NPI registry status
Active
2026 NPPES data Otolaryngology Physician NPI 1659589554 MD
Verify on CMS → Kathleen Gallagher, MD
Otolaryngology Physician in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,893 in Otolaryngology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
539
Medicare Part D claims · 136 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.3/100
▲ 8 pts above national avg 83.1 · Exceptional
Industry payments
$342.37
4 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kathleen Gallagher, MD reported a CMS MIPS final score of 91.3/100 - above the 83.1 national average - and filed 539 Medicare Part D claims in 2023.
- 91.3/100
- MIPS score · +8 vs avg
- 539
- Part D claims, 2023
- 95%
- 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.
Kathleen Gallagher, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
91 Top 37% higher than 63% of 477,587 scored providers
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
Where Kathleen Gallagher, MD sits
This provider among otolaryngology physician peers
Across the 3,669 otolaryngology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kathleen Gallagher, MD writes more Part D claims than 57% of them and scores higher on MIPS quality than 73% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one otolaryngology physician peer from a representative sample of 60; the gold marker is Kathleen Gallagher, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Kathleen Gallagher, 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 Kathleen Gallagher, MD?
High performer (top quartile)Primary specialty
Otolaryngology Physician
Medicare Part D claims
539 6% vs specialty avg
MIPS final score
91.3/100 8.2 pts vs avg
Specialty distribution in Texas
How Otolaryngology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Kathleen Gallagher, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average
- MIPS Final Score
- 91.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Otolaryngology Physician) - 91.3/100 vs national avg 83.1
How MIPS and board certification work
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).
Kathleen Gallagher, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 1977 BUTLER BLVD # E5.200, Houston, TX, 77030, with a listed phone of (713) 798-5900. NPI 1659589554 was issued on 05/21/2007.
Medicare Part D records for calendar year 2023 show 539 prescription claims written by this provider, covering 136 Medicare beneficiaries and totaling roughly $28K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 5.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.3/100 for the 2023 performance year (Quality 81.6), compared with the national average of 83.1.
Otolaryngology Physician is a mid-sized specialty nationwide, with 10,893 enrolled providers across 54 states and an average of 509 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
Provider Details
| NPI | 1659589554 |
|---|---|
| Specialty | Otolaryngology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 05/21/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.3432
Final Score
Avg: 83.1
81.6474
Quality
89.1302
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Kathleen Gallagher, 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.
Baylor College OF Medicine
Houston, TX
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 Kathleen Gallagher, MD. Source: openpaymentsdata.cms.gov.
Total received
$342
Largest payer
Inspire Medical Systems, 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.
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Kathleen Gallagher, MD. To verify Kathleen Gallagher, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Kathleen Gallagher, MD - brand share 5.0%
Otolaryngology Physician average
5% brand-name claims vs 95% generic, on 539 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.
539
Total Claims
$28K
Total Drug Cost
136
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 769
- Total Day Supply
- 19,072
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $15K
- Generic Drug Cost
- $13K
- Opioid Claims
- 32 (5.9% rate)
- Antibiotic Claims
- 94
Patient Demographics
- Average Patient Age
- 68.4 years
- Avg HCC Risk Score
- 1.54
- Gender Split
- 55% female / 45% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kathleen Gallagher, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Fluticasone Propio…
Fluticasone Propionate
144 claims
- Azelastine Hcl 40
Azelastine Hcl
40 claims
- Amoxicillin-Clavul… 36
Amoxicillin-Clavulanate Potass
36 claims
- Montelukast Sodium 23
Montelukast Sodium
23 claims
- Methylprednisolone 20
Methylprednisolone
20 claims
- Tramadol Hcl 20
Tramadol Hcl
20 claims
- Mupirocin 17
Mupirocin
17 claims
- Levocetirizine Dih… 16
Levocetirizine Dihydrochloride
16 claims
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 144 |
| Azelastine Hcl | 40 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 36 |
| Montelukast Sodium | 23 |
| Methylprednisolone | 20 |
| Tramadol Hcl | 20 |
| Mupirocin | 17 |
| Levocetirizine Dihydrochloride | 16 |
| Cephalexin | 15 |
| Famotidine | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Otolaryngology Physician Overview
How Kathleen Gallagher, MD fits within the Otolaryngology Physician landscape nationally.
10,893
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider
Kathleen Gallagher, MD's 539 claims are above the specialty average of 509.
Nearby Otolaryngology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Gallagher.
Dr. Jason Acevedo
MD
Abilene, TX
Jason Adams
Jbsa Ft Sam Houston, TX
Dr. Jane Admire
MD
Dallas, TX
Dr. Robert Africa
MD
Galveston, TX
Dr. Ashley Agan
MD
Dallas, TX
Compare Otolaryngology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Otolaryngology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Kathleen Gallagher, MD's specialty? ▼
Kathleen Gallagher, MD specializes in Otolaryngology Physician and practices in Houston, Texas. Credentials: MD.
How much does Kathleen Gallagher, MD prescribe under Medicare Part D? ▼
In 2023, Kathleen Gallagher, MD wrote 539 Medicare Part D claims totaling $28K in drug costs for 136 beneficiaries.
What is Kathleen Gallagher, MD's Medicare quality score? ▼
Kathleen Gallagher, MD has a CMS MIPS Final Score of 91.3/100 (Quality: 81.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kathleen Gallagher, MD located? ▼
Kathleen Gallagher, MD is located at 1977 BUTLER BLVD # E5.200, Houston, TX, 77030. Phone: (713) 798-5900.
What is Kathleen Gallagher, MD's NPI number? ▼
Kathleen Gallagher, MD's National Provider Identifier (NPI) is 1659589554, issued on 05/21/2007.
Does Kathleen Gallagher, MD prescribe more brand-name or generic drugs? ▼
Kathleen Gallagher, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $15K in brand drug costs.
Does Kathleen Gallagher, MD prescribe opioids? ▼
Yes, Kathleen Gallagher, MD had 32 opioid claims in 2023 with an opioid prescribing rate of 5.9%.
How many Otolaryngology Physician providers are there in the US? ▼
There are 10,893 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does Kathleen Gallagher, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Kathleen Gallagher, MD's most frequently prescribed drugs include Fluticasone Propionate, Azelastine Hcl, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kathleen Gallagher, MD accept Medicare? ▼
Kathleen Gallagher, MD appears in CMS Medicare data with 539 Part D claims and 136 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kathleen Gallagher, MD's credentials? ▼
Kathleen Gallagher, MD's NPI is 1659589554 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.