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2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1306842182 MD
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Michael Gustavel, MD

Sports Medicine (Orthopaedic Surgery) Physician in Boise, Idaho.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,766 in Sports Medicine (Orthopaedic Surgery) 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
327
Medicare Part D claims · 123 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 309
MIPS score
97.6/100
▲ 14 pts above national avg 83.5 · Exceptional
Industry payments
$2.3K
19 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Michael Gustavel, MD reported a CMS MIPS final score of 97.6/100 - above the 83.5 national average - and filed 327 Medicare Part D claims in 2024.

97.6/100
MIPS score · +14 vs avg
327
Part D claims, 2024
Likely
board-certified (heuristic)
≥84th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Michael Gustavel, MD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1306842182), first enumerated 06/24/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 327 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 97.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Industry payment transparency

    $2.3K in reported industry payments (19 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1306842182 · Sports Medicine (Orthopaedic Surgery) Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1306842182
  • ENUM-LEGACY 2005
  • TAX-NARROW 2,766
  • MIPS-ELITE 97.6/100
  • RX-LIGHT 327
  • BOOK-THIN 21 in Idaho
  • PHOTO-FINISH Jay Albright · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Michael Gustavel, 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.

98 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Gustavel, MD sits

This provider among sports medicine (orthopaedic surgery) physician peers

Across the 924 sports medicine (orthopaedic surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michael Gustavel, MD writes more Part D claims than 67% of them and scores higher on MIPS quality than 90% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 73Michael Gustavel, MD, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 90
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one sports medicine (orthopaedic surgery) physician peer from a representative sample of 60; the gold marker is Michael Gustavel, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Michael Gustavel, MD 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).

What does the federal data show about Michael Gustavel, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/24/2005

NPI 1306842182

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,766 US NPIs in this specialty

Medicare Part D claims

327 6% vs specialty avg

2024 prescription claims

Specialty avg: 309

MIPS final score

97.6/100 14.1 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Idaho

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Idaho providers

Idaho providers
Pharmacist5.3%Physical Therapist5.2%Mental Health Counselor5.1%Social Worker5%Clinical Social Worker4.5%Family Medicine Physician3.8%Sports Medicine (Orthopaedic…0.1%
Largest specialties in Idaho (% of in-state providers)

Medicare quality performance, MIPS

Michael Gustavel, MD's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

High performer (top quartile)
MIPS Final Score
97.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%97.6%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 97.6/100 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).

Practice Address

1702 W FAIRVIEW AVE
Boise, ID 83702
(208) 850-1641

Provider Details

NPI 1306842182
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials MD
Gender Male
NPI Issued 06/24/2005

CMS Quality Score (MIPS)

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

97.5814
Final Score
Measured-score avg: 83.5
86.5348
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 Gustavel, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.3K

Largest payer

Arthrex, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

327
Total Claims
$4K
Total Drug Cost
123
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
327
Total Day Supply
3,014
Generic Drug Cost
$3K
Opioid Claims
135 (41.3% rate)
Antibiotic Claims
74

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
0.80
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Michael Gustavel, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Amoxicillin
 60
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
50
Tramadol Hcl
 33
Gabapentin
 31
Oxycodone Hcl
 26
Ondansetron Hcl
 24
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
22
Diclofenac Sodium Er
Diclofenac Sodium
18
Ibuprofen
 15

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

More Sports Medicine (Orthopaedic Surgery) Physician in ID → All providers in Idaho → Compare specialties →

Sports Medicine (Orthopaedic Surgery) Physician Overview

How Michael Gustavel, MD fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,766
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
309
Avg Claims per Provider

Michael Gustavel, MD's 327 claims are above the specialty average of 309.

Nationwide Sports Medicine (Orthopaedic Surgery) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Gustavel, both outside Idaho so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (97.6 here).

Jay Albright 97.6 CO Jason Bell 97.6 OR Jonathan Bravman 97.6 CO Garwin Chin 97.6 CA

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Mauricio Herrera Miami, FL William Jennings Winston Salem, NC Michael Jabara Grand Rapids, MI Barton Arthur New Bern, NC

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Idaho

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

One of 21 Sports Medicine (Orthopaedic Surgery) Physician providers enrolled in Idaho, 5 are shown here.

Delaney Bergen
ATC, LAT
Twin Falls, ID
Dr. Jacob Bingham
MD
Burley, ID
Dr. Anthony Buoncristiani
M.D.
Ketchum, ID
Dr. Douglas Cipriano
M.D.
Sandpoint, ID
Dr. Paul Collins
M.D.
Meridian, ID

Compare Sports Medicine (Orthopaedic Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Michael Gustavel, MD's specialty? ▼
Michael Gustavel, MD specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Boise, Idaho. Credentials: MD.
How much does Michael Gustavel, MD prescribe under Medicare Part D? ▼
In 2024, Michael Gustavel, MD wrote 327 Medicare Part D claims totaling $4K in drug costs for 123 beneficiaries.
What is Michael Gustavel, MD's Medicare quality score? ▼
Michael Gustavel, MD has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). 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 Gustavel, MD located? ▼
Michael Gustavel, MD is located at 1702 W FAIRVIEW AVE, Boise, ID, 83702. Phone: (208) 850-1641.
What is Michael Gustavel, MD's NPI number? ▼
Michael Gustavel, MD's National Provider Identifier (NPI) is 1306842182, issued on 06/24/2005.
Does Michael Gustavel, MD prescribe opioids? ▼
Yes, Michael Gustavel, MD had 135 opioid claims in 2024 with an opioid prescribing rate of 41.3%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,766 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 309 Medicare Part D claims per year.
What drugs does Michael Gustavel, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Michael Gustavel, MD's most frequently prescribed drugs include Amoxicillin, Hydrocodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Gustavel, MD accept Medicare? ▼
Michael Gustavel, MD appears in CMS Medicare data with 327 Part D claims and 123 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Gustavel, MD's credentials? ▼
Michael Gustavel, MD's NPI is 1306842182 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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

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 August 2026.