2026 NPPES data Orthopaedic Surgery Physician NPI 1760616924 MD
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MARY GILMER, MD

Orthopaedic Surgery Physician in BIRMINGHAM, Alabama. 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
692
Medicare Part D claims · 312 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.4763/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$607.05
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARY GILMER, MD is a Orthopaedic Surgery Physician ([object Object]) practicing in BIRMINGHAM, Alabama with a Medicare Part D prescribing footprint of 692 claims across 312 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 87.4763/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $607.05 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARY GILMER, MD reported a CMS MIPS final score of 87.4763 out of 100, above the 83.1 national average, and filed 692 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)

MARY GILMER, 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).

MARY GILMER, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/03/2009

NPI 1760616924

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

692 114% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

87.4763/100 4.3763000000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Alabama

How Orthopaedic Surgery Physician compares to other specialties among Alabama providers

Alabama providers

Orthopaedic Surgery Physician share within Alabama

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within Alabama

Medicare quality performance — MIPS

MARY GILMER, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
87.4763/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 87.4763/100 vs national avg 83.1

0%100%National avg83%87.5%
MIPS final score (Orthopaedic Surgery Physician) — 87.4763/100 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).

MARY GILMER, MD is a Orthopaedic Surgery Physician provider practicing in BIRMINGHAM, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1760616924. 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.

MARY GILMER, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 1801 GADSDEN HWY, BIRMINGHAM, AL, 35235, with a listed phone of (205) 838-3900. NPI 1760616924 was issued on 05/03/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILMER 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 692 prescription claims written by this provider, covering 312 Medicare beneficiaries and totaling roughly $26K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 34.2%. 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 87.4763/100 for the 2023 performance year (Quality 74.9526), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

1801 GADSDEN HWY
BIRMINGHAM, AL 35235

Provider Details

NPI 1760616924
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Female
NPI Issued 05/03/2009

CMS Quality Score (MIPS)

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

87.4763
Final Score
Avg: 83.1
74.9526
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MARY GILMER, 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.

ALABAMA ORTHOPEDIC SPINE AND SPORTS MEDICINE ASSOCIATES P C
HOOVER, AL

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 MARY GILMER, MD. Source: openpaymentsdata.cms.gov.

Total received

$607

Largest payer

Zimmer Biomet Holdings, 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

MARY GILMER, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 692 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.

692
Total Claims
$26K
Total Drug Cost
312
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
729
Total Day Supply
11,421
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$17K
Generic Drug Cost
$10K
Opioid Claims
237 (34.2% rate)
Antibiotic Claims
46

Patient Demographics

Average Patient Age
68.2 years
Avg HCC Risk Score
1.24
Gender Split
74% female / 26% male
Age Distribution
<65: 74, 65-74: 165, 75-84: 58, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
117
Methylprednisolone
99
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
81
Gabapentin
50
Xarelto
Rivaroxaban
33
Tramadol Hcl
32
Diclofenac Sodium
27
Celecoxib
26
Prednisone
25
Pregabalin
25

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

Orthopaedic Surgery Physician Overview

How MARY GILMER, MD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

MARY GILMER, MD's 692 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Alabama

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

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARY GILMER, MD's specialty?
MARY GILMER, MD specializes in Orthopaedic Surgery Physician and practices in BIRMINGHAM, Alabama. Credentials: MD.
How much does MARY GILMER, MD prescribe under Medicare Part D?
In 2023, MARY GILMER, MD wrote 692 Medicare Part D claims totaling $26K in drug costs for 312 beneficiaries.
What is MARY GILMER, MD's Medicare quality score?
MARY GILMER, MD has a CMS MIPS Final Score of 87.4763/100 (Quality: 74.9526). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARY GILMER, MD located?
MARY GILMER, MD is located at 1801 GADSDEN HWY, BIRMINGHAM, AL, 35235. Phone: (205) 838-3900.
What is MARY GILMER, MD's NPI number?
MARY GILMER, MD's National Provider Identifier (NPI) is 1760616924, issued on 05/03/2009.
Does MARY GILMER, MD prescribe more brand-name or generic drugs?
MARY GILMER, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $17K in brand drug costs.
Does MARY GILMER, MD prescribe opioids?
Yes, MARY GILMER, MD had 237 opioid claims in 2023 with an opioid prescribing rate of 34.2%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does MARY GILMER, MD prescribe most often?
Based on 2023 Medicare Part D data, MARY GILMER, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Methylprednisolone, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARY GILMER, MD accept Medicare?
MARY GILMER, MD appears in CMS Medicare data with 692 Part D claims and 312 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARY GILMER, MD's credentials?
MARY GILMER, MD's NPI is 1760616924 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