NPPES file of Aug 9, 2026

Noah Mischka Avalon Gerken, M.D.

Internal Medicine Physician · San Rafael, CA

Noah Mischka Avalon Gerken, M.D. is an internal medicine physician with a practice address in San Rafael, California, and NPI 1851650758, issued on May 11, 2012. Check the license (California A127970, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1851650758
Name
Noah Mischka Avalon Gerken
Credential
M.D.
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
A127970 CA
Self-reported in NPPES; status is on the state search
Practice location
99 Montecillo RD, San Rafael, CA 94903
Phone
(415) 444-2000
Enumerated
May 11, 2012
Record last updated
Feb 11, 2022
Medicare enrollment
Enrolled (PECOS I20190723002226); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 99 Montecillo RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Scott Adelman, MDCardiovascular Disease Physician1396829362
  2. Navid AfrahPhysical Therapist1275997017
  3. Omar Ahmed, PHARMDAmbulatory Care Pharmacist1285254037
  4. Mary Air, M.D.Physical Medicine & Rehabilitation Physician1376772913
  5. Tarik Alagha, MDInternal Medicine Physician1740869676
  6. Paul Alpert, MDUrology Physician1417031402

Verify Noah Mischka Avalon Gerken in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license A127970
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

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73% fewer Medicare Part D claims than the average internal medicine physician in 2024

868 Medicare Part D claims for 247 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. 30 claims were for opioids.

  1. Noah Mischka Gerken868
  2. Specialty average3,176

Most prescribed

  1. Atorvastatin Calcium49 claims
  2. Tamsulosin Hcl43 claims
  3. Amlodipine Besylate35 claims
  4. Spironolactone33 claims
  5. Torsemide28 claims
  6. Prednisone26 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through one group practice

  1. Permanente Medical Group IncSan Rafael, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Noah Mischka Avalon Gerken among 17,696 internal medicine physician records in California

Noah Mischka Avalon Gerken, M.D. is one of 17,696 internal medicine physician records with a practice address in California. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 68% of them.

  • NPI issued2012 · 68% of these records are older, 29% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2012 · median 2004 among the 11,065 with a school on file
  • Record last updated2022 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

51 internal medicine physician records list a practice address in San Rafael

They are 51 of the 3,159 NPPES records with a practice address in San Rafael, and 17,696 internal medicine physician records in California.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Patricia Bauman, M.D.San Rafael, CA 949031710077482
  2. Bryn Duffy, MDSan Rafael, CA 949031235243775
  3. Jill Dunton, MDSan Rafael, CA 949031588748552
  4. Joseph Habis, M.D.San Rafael, CA 949031760439681
  5. Jeffrey Harris, MDSan Rafael, CA 949031134203136
  6. Alpana Kharkar, MDSan Rafael, CA 949031982788055
  7. Steven Killpack, MDSan Rafael, CA 949031477651149
  8. Alan Kneitel, MDSan Rafael, CA 949031417031584

Common questions

What is Noah Mischka Avalon Gerken, M.D.'s NPI number?

Noah Mischka Avalon Gerken, M.D.'s National Provider Identifier (NPI) is 1851650758, issued on May 11, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Noah Mischka Avalon Gerken, M.D. located?

The NPPES record lists a practice address at 99 Montecillo RD, San Rafael, CA, 94903. Phone: (415) 444-2000. Providers update this record themselves, so call before visiting.

How can I verify Noah Mischka Avalon Gerken, M.D.'s license?

NPPES lists California license number A127970, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Noah Mischka Avalon Gerken, M.D. prescribe under Medicare Part D?

In 2024, Noah Mischka Avalon Gerken, M.D. had 868 Medicare Part D claims for 247 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.