NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1821066283 D.O.
Verify on CMS → Michele Gilsenan, D.O.
Sports Medicine (Family Medicine) Physician in Clark, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,087 in Sports Medicine (Family 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
282
Medicare Part D claims · 231 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
89%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Michele Gilsenan, D.O. filed 282 Medicare Part D claims in 2023 as a Sports Medicine (Family Medicine) Physician in Clark, New Jersey, prescribing 89% generic.
- 282
- Part D claims, 2023
- 89%
- 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.
Michele Gilsenan, D.O.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
282 49th percentile higher than 49% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Michele Gilsenan, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Michele Gilsenan, D.O.?
Quality data not reportedPrimary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
282 77% vs specialty avg
Specialty distribution in New Jersey
How Sports Medicine (Family Medicine) Physician compares to other specialties among New Jersey providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Sports Medicine (Family Medicine) Physician. Verify directly:
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).
Michele Gilsenan, D.O. appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding D.O. credentials at 67 WALNUT AVE, Clark, NJ, 07066, with a listed phone of (732) 388-7300. NPI 1821066283 was issued on 03/10/2006.
Medicare Part D records for calendar year 2023 show 282 prescription claims written by this provider, covering 231 Medicare beneficiaries and totaling roughly $3K in drug spend, split 5% brand-name and 89% generic by claim count.
Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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 | 1821066283 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | D.O. |
| Gender | Female |
| NPI Issued | 03/10/2006 |
Hospital and facility affiliations
Facilities where Michele Gilsenan, D.O. 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.
Summit Medical Group PA
Berkeley Heights, NJ
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
Michele Gilsenan, D.O. - brand share 5.0%
Sports Medicine (Family Medicine) Physician average
5% brand-name claims vs 89% generic, on 282 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.
282
Total Claims
$3K
Total Drug Cost
231
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 284
- Total Day Supply
- 2,644
- Brand vs Generic
- 5% brand / 89% generic
- Brand Drug Cost
- $236
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 110
Patient Demographics
- Average Patient Age
- 73.8 years
- Avg HCC Risk Score
- 0.94
- Gender Split
- 64% female / 36% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Michele Gilsenan, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
51 claims
- Nitrofurantoin Mon…
Nitrofurantoin Mono-Macro
22 claims
- Amoxicillin 17
Amoxicillin
17 claims
- Azithromycin 17
Azithromycin
17 claims
- Cephalexin 17
Cephalexin
17 claims
- Fluticasone Propio… 15
Fluticasone Propionate
15 claims
- Paxlovid (Eua) 14
Paxlovid (Eua)
14 claims
| Drug | Claims |
|---|---|
| Prednisone | 51 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 22 |
| Amoxicillin | 17 |
| Azithromycin | 17 |
| Cephalexin | 17 |
| Fluticasone Propionate | 15 |
| Paxlovid (Eua) Nirmatrelvir/Ritonavir | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Family Medicine) Physician in NJ →
All providers in New Jersey →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How Michele Gilsenan, D.O. fits within the Sports Medicine (Family Medicine) Physician landscape nationally.
2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider
Michele Gilsenan, D.O.'s 282 claims are below the specialty average of 1,242.
Nearby Sports Medicine (Family Medicine) Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Gilsenan.
Dr. Andrew Albano
D.O.
Morristown, NJ
Dr. Sydney Asselstine
MD
Jersey City, NJ
Dr. April Barnum
D.O.
Ramsey, NJ
Dr. Bryan Barrett
D.O.
Egg Harbor Township, NJ
Dr. Michael Beams
D.O.
Clark, NJ
Compare Sports Medicine (Family 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 Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Family 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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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Michele Gilsenan, D.O.'s specialty? ▼
Michele Gilsenan, D.O. specializes in Sports Medicine (Family Medicine) Physician and practices in Clark, New Jersey. Credentials: D.O..
How much does Michele Gilsenan, D.O. prescribe under Medicare Part D? ▼
In 2023, Michele Gilsenan, D.O. wrote 282 Medicare Part D claims totaling $3K in drug costs for 231 beneficiaries.
Where is Michele Gilsenan, D.O. located? ▼
Michele Gilsenan, D.O. is located at 67 WALNUT AVE, Clark, NJ, 07066. Phone: (732) 388-7300.
What is Michele Gilsenan, D.O.'s NPI number? ▼
Michele Gilsenan, D.O.'s National Provider Identifier (NPI) is 1821066283, issued on 03/10/2006.
Does Michele Gilsenan, D.O. prescribe more brand-name or generic drugs? ▼
Michele Gilsenan, D.O.'s prescribing is 5% brand-name and 89% generic drugs by claim count, with $236 in brand drug costs.
How many Sports Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
What drugs does Michele Gilsenan, D.O. prescribe most often? ▼
Based on 2023 Medicare Part D data, Michele Gilsenan, D.O.'s most frequently prescribed drugs include Prednisone, Nitrofurantoin Mono-Macro, Amoxicillin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michele Gilsenan, D.O. accept Medicare? ▼
Michele Gilsenan, D.O. appears in CMS Medicare data with 282 Part D claims and 231 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michele Gilsenan, D.O.'s credentials? ▼
Michele Gilsenan, D.O.'s NPI is 1821066283 with credentials D.O.. 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.