2026 NPPES data Family Medicine Physician NPI 1174296560
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MMASERAME GAEFELE

Family Medicine Physician in SPRINGFIELD, Massachusetts. 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
653
Medicare Part D claims · 91 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

MMASERAME GAEFELE filed 653 Medicare Part D claims in 2023 as a Family Medicine Physician in SPRINGFIELD, Massachusetts, prescribing 88% generic.

653
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.

MMASERAME GAEFELE's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

653 Top 31% higher than 69% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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)

MMASERAME GAEFELE 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 MMASERAME GAEFELE?

Quality data not reported

NPI registry status

Active

Issued 07/30/2021

NPI 1174296560

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

653 81% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Massachusetts

How Family Medicine Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Family Medicine Physician share within Massachusetts

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

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

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).

MMASERAME GAEFELE appears in the CMS NPPES registry as a Family Medicine Physician provider at BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET, SPRINGFIELD, MA, 01199, with a listed phone of (413) 794-0000. NPI 1174296560 was issued on 07/30/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAEFELE 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 653 prescription claims written by this provider, covering 91 Medicare beneficiaries and totaling roughly $53K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 8.7%. 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199

Provider Details

NPI 1174296560
Specialty Family Medicine Physician
Gender Female
NPI Issued 07/30/2021

Hospital and facility affiliations

Facilities where MMASERAME GAEFELE 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.

BAYSTATE MEDICAL PRACTICES INC
SPRINGFIELD, MA

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to MMASERAME GAEFELE. To verify MMASERAME GAEFELE's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MMASERAME GAEFELE — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 653 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.

653
Total Claims
$53K
Total Drug Cost
91
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,174
Total Day Supply
33,608
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$37K
Generic Drug Cost
$16K
Opioid Claims
57 (8.7% rate)
Antibiotic Claims
11

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.10
Gender Split
63% female / 37% male
Age Distribution
<65: 16, 65-74: 31, 75-84: 30, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

What MMASERAME GAEFELE prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
33
Atorvastatin Calcium
30
Lisinopril
26
Omeprazole
26
Morphine Sulfate Er
Morphine Sulfate
23
Pantoprazole Sodium
20
Amlodipine Besylate
15
Gabapentin
15
Losartan Potassium
15
Metoprolol Succinate
14

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

Family Medicine Physician Overview

How MMASERAME GAEFELE fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

MMASERAME GAEFELE's 653 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Massachusetts

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MMASERAME GAEFELE's specialty?
MMASERAME GAEFELE specializes in Family Medicine Physician and practices in SPRINGFIELD, Massachusetts.
How much does MMASERAME GAEFELE prescribe under Medicare Part D?
In 2023, MMASERAME GAEFELE wrote 653 Medicare Part D claims totaling $53K in drug costs for 91 beneficiaries.
Where is MMASERAME GAEFELE located?
MMASERAME GAEFELE is located at BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET, SPRINGFIELD, MA, 01199. Phone: (413) 794-0000.
What is MMASERAME GAEFELE's NPI number?
MMASERAME GAEFELE's National Provider Identifier (NPI) is 1174296560, issued on 07/30/2021.
Does MMASERAME GAEFELE prescribe more brand-name or generic drugs?
MMASERAME GAEFELE's prescribing is 12% brand-name and 88% generic drugs by claim count, with $37K in brand drug costs.
Does MMASERAME GAEFELE prescribe opioids?
Yes, MMASERAME GAEFELE had 57 opioid claims in 2023 with an opioid prescribing rate of 8.7%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does MMASERAME GAEFELE prescribe most often?
Based on 2023 Medicare Part D data, MMASERAME GAEFELE's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MMASERAME GAEFELE accept Medicare?
MMASERAME GAEFELE appears in CMS Medicare data with 653 Part D claims and 91 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MMASERAME GAEFELE's credentials?
MMASERAME GAEFELE's NPI is 1174296560. 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.
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