2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1477874865 MD
Verify on CMS →

NATHANIEL GAECKLE, MD

Critical Care Medicine (Internal Medicine) Physician in MINNEAPOLIS, Minnesota. 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
1K
Medicare Part D claims · 150 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
31%
generic claims · 69% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.3405/100
▼ 1 pts below national avg 83.1 · [object Object]

What the federal data shows

NATHANIEL GAECKLE, MD reported a CMS MIPS final score of 82.3405/100 — below the 83.1 national average — and filed 1,225 Medicare Part D claims in 2023.

82.3405/100
MIPS score · -1 vs avg
1K
Part D claims, 2023
31%
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.

NATHANIEL GAECKLE, MD's MIPS score vs every scored U.S. clinician

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

82 39th percentile higher than 39% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

NATHANIEL GAECKLE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 hospital affiliations — 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 NATHANIEL GAECKLE, MD?

Near national average

NPI registry status

Active

Issued 06/20/2010

NPI 1477874865

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

1,225 15% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

82.3405/100 0.7594999999999885% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Minnesota providers

Minnesota providers

Critical Care Medicine (Internal Medicine) Physician share within Minnesota

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Minnesota

Medicare quality performance — MIPS

NATHANIEL GAECKLE, MD's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Near national average
MIPS Final Score
82.3405/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 82.3405/100 vs national avg 83.1

0%100%National avg83%82.3%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 82.3405/100 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).

NATHANIEL GAECKLE, MD is a Critical Care Medicine (Internal Medicine) Physician provider practicing in MINNEAPOLIS, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1477874865. 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.

NATHANIEL GAECKLE, MD appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding MD credentials at 909 FULTON ST SE, MINNEAPOLIS, MN, 55455, with a listed phone of (612) 672-7422. NPI 1477874865 was issued on 06/20/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAECKLE 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 1,225 prescription claims written by this provider, covering 150 Medicare beneficiaries and totaling roughly $841K in drug spend, split 69% brand-name and 31% generic by claim count. 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 82.3405/100 for the 2023 performance year (Quality 81.5407, Cost 38.1722), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

909 FULTON ST SE
MINNEAPOLIS, MN 55455

Provider Details

NPI 1477874865
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 06/20/2010

CMS Quality Score (MIPS)

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

82.3405
Final Score
Avg: 83.1
81.5407
Quality
38.1722
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NATHANIEL GAECKLE, MD 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.

CENTRACARE HEALTH SYSTEM - MELROSE
MELROSE, MN
FAIRVIEW EXPRESS CARE
SAINT PAUL, MN
FAIRVIEW HEALTH SERVICES
SAINT PAUL, MN
UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC
MINNEAPOLIS, MN

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 · Brand-heavy

NATHANIEL GAECKLE, MD — brand share 69.0%
Specialty average (est.)

69% brand-name claims vs 31% generic, on 1,225 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.

1,225
Total Claims
$841K
Total Drug Cost
150
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,547
Total Day Supply
42,614
Brand vs Generic
69% brand / 31% generic
Brand Drug Cost
$816K
Generic Drug Cost
$25K
Antibiotic Claims
133

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
2.30
Gender Split
57% female / 43% male
Age Distribution
<65: 25, 65-74: 73, 75-84: 40, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
161
Azithromycin
99
Prednisone
95
Albuterol Sulfate Hfa
Albuterol Sulfate
89
Symbicort
Budesonide/Formoterol Fumarate
71
Montelukast Sodium
60
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
59
Breo Ellipta
Fluticasone/Vilanterol
56
Ventolin Hfa
Albuterol Sulfate
55
Incruse Ellipta
Umeclidinium Bromide
54

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

Critical Care Medicine (Internal Medicine) Physician Overview

How NATHANIEL GAECKLE, MD fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

NATHANIEL GAECKLE, MD's 1,225 claims are above the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Minnesota

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

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NATHANIEL GAECKLE, MD's specialty?
NATHANIEL GAECKLE, MD specializes in Critical Care Medicine (Internal Medicine) Physician and practices in MINNEAPOLIS, Minnesota. Credentials: MD.
How much does NATHANIEL GAECKLE, MD prescribe under Medicare Part D?
In 2023, NATHANIEL GAECKLE, MD wrote 1,225 Medicare Part D claims totaling $841K in drug costs for 150 beneficiaries.
What is NATHANIEL GAECKLE, MD's Medicare quality score?
NATHANIEL GAECKLE, MD has a CMS MIPS Final Score of 82.3405/100 (Quality: 81.5407, Cost: 38.1722). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NATHANIEL GAECKLE, MD located?
NATHANIEL GAECKLE, MD is located at 909 FULTON ST SE, MINNEAPOLIS, MN, 55455. Phone: (612) 672-7422.
What is NATHANIEL GAECKLE, MD's NPI number?
NATHANIEL GAECKLE, MD's National Provider Identifier (NPI) is 1477874865, issued on 06/20/2010.
Does NATHANIEL GAECKLE, MD prescribe more brand-name or generic drugs?
NATHANIEL GAECKLE, MD's prescribing is 69% brand-name and 31% generic drugs by claim count, with $816K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does NATHANIEL GAECKLE, MD prescribe most often?
Based on 2023 Medicare Part D data, NATHANIEL GAECKLE, MD's most frequently prescribed drugs include Trelegy Ellipta, Azithromycin, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATHANIEL GAECKLE, MD accept Medicare?
NATHANIEL GAECKLE, MD appears in CMS Medicare data with 1,225 Part D claims and 150 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATHANIEL GAECKLE, MD's credentials?
NATHANIEL GAECKLE, MD's NPI is 1477874865 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

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