2026 NPPES data Surgery Physician NPI 1649294240 MD
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KAREN GERSCH, MD

Surgery Physician in GAINESVILLE, Georgia. 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
39
Medicare Part D claims · 24 beneficiaries · Surgery Physician avg: 169
MIPS score
82.5534/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$3.3K
35 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KAREN GERSCH, MD reported a CMS MIPS final score of 82.5534/100 — below the 83.1 national average — and filed 39 Medicare Part D claims in 2023.

82.5534/100
MIPS score · -1 vs avg
39
Part D claims, 2023
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.

KAREN GERSCH, MD's MIPS score vs every scored U.S. clinician

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

83 39th percentile higher than 39% 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)

KAREN GERSCH, 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 KAREN GERSCH, MD?

Near national average

NPI registry status

Active

Issued 07/27/2006

NPI 1649294240

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

39 77% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

82.5534/100 0.546599999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Surgery Physician compares to other specialties among Georgia providers

Georgia providers

Surgery Physician share within Georgia

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

Medicare quality performance — MIPS

KAREN GERSCH, MD's 2023 MIPS final score plotted against the Surgery Physician national average

Near national average
MIPS Final Score
82.5534/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 82.5534/100 vs national avg 83.1

0%100%National avg83%82.6%
MIPS final score (Surgery Physician) — 82.5534/100 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).

KAREN GERSCH, MD is a Surgery Physician provider practicing in GAINESVILLE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1649294240. 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.

KAREN GERSCH, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 200 S ENOTA DR NE STE 380, GAINESVILLE, GA, 30501, with a listed phone of (770) 219-7099. NPI 1649294240 was issued on 07/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GERSCH 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 39 prescription claims written by this provider, covering 24 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 28.2%. 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 82.5534/100 for the 2023 performance year (Quality 81.1413, Cost 60.7032), 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

200 S ENOTA DR NE STE 380
GAINESVILLE, GA 30501

Provider Details

NPI 1649294240
Specialty Surgery Physician
Credentials MD
Gender Female
NPI Issued 07/27/2006

CMS Quality Score (MIPS)

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

82.5534
Final Score
Avg: 83.1
81.1413
Quality
60.7032
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KAREN GERSCH, 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.

NORTHEAST GEORGIA PHYSICIANS GROUP INC
GAINESVILLE, GA

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 KAREN GERSCH, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.3K

Largest payer

INTUITIVE SURGICAL, 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.

Medicare Part D Prescribing Data

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

39
Total Claims
$3K
Total Drug Cost
24
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
39
Total Day Supply
498
Generic Drug Cost
$566
Opioid Claims
11 (28.2% rate)

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
0.98
Gender Split
46% female / 54% male

Surgery Physician Overview

How KAREN GERSCH, MD fits within the Surgery Physician landscape nationally.

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

KAREN GERSCH, MD's 39 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Georgia

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

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

Frequently Asked Questions

What is KAREN GERSCH, MD's specialty?
KAREN GERSCH, MD specializes in Surgery Physician and practices in GAINESVILLE, Georgia. Credentials: MD.
How much does KAREN GERSCH, MD prescribe under Medicare Part D?
In 2023, KAREN GERSCH, MD wrote 39 Medicare Part D claims totaling $3K in drug costs for 24 beneficiaries.
What is KAREN GERSCH, MD's Medicare quality score?
KAREN GERSCH, MD has a CMS MIPS Final Score of 82.5534/100 (Quality: 81.1413, Cost: 60.7032). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAREN GERSCH, MD located?
KAREN GERSCH, MD is located at 200 S ENOTA DR NE STE 380, GAINESVILLE, GA, 30501. Phone: (770) 219-7099.
What is KAREN GERSCH, MD's NPI number?
KAREN GERSCH, MD's National Provider Identifier (NPI) is 1649294240, issued on 07/27/2006.
Does KAREN GERSCH, MD prescribe opioids?
Yes, KAREN GERSCH, MD had 11 opioid claims in 2023 with an opioid prescribing rate of 28.2%.
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.
Does KAREN GERSCH, MD accept Medicare?
KAREN GERSCH, MD appears in CMS Medicare data with 39 Part D claims and 24 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN GERSCH, MD's credentials?
KAREN GERSCH, MD's NPI is 1649294240 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