NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1467741686 MD
Verify on CMS → Michael Gavin, MD
Internal Medicine Physician in Pittsford, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 272 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.8/100
▼ 7 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Michael Gavin, MD reported a CMS MIPS final score of 76.8/100 - below the 83.5 national average - and filed 4,184 Medicare Part D claims in 2023.
- 76.8/100
- MIPS score · -7 vs avg
- 4K
- Part D claims, 2023
- 88%
- 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.
Michael Gavin, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
77 ≥ 17th percentile 17% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Michael Gavin, MD sits
This provider among internal medicine physician peers
Across the 34,612 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michael Gavin, MD writes more Part D claims than 78% of them and scores higher on MIPS quality than 19% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Michael Gavin, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Michael Gavin, 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 Michael Gavin, MD?
Below national averagePrimary specialty
Internal Medicine Physician
Medicare Part D claims
4,184 54% vs specialty avg
MIPS final score
76.8/100 6.7 pts vs avg
Specialty distribution in New York
How Internal Medicine Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Michael Gavin, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 76.8/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 76.8/100 vs national avg 83.5
How MIPS and board certification work
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).
Michael Gavin, MD appears in the CMS NPPES registry as an Internal Medicine Physician provider holding MD credentials at 167 SULLYS TRL, Pittsford, NY, 14534, with a listed phone of (585) 758-0800. NPI 1467741686 was issued on 03/29/2011.
Medicare Part D records for calendar year 2023 show 4,184 prescription claims written by this provider, covering 272 Medicare beneficiaries and totaling roughly $420K in drug spend, split 11% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.8/100 for the 2023 performance year (Quality 68.2, Cost 42.7), compared with the 83.5 average among clinicians with a measured score.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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
Provider Details
| NPI | 1467741686 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/29/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.8466
Final Score
Measured-score avg: 83.5
68.2024
Quality
42.684
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Michael Gavin, 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.
University OF Rochester
Rochester, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Michael Gavin, MD. To verify Michael Gavin, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Michael Gavin, MD - brand share 11.0%
Internal Medicine Physician average
11% brand-name claims vs 88% generic, on 4,184 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.
4,184
Total Claims
$420K
Total Drug Cost
272
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 8,161
- Total Day Supply
- 238,725
- Brand vs Generic
- 11% brand / 88% generic
- Brand Drug Cost
- $328K
- Generic Drug Cost
- $90K
- Opioid Claims
- 65 (1.6% rate)
- Antibiotic Claims
- 51
Patient Demographics
- Average Patient Age
- 70.5 years
- Avg HCC Risk Score
- 0.96
- Gender Split
- 42% female / 58% male
- Age Distribution
- <65: 39, 65-74: 121, 75-84: 86, 85+: 26
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Michael Gavin, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
271 claims
- Levothyroxine Sodium
Levothyroxine Sodium
163 claims
- Hydrochlorothiazide
Hydrochlorothiazide
146 claims
- Pantoprazole Sodium
Pantoprazole Sodium
141 claims
- Amlodipine Besylate
Amlodipine Besylate
140 claims
- Tamsulosin Hcl
Tamsulosin Hcl
118 claims
- Omeprazole 105
Omeprazole
105 claims
- Losartan Potassium 94
Losartan Potassium
94 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 271 |
| Levothyroxine Sodium | 163 |
| Hydrochlorothiazide | 146 |
| Pantoprazole Sodium | 141 |
| Amlodipine Besylate | 140 |
| Tamsulosin Hcl | 118 |
| Omeprazole | 105 |
| Losartan Potassium | 94 |
| Metoprolol Succinate | 85 |
| Lisinopril | 84 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Michael Gavin, MD fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Michael Gavin, MD's 4,184 claims are above the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Gavin.
Dr. Deborah Aanonsen
D.O.
Staten Island, NY
Dr. Nivedita Aanur
M.D.
New York, NY
Dr. Jay Aaron
MD
Great Neck, NY
Dr. Justin Aaron
MD
New York, NY
Ahmad Abadi
Poughkeepsie, NY
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Michael Gavin, MD's specialty? ▼
Michael Gavin, MD specializes in Internal Medicine Physician and practices in Pittsford, New York. Credentials: MD.
How much does Michael Gavin, MD prescribe under Medicare Part D? ▼
In 2023, Michael Gavin, MD wrote 4,184 Medicare Part D claims totaling $420K in drug costs for 272 beneficiaries.
What is Michael Gavin, MD's Medicare quality score? ▼
Michael Gavin, MD has a CMS MIPS Final Score of 76.8/100 (Quality: 68.2, Cost: 42.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michael Gavin, MD located? ▼
Michael Gavin, MD is located at 167 SULLYS TRL, Pittsford, NY, 14534. Phone: (585) 758-0800.
What is Michael Gavin, MD's NPI number? ▼
Michael Gavin, MD's National Provider Identifier (NPI) is 1467741686, issued on 03/29/2011.
Does Michael Gavin, MD prescribe more brand-name or generic drugs? ▼
Michael Gavin, MD's prescribing is 11% brand-name and 88% generic drugs by claim count, with $328K in brand drug costs.
Does Michael Gavin, MD prescribe opioids? ▼
Yes, Michael Gavin, MD had 65 opioid claims in 2023 with an opioid prescribing rate of 1.6%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Michael Gavin, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Michael Gavin, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Hydrochlorothiazide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Gavin, MD accept Medicare? ▼
Michael Gavin, MD appears in CMS Medicare data with 4,184 Part D claims and 272 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Gavin, MD's credentials? ▼
Michael Gavin, MD's NPI is 1467741686 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.