2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1043638802
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PATRICK GILLIGAN

Student in an Organized Health Care Education/Training Program in ALBUQUERQUE, New Mexico. 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
717
Medicare Part D claims · 190 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.5814/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$1.0K
12 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PATRICK GILLIGAN reported a CMS MIPS final score of 97.5814/100 — above the 83.1 national average — and filed 717 Medicare Part D claims in 2023.

97.5814/100
MIPS score · +14 vs avg
717
Part D claims, 2023
98%
generic prescribing
$1.0K
industry payments (Sunshine Act)

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.

PATRICK GILLIGAN's MIPS score vs every scored U.S. clinician

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

98 Top 15% higher than 85% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

What does the federal data show about PATRICK GILLIGAN?

High performer (top quartile)

NPI registry status

Active

Issued 03/30/2014

NPI 1043638802

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

717 56% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

97.5814/100 14.481400000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Mexico

How Student in an Organized Health Care Education/Training Program compares to other specialties among New Mexico providers

New Mexico providers

Student in an Organized Health Care Education/Training Program share within New Mexico

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within New Mexico

Medicare quality performance — MIPS

PATRICK GILLIGAN's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

High performer (top quartile)
MIPS Final Score
97.5814/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 97.5814/100 vs national avg 83.1

0%100%National avg83%97.6%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 97.5814/100 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).

PATRICK GILLIGAN appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider at 500 WALTER ST NE STE 309, ALBUQUERQUE, NM, 87102, with a listed phone of (505) 727-7380. NPI 1043638802 was issued on 03/30/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILLIGAN 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 717 prescription claims written by this provider, covering 190 Medicare beneficiaries and totaling roughly $12K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 23.7%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.5814/100 for the 2023 performance year (Quality 86.5348), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

500 WALTER ST NE STE 309
ALBUQUERQUE, NM 87102

Provider Details

NPI 1043638802
Specialty Student in an Organized Health Care Education/Training Program
Gender Male
NPI Issued 03/30/2014

CMS Quality Score (MIPS)

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

97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where PATRICK GILLIGAN 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.

SOUTHWEST MEDICAL ASSOCIATES, LLC
ALBUQUERQUE, NM

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for PATRICK GILLIGAN. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

Largest payer

Stryker Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

PATRICK GILLIGAN — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 717 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.

717
Total Claims
$12K
Total Drug Cost
190
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
720
Total Day Supply
7,864
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$3K
Generic Drug Cost
$9K
Opioid Claims
170 (23.7% rate)
Antibiotic Claims
110

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.25
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

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

What PATRICK GILLIGAN 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
Mupirocin
136
Oxycodone Hcl
130
Ondansetron Hcl
90
Meloxicam
84
Naloxone Hcl
56
Cephalexin
39
Amoxicillin
35
Gabapentin
27
Tramadol Hcl
22
Cefadroxil
19

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

Student in an Organized Health Care Education/Training Program Overview

How PATRICK GILLIGAN fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

PATRICK GILLIGAN's 717 claims are above the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in New Mexico

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

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is PATRICK GILLIGAN's specialty?
PATRICK GILLIGAN specializes in Student in an Organized Health Care Education/Training Program and practices in ALBUQUERQUE, New Mexico.
How much does PATRICK GILLIGAN prescribe under Medicare Part D?
In 2023, PATRICK GILLIGAN wrote 717 Medicare Part D claims totaling $12K in drug costs for 190 beneficiaries.
What is PATRICK GILLIGAN's Medicare quality score?
PATRICK GILLIGAN has a CMS MIPS Final Score of 97.5814/100 (Quality: 86.5348). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PATRICK GILLIGAN located?
PATRICK GILLIGAN is located at 500 WALTER ST NE STE 309, ALBUQUERQUE, NM, 87102. Phone: (505) 727-7380.
What is PATRICK GILLIGAN's NPI number?
PATRICK GILLIGAN's National Provider Identifier (NPI) is 1043638802, issued on 03/30/2014.
Does PATRICK GILLIGAN prescribe more brand-name or generic drugs?
PATRICK GILLIGAN's prescribing is 2% brand-name and 98% generic drugs by claim count, with $3K in brand drug costs.
Does PATRICK GILLIGAN prescribe opioids?
Yes, PATRICK GILLIGAN had 170 opioid claims in 2023 with an opioid prescribing rate of 23.7%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does PATRICK GILLIGAN prescribe most often?
Based on 2023 Medicare Part D data, PATRICK GILLIGAN's most frequently prescribed drugs include Mupirocin, Oxycodone Hcl, Ondansetron Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PATRICK GILLIGAN accept Medicare?
PATRICK GILLIGAN appears in CMS Medicare data with 717 Part D claims and 190 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PATRICK GILLIGAN's credentials?
PATRICK GILLIGAN's NPI is 1043638802. 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