2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1184638561
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MICHAEL GIMBEL

Plastic and Reconstructive Surgery Physician in PITTSBURGH, Pennsylvania. 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
42
Medicare Part D claims · 20 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 86
MIPS score
77.5068/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$5.6K
21 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL GIMBEL is a Plastic and Reconstructive Surgery Physician ([object Object]) practicing in PITTSBURGH, Pennsylvania with a Medicare Part D prescribing footprint of 42 claims across 20 beneficiaries . Their CMS MIPS Final Score of 77.5068/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $5.6K across 21 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL GIMBEL reported a CMS MIPS final score of 77.5068 out of 100, below the 83.1 national average, and filed 42 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)

MICHAEL GIMBEL practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MICHAEL GIMBEL at a glance

Below national average

NPI registry status

Active

Issued 07/28/2006

NPI 1184638561

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

Medicare Part D claims

42 51% vs specialty avg

2023 prescription claims

Specialty avg: 86

MIPS final score

77.5068/100 5.593199999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Plastic and Reconstructive Surgery Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Plastic and Reconstructive Surgery Physician share within Pennsylvania

1. Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic and Reconstructive Surgery Physician share within Pennsylvania

Medicare quality performance — MIPS

MICHAEL GIMBEL's 2023 MIPS final score plotted against the Plastic and Reconstructive Surgery Physician national average

Below national average
MIPS Final Score
77.5068/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic and Reconstructive Surgery Physician) — 77.5068/100 vs national avg 83.1

0%100%National avg83%77.5%
MIPS final score (Plastic and Reconstructive Surgery Physician) — 77.5068/100 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 GIMBEL is a Plastic and Reconstructive Surgery Physician provider practicing in PITTSBURGH, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1184638561. 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 GIMBEL appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider at 5750 CENTRE AVE, PITTSBURGH, PA, 15206, with a listed phone of (412) 661-5380. NPI 1184638561 was issued on 07/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GIMBEL 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 42 prescription claims written by this provider, covering 20 Medicare beneficiaries and totaling roughly $314 in drug spend. 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 77.5068/100 for the 2023 performance year (Quality 68.6144, Cost 56.4081), compared with the national average of 83.1.

Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 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

5750 CENTRE AVE
PITTSBURGH, PA 15206

Provider Details

NPI 1184638561
Specialty Plastic and Reconstructive Surgery Physician
Gender Male
NPI Issued 07/28/2006

CMS Quality Score (MIPS)

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

77.5068
Final Score
Avg: 83.1
68.6144
Quality
56.4081
Cost
100
Promoting Interoperability

Reporting: Group practice

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 MICHAEL GIMBEL. Source: openpaymentsdata.cms.gov.

Total received

$5.6K

Largest payer

RTI SURGICAL, 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.

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to MICHAEL GIMBEL. To verify MICHAEL GIMBEL's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

42
Total Claims
$314
Total Drug Cost
20
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
52
Total Day Supply
1,030
Generic Drug Cost
$305
Antibiotic Claims
11

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
1.67

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
15

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

Plastic and Reconstructive Surgery Physician Overview

How MICHAEL GIMBEL fits within the Plastic and Reconstructive Surgery Physician landscape nationally.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

MICHAEL GIMBEL's 42 claims are below the specialty average of 86.

Nearby Plastic and Reconstructive Surgery Physician Providers in Pennsylvania

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

Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL GIMBEL's specialty?
MICHAEL GIMBEL specializes in Plastic and Reconstructive Surgery Physician and practices in PITTSBURGH, Pennsylvania.
How much does MICHAEL GIMBEL prescribe under Medicare Part D?
In 2023, MICHAEL GIMBEL wrote 42 Medicare Part D claims totaling $314 in drug costs for 20 beneficiaries.
What is MICHAEL GIMBEL's Medicare quality score?
MICHAEL GIMBEL has a CMS MIPS Final Score of 77.5068/100 (Quality: 68.6144, Cost: 56.4081). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL GIMBEL located?
MICHAEL GIMBEL is located at 5750 CENTRE AVE, PITTSBURGH, PA, 15206. Phone: (412) 661-5380.
What is MICHAEL GIMBEL's NPI number?
MICHAEL GIMBEL's National Provider Identifier (NPI) is 1184638561, issued on 07/28/2006.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
What drugs does MICHAEL GIMBEL prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL GIMBEL's most frequently prescribed drugs include Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL GIMBEL accept Medicare?
MICHAEL GIMBEL appears in CMS Medicare data with 42 Part D claims and 20 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL GIMBEL's credentials?
MICHAEL GIMBEL's NPI is 1184638561. 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