2026 NPPES data Addiction Psychiatry Physician NPI 1518905884 M.D.
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MARIO GOMEZ, M.D.

Addiction Psychiatry Physician in MIDLOTHIAN, Virginia. 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
6K
Medicare Part D claims · 299 beneficiaries · Addiction Psychiatry Physician avg: 792
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$1.2K
18 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARIO GOMEZ, M.D. is a Addiction Psychiatry Physician ([object Object]) practicing in MIDLOTHIAN, Virginia with a Medicare Part D prescribing footprint of 6K claims across 299 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.2K across 18 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARIO GOMEZ, M.D. reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 5,903 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARIO GOMEZ, 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).

MARIO GOMEZ, M.D. at a glance

Below national average

NPI registry status

Active

Issued 06/02/2006

NPI 1518905884

Primary specialty

Addiction Psychiatry Physician

Niche

667 US NPIs in this specialty

Medicare Part D claims

5,903 645% vs specialty avg

2023 prescription claims

Specialty avg: 792

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Virginia

How Addiction Psychiatry Physician compares to other specialties among Virginia providers

Virginia providers

Addiction Psychiatry Physician share within Virginia

1. Addiction Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Psychiatry Physician share within Virginia

Medicare quality performance — MIPS

MARIO GOMEZ, M.D.'s 2023 MIPS final score plotted against the Addiction Psychiatry Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Addiction Psychiatry Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Addiction Psychiatry Physician) — 0/100 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).

MARIO GOMEZ, M.D. is a Addiction Psychiatry Physician provider practicing in MIDLOTHIAN, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1518905884. 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.

MARIO GOMEZ, M.D. appears in the CMS NPPES registry as a Addiction Psychiatry Physician provider holding M.D. credentials at 5918 HARBOUR PARK DR, MIDLOTHIAN, VA, 23112, with a listed phone of (804) 353-0010. NPI 1518905884 was issued on 06/02/2006. 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 5,903 prescription claims written by this provider, covering 299 Medicare beneficiaries and totaling roughly $466K in drug spend, split 6% brand-name and 94% generic by claim count. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Addiction Psychiatry Physician is a narrow specialty nationwide, with 667 enrolled providers across 49 states and an average of 792 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

5918 HARBOUR PARK DR
MIDLOTHIAN, VA 23112

Provider Details

NPI 1518905884
Specialty Addiction Psychiatry Physician
Credentials M.D.
Gender Male
NPI Issued 06/02/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where MARIO GOMEZ, 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.

HMG PSYCHIATRIC ASSOCIATES PC
MIDLOTHIAN, VA

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 MARIO GOMEZ, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

ITI, Inc. (d/b/a Intra-Cellular Therapies, 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.

Brand vs generic prescribing mix · Generic-heavy

MARIO GOMEZ, M.D. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 5,903 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.

5,903
Total Claims
$466K
Total Drug Cost
299
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,606
Total Day Supply
220,913
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$245K
Generic Drug Cost
$220K

Patient Demographics

Average Patient Age
63.4 years
Avg HCC Risk Score
1.32
Gender Split
63% female / 37% male
Age Distribution
<65: 123, 65-74: 115, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Alprazolam
403
Trazodone Hcl
342
Quetiapine Fumarate
318
Risperidone
235
Clonazepam
227
Sertraline Hcl
221
Hydroxyzine Hcl
183
Bupropion Hcl Sr
Bupropion Hcl
159
Clozapine
146
Mirtazapine
145

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

Addiction Psychiatry Physician Overview

How MARIO GOMEZ, M.D. fits within the Addiction Psychiatry Physician landscape nationally.

667
Addiction Psychiatry Physician Providers in US
49
States with Addiction Psychiatry Physician
792
Avg Claims per Provider

MARIO GOMEZ, M.D.'s 5,903 claims are above the specialty average of 792.

Nearby Addiction Psychiatry Physician Providers in Virginia

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

Compare Addiction Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARIO GOMEZ, M.D.'s specialty?
MARIO GOMEZ, M.D. specializes in Addiction Psychiatry Physician and practices in MIDLOTHIAN, Virginia. Credentials: M.D..
How much does MARIO GOMEZ, M.D. prescribe under Medicare Part D?
In 2023, MARIO GOMEZ, M.D. wrote 5,903 Medicare Part D claims totaling $466K in drug costs for 299 beneficiaries.
What is MARIO GOMEZ, M.D.'s Medicare quality score?
MARIO GOMEZ, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARIO GOMEZ, M.D. located?
MARIO GOMEZ, M.D. is located at 5918 HARBOUR PARK DR, MIDLOTHIAN, VA, 23112. Phone: (804) 353-0010.
What is MARIO GOMEZ, M.D.'s NPI number?
MARIO GOMEZ, M.D.'s National Provider Identifier (NPI) is 1518905884, issued on 06/02/2006.
Does MARIO GOMEZ, M.D. prescribe more brand-name or generic drugs?
MARIO GOMEZ, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $245K in brand drug costs.
How many Addiction Psychiatry Physician providers are there in the US?
There are 667 Addiction Psychiatry Physician providers across 49 states in the US. The average Addiction Psychiatry Physician provider writes 792 Medicare Part D claims per year.
What drugs does MARIO GOMEZ, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARIO GOMEZ, M.D.'s most frequently prescribed drugs include Alprazolam, Trazodone Hcl, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARIO GOMEZ, M.D. accept Medicare?
MARIO GOMEZ, M.D. appears in CMS Medicare data with 5,903 Part D claims and 299 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARIO GOMEZ, M.D.'s credentials?
MARIO GOMEZ, M.D.'s NPI is 1518905884 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.
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