NPPES file of Aug 9, 2026

Michael Raymond Gagnon, MD

Ophthalmology Physician · Pleasanton, CA

Michael Raymond Gagnon, MD is an ophthalmology physician with a practice address in Pleasanton, California, and NPI 1164525598, issued on Sep 7, 2006. Check the license (California A95523, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1164525598
Name
Michael Raymond Gagnon
Credential
MD
Primary taxonomy
Ophthalmology Physician 207W00000X
License numbers
A95523 CA
5852453 UT
Self-reported in NPPES; status is on the state search
Practice location
5575 W Las Positas Blvd, Pleasanton, CA 94588
Phone
(925) 460-5000
Enumerated
Sep 7, 2006
Record last updated
May 9, 2013 (not updated in 13 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20070828001077); accepts Medicare assignment
Medical or professional school
Creighton University School Of Medicine, 2001
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 5575 W Las Positas Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Marion Anthony, M.D.Specialist1679577563
  2. Nikhil Apte, MDInternal Medicine Physician1972552206
  3. David Chee, MDInternal Medicine Physician1306846373
  4. Juliana Cinque, MDDermatology Physician1083643084
  5. Chau Dang, MDSurgery Physician1649213398
  6. Ravneet Kaur, M.D.Dermatology Physician1336382662

Verify Michael Raymond Gagnon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license A95523
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.3 times the Medicare Part D claims of the average ophthalmology physician in 2024

3,468 Medicare Part D claims for 904 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 39% of claims.

  1. Michael Gagnon3,468
  2. Specialty average1,518

Most prescribed

  1. Ketorolac Tromethamine530 claims
  2. Ofloxacin454 claims
  3. Latanoprost449 claims
  4. Prednisolone Acetate284 claims
  5. Dorzolamide-Timolol169 claims
  6. Timolol Maleate148 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

No measured MIPS final score for 2023

CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $807.64

23 payments; by number, the most common kind was food and beverage; the largest payer was Biotissue Holdings Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Michael Gagnon$807.64
  2. Specialty average$4,535.02

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Gagnon Vision Medical Group IncPleasanton, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Michael Raymond Gagnon among 2,899 ophthalmology physician records in California

Michael Raymond Gagnon, MD is one of 2,899 ophthalmology physician records with a practice address in California. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.

  • NPI issued2006 · 9% of these records are older, 45% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated2001 · median 2001 among the 1,907 with a school on file
  • Record last updated2013 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in California

There are 2,899 ophthalmology physician records in California.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Daniel Glantz, M.D.Pleasanton, CA 945881851323273
  2. Wei Jiang, MDPleasanton, CA 945881144308214
  3. Fiona Kim, MDPleasanton, CA 945881083102818
  4. Kristina Austin, M.D.Union City, CA 945871417007238
  5. Brian Bubnic, MDVallejo, CA 945891275611170
  6. John Chan, M.D.Union City, CA 945871609928837
  7. Christine Chiou Smith, M.D.Vallejo, CA 945891225209034
  8. Sung Choe, M.D.Union City, CA 945871689752446

Common questions

What is Michael Raymond Gagnon, MD's NPI number?

Michael Raymond Gagnon, MD's National Provider Identifier (NPI) is 1164525598, issued on Sep 7, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Michael Raymond Gagnon, MD located?

The NPPES record lists a practice address at 5575 W Las Positas Blvd, Pleasanton, CA, 94588. Phone: (925) 460-5000. Providers update this record themselves, so call before visiting.

How can I verify Michael Raymond Gagnon, MD's license?

NPPES lists California license number A95523, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Michael Raymond Gagnon, MD prescribe under Medicare Part D?

In 2024, Michael Raymond Gagnon, MD had 3,468 Medicare Part D claims for 904 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Michael Raymond Gagnon, MD's MIPS final score?

CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.