2026 NPPES data Otolaryngology Physician NPI 1972508463 M.D.
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MICHAEL GILBERT, M.D.

Otolaryngology Physician in POST FALLS, Idaho. 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
585
Medicare Part D claims · 180 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.9134/100
▲ 12 pts above national avg 83.1 · [object Object]

What the federal data shows

MICHAEL GILBERT, M.D. reported a CMS MIPS final score of 94.9134/100 — above the 83.1 national average — and filed 585 Medicare Part D claims in 2023.

94.9134/100
MIPS score · +12 vs avg
585
Part D claims, 2023
92%
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 GILBERT, M.D.'s MIPS score vs every scored U.S. clinician

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

95 Top 25% higher than 75% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

MICHAEL GILBERT, 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).

What does the federal data show about MICHAEL GILBERT, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/20/2005

NPI 1972508463

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

585 15% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

94.9134/100 11.813400000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Idaho

How Otolaryngology Physician compares to other specialties among Idaho providers

Idaho providers

Otolaryngology Physician share within Idaho

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

Medicare quality performance — MIPS

MICHAEL GILBERT, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
94.9134/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 94.9134/100 vs national avg 83.1

0%100%National avg83%94.9%
MIPS final score (Otolaryngology Physician) — 94.9134/100 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).

MICHAEL GILBERT, M.D. is a Otolaryngology Physician provider practicing in POST FALLS, Idaho, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1972508463. 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.

MICHAEL GILBERT, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 849 N SYRINGA ST, POST FALLS, ID, 83854, with a listed phone of (208) 777-1320. NPI 1972508463 was issued on 06/20/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILBERT 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 585 prescription claims written by this provider, covering 180 Medicare beneficiaries and totaling roughly $23K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 3.4%. 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 94.9134/100 for the 2023 performance year (Quality 87.8394), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

849 N SYRINGA ST
POST FALLS, ID 83854

Provider Details

NPI 1972508463
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 06/20/2005

CMS Quality Score (MIPS)

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

94.9134
Final Score
Avg: 83.1
87.8394
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MICHAEL GILBERT, 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.

ST JOSEPHS EAR NOSE AND THROAT CLINIC PLLC
COEUR D ALENE, ID

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 · Generic-heavy

MICHAEL GILBERT, M.D. — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 585 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.

585
Total Claims
$23K
Total Drug Cost
180
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
820
Total Day Supply
18,915
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$6K
Generic Drug Cost
$16K
Opioid Claims
20 (3.4% rate)
Antibiotic Claims
43

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.00
Gender Split
58% female / 42% male
Age Distribution
<65: 27, 65-74: 71, 75-84: 71, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ipratropium Bromide
115
Levothyroxine Sodium
93
Fluticasone Propionate
50
Azelastine Hcl
36
Ofloxacin
36
Fluocinolone Acetonide
Fluocinolone/Shower Cap
19
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
19
Mupirocin
16
Omeprazole
16
Montelukast Sodium
15

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

Otolaryngology Physician Overview

How MICHAEL GILBERT, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

MICHAEL GILBERT, M.D.'s 585 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Idaho

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL GILBERT, M.D.'s specialty?
MICHAEL GILBERT, M.D. specializes in Otolaryngology Physician and practices in POST FALLS, Idaho. Credentials: M.D..
How much does MICHAEL GILBERT, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL GILBERT, M.D. wrote 585 Medicare Part D claims totaling $23K in drug costs for 180 beneficiaries.
What is MICHAEL GILBERT, M.D.'s Medicare quality score?
MICHAEL GILBERT, M.D. has a CMS MIPS Final Score of 94.9134/100 (Quality: 87.8394). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL GILBERT, M.D. located?
MICHAEL GILBERT, M.D. is located at 849 N SYRINGA ST, POST FALLS, ID, 83854. Phone: (208) 777-1320.
What is MICHAEL GILBERT, M.D.'s NPI number?
MICHAEL GILBERT, M.D.'s National Provider Identifier (NPI) is 1972508463, issued on 06/20/2005.
Does MICHAEL GILBERT, M.D. prescribe more brand-name or generic drugs?
MICHAEL GILBERT, M.D.'s prescribing is 8% brand-name and 92% generic drugs by claim count, with $6K in brand drug costs.
Does MICHAEL GILBERT, M.D. prescribe opioids?
Yes, MICHAEL GILBERT, M.D. had 20 opioid claims in 2023 with an opioid prescribing rate of 3.4%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does MICHAEL GILBERT, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL GILBERT, M.D.'s most frequently prescribed drugs include Ipratropium Bromide, Levothyroxine Sodium, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL GILBERT, M.D. accept Medicare?
MICHAEL GILBERT, M.D. appears in CMS Medicare data with 585 Part D claims and 180 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL GILBERT, M.D.'s credentials?
MICHAEL GILBERT, M.D.'s NPI is 1972508463 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