2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1801867189 M.D.
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KENNETH GILBERT, M.D.

Plastic and Reconstructive Surgery Physician in NORTH EASTON, Massachusetts. 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.
MIPS score
12.3942/100
▼ 71 pts below national avg 83.1 · [object Object]
What the federal data reveals: KENNETH GILBERT, M.D. is a Plastic and Reconstructive Surgery Physician ([object Object]) practicing in NORTH EASTON, Massachusetts . Their CMS MIPS Final Score of 12.3942/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KENNETH GILBERT, M.D. reported a CMS MIPS final score of 12.3942 out of 100, below the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KENNETH GILBERT, 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).

KENNETH GILBERT, M.D. at a glance

Below national average

NPI registry status

Active

Issued 01/27/2006

NPI 1801867189

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

MIPS final score

12.3942/100 70.7058% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Plastic and Reconstructive Surgery Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Plastic and Reconstructive Surgery Physician share within Massachusetts

1. Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic and Reconstructive Surgery Physician share within Massachusetts

Medicare quality performance — MIPS

KENNETH GILBERT, M.D.'s 2023 MIPS final score plotted against the Plastic and Reconstructive Surgery Physician national average

Below national average
MIPS Final Score
12.3942/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic and Reconstructive Surgery Physician) — 12.3942/100 vs national avg 83.1

0%100%National avg83%12.4%
MIPS final score (Plastic and Reconstructive Surgery Physician) — 12.3942/100 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).

KENNETH GILBERT, M.D. is a Plastic and Reconstructive Surgery Physician provider practicing in NORTH EASTON, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1801867189. 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.

KENNETH GILBERT, M.D. appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding M.D. credentials at 31 ROCHE BROS WAY STE 200, NORTH EASTON, MA, 02356, with a listed phone of (508) 535-3376. NPI 1801867189 was issued on 01/27/2006. 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Plastic and Reconstructive Surgery Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 12.3942/100 for the 2023 performance year (Quality 0, Cost 41.314), compared with the national average of 83.1.

Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 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

31 ROCHE BROS WAY STE 200
NORTH EASTON, MA 02356

Provider Details

NPI 1801867189
Specialty Plastic and Reconstructive Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 01/27/2006

CMS Quality Score (MIPS)

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

12.3942
Final Score
Avg: 83.1
0
Quality
41.314
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where KENNETH GILBERT, 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.

SOUTH SHORE DERMATOLOGY PHYSICIANS PC
NORTH EASTON, MA

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

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to KENNETH GILBERT, M.D.. To verify KENNETH GILBERT, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Plastic and Reconstructive Surgery Physician Overview

How KENNETH GILBERT, M.D. fits within the Plastic and Reconstructive Surgery Physician landscape nationally.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

Nearby Plastic and Reconstructive Surgery Physician Providers in Massachusetts

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

Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KENNETH GILBERT, M.D.'s specialty?
KENNETH GILBERT, M.D. specializes in Plastic and Reconstructive Surgery Physician and practices in NORTH EASTON, Massachusetts. Credentials: M.D..
What is KENNETH GILBERT, M.D.'s Medicare quality score?
KENNETH GILBERT, M.D. has a CMS MIPS Final Score of 12.3942/100 (Quality: 0, Cost: 41.314). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KENNETH GILBERT, M.D. located?
KENNETH GILBERT, M.D. is located at 31 ROCHE BROS WAY STE 200, NORTH EASTON, MA, 02356. Phone: (508) 535-3376.
What is KENNETH GILBERT, M.D.'s NPI number?
KENNETH GILBERT, M.D.'s National Provider Identifier (NPI) is 1801867189, issued on 01/27/2006.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
Does KENNETH GILBERT, M.D. accept Medicare?
KENNETH GILBERT, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KENNETH GILBERT, M.D.'s credentials?
KENNETH GILBERT, M.D.'s NPI is 1801867189 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.
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