2026 NPPES data Sleep Medicine (Psychiatry & Neurology) Physician NPI 1972506426 MD
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KEVIN GAFFNEY, MD

Sleep Medicine (Psychiatry & Neurology) Physician in SHENANDOAH, Texas. 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
3K
Medicare Part D claims · 576 beneficiaries · Sleep Medicine (Psychiatry & Neurology) Physician avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$3.2K
157 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KEVIN GAFFNEY, MD filed 3,390 Medicare Part D claims in 2023 as a Sleep Medicine (Psychiatry & Neurology) Physician in SHENANDOAH, Texas, prescribing 91% generic.

3K
Part D claims, 2023
91%
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.

KEVIN GAFFNEY, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

3,390 Top 10% higher than 90% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

KEVIN GAFFNEY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — 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 KEVIN GAFFNEY, MD?

Quality data not reported

NPI registry status

Active

Issued 05/27/2005

NPI 1972506426

Primary specialty

Sleep Medicine (Psychiatry & Neurology) Physician

Rare

371 US NPIs in this specialty

Medicare Part D claims

3,390 237% vs specialty avg

2023 prescription claims

Specialty avg: 1,005

Specialty distribution in Texas

How Sleep Medicine (Psychiatry & Neurology) Physician compares to other specialties among Texas providers

Texas providers

Sleep Medicine (Psychiatry & Neurology) Physician share within Texas

1. Sleep Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Psychiatry & Neurology) Physician share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Sleep Medicine (Psychiatry & Neurology) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sleep Medicine (Psychiatry & Neurology) Physician ABMS/AOA estimate

Est. board-certified rate (Sleep Medicine (Psychiatry & Neurology) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sleep Medicine (Psychiatry & Neurology) Physician) — ABMS / AOA estimate

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).

KEVIN GAFFNEY, MD appears in the CMS NPPES registry as a Sleep Medicine (Psychiatry & Neurology) Physician provider holding MD credentials at 9180 PINECROFT DR STE 500, SHENANDOAH, TX, 77380, with a listed phone of (713) 897-5900. NPI 1972506426 was issued on 05/27/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAFFNEY 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 3,390 prescription claims written by this provider, covering 576 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 2.0%. 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.

Sleep Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 371 enrolled providers across 45 states and an average of 1,005 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

9180 PINECROFT DR STE 500
SHENANDOAH, TX 77380

Provider Details

NPI 1972506426
Specialty Sleep Medicine (Psychiatry & Neurology) Physician
Credentials MD
Gender Male
NPI Issued 05/27/2005

Hospital and facility affiliations

Facilities where KEVIN GAFFNEY, 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.

MHS PHYSICIANS OF TEXAS
SUGAR LAND, TX
SELECT PHYSICAL THERAPY TEXAS LIMITED PARTNERSHIP
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 KEVIN GAFFNEY, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.2K

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 KEVIN GAFFNEY, MD. To verify KEVIN GAFFNEY, 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

KEVIN GAFFNEY, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 3,390 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.

3,390
Total Claims
$1.3M
Total Drug Cost
576
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,133
Total Day Supply
180,330
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$848K
Generic Drug Cost
$455K
Opioid Claims
67 (2.0% rate)

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.54
Gender Split
55% female / 45% male
Age Distribution
<65: 89, 65-74: 224, 75-84: 219, 85+: 44

Top Prescribed Drugs (Medicare Part D)

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

What KEVIN GAFFNEY, MD 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
Gabapentin
329
Duloxetine Hcl
236
Levetiracetam
145
Pregabalin
145
Carbidopa-Levodopa
Carbidopa/Levodopa
141
Donepezil Hcl
113
Baclofen
105
Topiramate
93
Memantine Hcl
91
Rasagiline Mesylate
83

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

Sleep Medicine (Psychiatry & Neurology) Physician Overview

How KEVIN GAFFNEY, MD fits within the Sleep Medicine (Psychiatry & Neurology) Physician landscape nationally.

371
Sleep Medicine (Psychiatry & Neurology) Physician Providers in US
45
States with Sleep Medicine (Psychiatry & Neurology) Physician
1,005
Avg Claims per Provider

KEVIN GAFFNEY, MD's 3,390 claims are above the specialty average of 1,005.

Nearby Sleep Medicine (Psychiatry & Neurology) Physician Providers in Texas

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

Compare Sleep Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KEVIN GAFFNEY, MD's specialty?
KEVIN GAFFNEY, MD specializes in Sleep Medicine (Psychiatry & Neurology) Physician and practices in SHENANDOAH, Texas. Credentials: MD.
How much does KEVIN GAFFNEY, MD prescribe under Medicare Part D?
In 2023, KEVIN GAFFNEY, MD wrote 3,390 Medicare Part D claims totaling $1.3M in drug costs for 576 beneficiaries.
Where is KEVIN GAFFNEY, MD located?
KEVIN GAFFNEY, MD is located at 9180 PINECROFT DR STE 500, SHENANDOAH, TX, 77380. Phone: (713) 897-5900.
What is KEVIN GAFFNEY, MD's NPI number?
KEVIN GAFFNEY, MD's National Provider Identifier (NPI) is 1972506426, issued on 05/27/2005.
Does KEVIN GAFFNEY, MD prescribe more brand-name or generic drugs?
KEVIN GAFFNEY, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $848K in brand drug costs.
Does KEVIN GAFFNEY, MD prescribe opioids?
Yes, KEVIN GAFFNEY, MD had 67 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Sleep Medicine (Psychiatry & Neurology) Physician providers are there in the US?
There are 371 Sleep Medicine (Psychiatry & Neurology) Physician providers across 45 states in the US. The average Sleep Medicine (Psychiatry & Neurology) Physician provider writes 1,005 Medicare Part D claims per year.
What drugs does KEVIN GAFFNEY, MD prescribe most often?
Based on 2023 Medicare Part D data, KEVIN GAFFNEY, MD's most frequently prescribed drugs include Gabapentin, Duloxetine Hcl, Levetiracetam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KEVIN GAFFNEY, MD accept Medicare?
KEVIN GAFFNEY, MD appears in CMS Medicare data with 3,390 Part D claims and 576 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KEVIN GAFFNEY, MD's credentials?
KEVIN GAFFNEY, MD's NPI is 1972506426 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.
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