2026 NPPES data Family Medicine Physician NPI 1811171572 MD
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MARCO GOMEZ, MD

Family Medicine Physician in CASTLE ROCK, Colorado. 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
4K
Medicare Part D claims · 395 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.1751/100
▼ 6 pts below national avg 83.1 · [object Object]

What the federal data shows

MARCO GOMEZ, MD reported a CMS MIPS final score of 77.1751/100 — below the 83.1 national average — and filed 4,285 Medicare Part D claims in 2023.

77.1751/100
MIPS score · -6 vs avg
4K
Part D claims, 2023
87%
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.

MARCO GOMEZ, MD's MIPS score vs every scored U.S. clinician

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

77 24th percentile higher than 24% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

MARCO GOMEZ, 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 MARCO GOMEZ, MD?

Below national average

NPI registry status

Active

Issued 12/18/2007

NPI 1811171572

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

4,285 25% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

77.1751/100 5.924899999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Family Medicine Physician compares to other specialties among Colorado providers

Colorado providers

Family Medicine Physician share within Colorado

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

Medicare quality performance — MIPS

MARCO GOMEZ, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
77.1751/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 77.1751/100 vs national avg 83.1

0%100%National avg83%77.2%
MIPS final score (Family Medicine Physician) — 77.1751/100 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).

MARCO GOMEZ, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 2356 MEADOWS BLVD STE 140B, CASTLE ROCK, CO, 80109, with a listed phone of (303) 218-7774. NPI 1811171572 was issued on 12/18/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOMEZ 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 4,285 prescription claims written by this provider, covering 395 Medicare beneficiaries and totaling roughly $492K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 0.4%. 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 77.1751/100 for the 2023 performance year (Quality 80.2782, Cost 59.4721), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

2356 MEADOWS BLVD STE 140B
CASTLE ROCK, CO 80109

Provider Details

NPI 1811171572
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 12/18/2007

CMS Quality Score (MIPS)

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

77.1751
Final Score
Avg: 83.1
80.2782
Quality
59.4721
Cost
81
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARCO GOMEZ, 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.

PORTERCARE ADVENTIST HEALTH SYSTEM
CASTLE ROCK, CO

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

Brand vs generic prescribing mix · Typical

MARCO GOMEZ, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 4,285 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.

4,285
Total Claims
$492K
Total Drug Cost
395
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,596
Total Day Supply
311,042
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$416K
Generic Drug Cost
$75K
Opioid Claims
17 (0.4% rate)
Antibiotic Claims
129

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.02
Gender Split
33% female / 67% male
Age Distribution
<65: 17, 65-74: 196, 75-84: 142, 85+: 40

Top Prescribed Drugs (Medicare Part D)

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

What MARCO GOMEZ, 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
Atorvastatin Calcium
562
Levothyroxine Sodium
245
Lisinopril
164
Metformin Hcl
148
Tamsulosin Hcl
130
Losartan Potassium
127
Amlodipine Besylate
116
Metoprolol Succinate
107
Omeprazole
107
Rosuvastatin Calcium
100

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

Family Medicine Physician Overview

How MARCO GOMEZ, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

MARCO GOMEZ, MD's 4,285 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Colorado

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARCO GOMEZ, MD's specialty?
MARCO GOMEZ, MD specializes in Family Medicine Physician and practices in CASTLE ROCK, Colorado. Credentials: MD.
How much does MARCO GOMEZ, MD prescribe under Medicare Part D?
In 2023, MARCO GOMEZ, MD wrote 4,285 Medicare Part D claims totaling $492K in drug costs for 395 beneficiaries.
What is MARCO GOMEZ, MD's Medicare quality score?
MARCO GOMEZ, MD has a CMS MIPS Final Score of 77.1751/100 (Quality: 80.2782, Cost: 59.4721). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARCO GOMEZ, MD located?
MARCO GOMEZ, MD is located at 2356 MEADOWS BLVD STE 140B, CASTLE ROCK, CO, 80109. Phone: (303) 218-7774.
What is MARCO GOMEZ, MD's NPI number?
MARCO GOMEZ, MD's National Provider Identifier (NPI) is 1811171572, issued on 12/18/2007.
Does MARCO GOMEZ, MD prescribe more brand-name or generic drugs?
MARCO GOMEZ, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $416K in brand drug costs.
Does MARCO GOMEZ, MD prescribe opioids?
Yes, MARCO GOMEZ, MD had 17 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does MARCO GOMEZ, MD prescribe most often?
Based on 2023 Medicare Part D data, MARCO GOMEZ, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARCO GOMEZ, MD accept Medicare?
MARCO GOMEZ, MD appears in CMS Medicare data with 4,285 Part D claims and 395 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARCO GOMEZ, MD's credentials?
MARCO GOMEZ, MD's NPI is 1811171572 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