2026 NPPES data Hospice and Palliative Medicine (Family Medicine) Physician NPI 1992143218 M.D.
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NICOLE GISE, M.D.

Hospice and Palliative Medicine (Family Medicine) Physician in ROCHESTER, New York. 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
3K
Medicare Part D claims · 143 beneficiaries · Hospice and Palliative Medicine (Family Medicine) Physician avg: 2K
MIPS score
85.1715/100
▲ 2 pts above national avg 83.1 · [object Object]
What the federal data reveals: NICOLE GISE, M.D. is a Hospice and Palliative Medicine (Family Medicine) Physician ([object Object]) practicing in ROCHESTER, New York with a Medicare Part D prescribing footprint of 3K claims across 143 beneficiaries . Their CMS MIPS Final Score of 85.1715/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: NICOLE GISE, M.D. reported a CMS MIPS final score of 85.1715 out of 100, above the 83.1 national average, and filed 3,179 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)

NICOLE GISE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

NICOLE GISE, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/09/2013

NPI 1992143218

Primary specialty

Hospice and Palliative Medicine (Family Medicine) Physician

Niche

784 US NPIs in this specialty

Medicare Part D claims

3,179 54% vs specialty avg

2023 prescription claims

Specialty avg: 2,070

MIPS final score

85.1715/100 2.0715000000000003% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Hospice and Palliative Medicine (Family Medicine) Physician compares to other specialties among New York providers

New York providers

Hospice and Palliative Medicine (Family Medicine) Physician share within New York

1. Hospice and Palliative Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospice and Palliative Medicine (Family Medicine) Physician share within New York

Medicare quality performance — MIPS

NICOLE GISE, M.D.'s 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Family Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
85.1715/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospice and Palliative Medicine (Family Medicine) Physician) — 85.1715/100 vs national avg 83.1

0%100%National avg83%85.2%
MIPS final score (Hospice and Palliative Medicine (Family Medicine) Physician) — 85.1715/100 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).

NICOLE GISE, M.D. is a Hospice and Palliative Medicine (Family Medicine) Physician provider practicing in ROCHESTER, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1992143218. 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.

NICOLE GISE, M.D. appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Family Medicine) Physician provider holding M.D. credentials at 1000 SOUTH AVE, ROCHESTER, NY, 14620, with a listed phone of (585) 341-0888. NPI 1992143218 was issued on 06/09/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GISE 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 3,179 prescription claims written by this provider, covering 143 Medicare beneficiaries and totaling roughly $245K in drug spend, with an opioid prescribing rate of 7.3%. 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 85.1715/100 for the 2023 performance year (Quality 70.9229, Cost 62.9821), compared with the national average of 83.1.

Hospice and Palliative Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 784 enrolled providers across 51 states and an average of 2,070 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

1000 SOUTH AVE
ROCHESTER, NY 14620

Provider Details

NPI 1992143218
Specialty Hospice and Palliative Medicine (Family Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 06/09/2013

CMS Quality Score (MIPS)

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

85.1715
Final Score
Avg: 83.1
70.9229
Quality
62.9821
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICOLE GISE, M.D. 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.

HIGHLAND HOSPITAL OF ROCHESTER
ROCHESTER, NY

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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to NICOLE GISE, M.D.. To verify NICOLE GISE, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York 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.

3,179
Total Claims
$245K
Total Drug Cost
143
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,354
Total Day Supply
86,551
Generic Drug Cost
$61K
Opioid Claims
231 (7.3% rate)
Antibiotic Claims
53

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
2.68
Gender Split
54% female / 46% male
Age Distribution
<65: 25, 65-74: 32, 75-84: 47, 85+: 39

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Trazodone Hcl
245
Mirtazapine
138
Gabapentin
132
Atorvastatin Calcium
119
Sertraline Hcl
91
Eliquis
Apixaban
84
Escitalopram Oxalate
79
Quetiapine Fumarate
79
Levothyroxine Sodium
75
Risperidone
75

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

Hospice and Palliative Medicine (Family Medicine) Physician Overview

How NICOLE GISE, M.D. fits within the Hospice and Palliative Medicine (Family Medicine) Physician landscape nationally.

784
Hospice and Palliative Medicine (Family Medicine) Physician Providers in US
51
States with Hospice and Palliative Medicine (Family Medicine) Physician
2,070
Avg Claims per Provider

NICOLE GISE, M.D.'s 3,179 claims are above the specialty average of 2,070.

Nearby Hospice and Palliative Medicine (Family Medicine) Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as GISE.

Compare Hospice and Palliative Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLE GISE, M.D.'s specialty?
NICOLE GISE, M.D. specializes in Hospice and Palliative Medicine (Family Medicine) Physician and practices in ROCHESTER, New York. Credentials: M.D..
How much does NICOLE GISE, M.D. prescribe under Medicare Part D?
In 2023, NICOLE GISE, M.D. wrote 3,179 Medicare Part D claims totaling $245K in drug costs for 143 beneficiaries.
What is NICOLE GISE, M.D.'s Medicare quality score?
NICOLE GISE, M.D. has a CMS MIPS Final Score of 85.1715/100 (Quality: 70.9229, Cost: 62.9821). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLE GISE, M.D. located?
NICOLE GISE, M.D. is located at 1000 SOUTH AVE, ROCHESTER, NY, 14620. Phone: (585) 341-0888.
What is NICOLE GISE, M.D.'s NPI number?
NICOLE GISE, M.D.'s National Provider Identifier (NPI) is 1992143218, issued on 06/09/2013.
Does NICOLE GISE, M.D. prescribe opioids?
Yes, NICOLE GISE, M.D. had 231 opioid claims in 2023 with an opioid prescribing rate of 7.3%.
How many Hospice and Palliative Medicine (Family Medicine) Physician providers are there in the US?
There are 784 Hospice and Palliative Medicine (Family Medicine) Physician providers across 51 states in the US. The average Hospice and Palliative Medicine (Family Medicine) Physician provider writes 2,070 Medicare Part D claims per year.
What drugs does NICOLE GISE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NICOLE GISE, M.D.'s most frequently prescribed drugs include Trazodone Hcl, Mirtazapine, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE GISE, M.D. accept Medicare?
NICOLE GISE, M.D. appears in CMS Medicare data with 3,179 Part D claims and 143 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE GISE, M.D.'s credentials?
NICOLE GISE, M.D.'s NPI is 1992143218 with credentials M.D.. 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