist compares to other specialties among Virginia providers

Virginia providers

Dental Hygienist share within Virginia

1. Dental Hygienist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dental Hygienist share within Virginia

Medicare quality performance — MIPS

KAITLIN GILBERT, PA-C's 2023 MIPS final score plotted against the Dental Hygienist national average

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

MIPS final score (Dental Hygienist) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Dental Hygienist) — 100/100 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).

KAITLIN GILBERT, PA-C appears in the CMS NPPES registry as a Dental Hygienist provider holding PA-C credentials at 1031 CARE WAY, FREDERICKSBURG, VA, 22401, with a listed phone of (540) 371-7600. NPI 1275943938 was issued on 05/04/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILBERT 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 734 prescription claims written by this provider, covering 284 Medicare beneficiaries and totaling roughly $199K in drug spend, split 15% brand-name and 85% 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 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Dental Hygienist is a mid-sized specialty nationwide, with 15,486 enrolled providers across 55 states and an average of 114 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

1031 CARE WAY
FREDERICKSBURG, VA 22401

Provider Details

NPI 1275943938
Specialty Dental Hygienist
Credentials PA-C
Gender Female
NPI Issued 05/04/2014

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KAITLIN GILBERT, PA-C 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.

GASTROINTESTINAL ASSOCIATES OF NORTHEAST TENNESSEE, PC
JOHNSON CITY, TN

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

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 KAITLIN GILBERT, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$3.7K

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Typical

KAITLIN GILBERT, PA-C — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 734 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.

734
Total Claims
$199K
Total Drug Cost
284
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,215
Total Day Supply
31,070
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$179K
Generic Drug Cost
$21K
Antibiotic Claims
25

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
2.07
Gender Split
61% female / 39% male
Age Distribution
<65: 69, 65-74: 101, 75-84: 91, 85+: 23

Top Prescribed Drugs (Medicare Part D)

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

What KAITLIN GILBERT, PA-C 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
Pantoprazole Sodium
190
Sucralfate
60
Omeprazole
44
Famotidine
39
Dicyclomine Hcl
29
Linzess
Linaclotide
28
Colestipol Hcl
27
Esomeprazole Magnesium
15
Ondansetron Odt
Ondansetron
15
Diphenoxylate-Atropine
Diphenoxylate Hcl/Atropine
12

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

Dental Hygienist Overview

How KAITLIN GILBERT, PA-C fits within the Dental Hygienist landscape nationally.

15,486
Dental Hygienist Providers in US
55
States with Dental Hygienist
114
Avg Claims per Provider

KAITLIN GILBERT, PA-C's 734 claims are above the specialty average of 114.

Nearby Dental Hygienist Providers in Virginia

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

Compare Dental Hygienist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAITLIN GILBERT, PA-C's specialty?
KAITLIN GILBERT, PA-C specializes in Dental Hygienist and practices in FREDERICKSBURG, Virginia. Credentials: PA-C.
How much does KAITLIN GILBERT, PA-C prescribe under Medicare Part D?
In 2023, KAITLIN GILBERT, PA-C wrote 734 Medicare Part D claims totaling $199K in drug costs for 284 beneficiaries.
What is KAITLIN GILBERT, PA-C's Medicare quality score?
KAITLIN GILBERT, PA-C has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAITLIN GILBERT, PA-C located?
KAITLIN GILBERT, PA-C is located at 1031 CARE WAY, FREDERICKSBURG, VA, 22401. Phone: (540) 371-7600.
What is KAITLIN GILBERT, PA-C's NPI number?
KAITLIN GILBERT, PA-C's National Provider Identifier (NPI) is 1275943938, issued on 05/04/2014.
Does KAITLIN GILBERT, PA-C prescribe more brand-name or generic drugs?
KAITLIN GILBERT, PA-C's prescribing is 15% brand-name and 85% generic drugs by claim count, with $179K in brand drug costs.
How many Dental Hygienist providers are there in the US?
There are 15,486 Dental Hygienist providers across 55 states in the US. The average Dental Hygienist provider writes 114 Medicare Part D claims per year.
What drugs does KAITLIN GILBERT, PA-C prescribe most often?
Based on 2023 Medicare Part D data, KAITLIN GILBERT, PA-C's most frequently prescribed drugs include Pantoprazole Sodium, Sucralfate, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAITLIN GILBERT, PA-C accept Medicare?
KAITLIN GILBERT, PA-C appears in CMS Medicare data with 734 Part D claims and 284 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAITLIN GILBERT, PA-C's credentials?
KAITLIN GILBERT, PA-C's NPI is 1275943938 with credentials PA-C. 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