2026 NPPES data Gerontology Nurse Practitioner NPI 1255082335 AGACNP
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PAUL GOMEZ, AGACNP

Gerontology Nurse Practitioner in BIDDEFORD, Maine. 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
127
Medicare Part D claims · 59 beneficiaries · Gerontology Nurse Practitioner avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.0699/100
▲ 15 pts above national avg 83.1 · [object Object]
What the federal data reveals: PAUL GOMEZ, AGACNP is a Gerontology Nurse Practitioner ([object Object]) practicing in BIDDEFORD, Maine with a Medicare Part D prescribing footprint of 127 claims across 59 beneficiaries — 9% brand-name prescribing . Their CMS MIPS Final Score of 98.0699/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: PAUL GOMEZ, AGACNP reported a CMS MIPS final score of 98.0699 out of 100, above the 83.1 national average, and filed 127 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

PAUL GOMEZ, AGACNP at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/11/2022

NPI 1255082335

Primary specialty

Gerontology Nurse Practitioner

Mid-sized

9,625 US NPIs in this specialty

Medicare Part D claims

127 90% vs specialty avg

2023 prescription claims

Specialty avg: 1,283

MIPS final score

98.0699/100 14.96990000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Maine

How Gerontology Nurse Practitioner compares to other specialties among Maine providers

Maine providers

Gerontology Nurse Practitioner share within Maine

1. Gerontology Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gerontology Nurse Practitioner share within Maine

Medicare quality performance — MIPS

PAUL GOMEZ, AGACNP's 2023 MIPS final score plotted against the Gerontology Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
98.0699/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gerontology Nurse Practitioner) — 98.0699/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Gerontology Nurse Practitioner) — 98.0699/100 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).

PAUL GOMEZ, AGACNP is a Gerontology Nurse Practitioner provider practicing in BIDDEFORD, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: AGACNP. NPI: 1255082335. 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.

PAUL GOMEZ, AGACNP appears in the CMS NPPES registry as a Gerontology Nurse Practitioner provider holding AGACNP credentials at 1 MEDICAL CENTER DR, BIDDEFORD, ME, 04005, with a listed phone of (207) 294-8404. NPI 1255082335 was issued on 01/11/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOMEZ 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 127 prescription claims written by this provider, covering 59 Medicare beneficiaries and totaling roughly $6K in drug spend, split 9% brand-name and 91% 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 98.0699/100 for the 2023 performance year (Quality 86.1398), compared with the national average of 83.1.

Gerontology Nurse Practitioner is a mid-sized specialty nationwide, with 9,625 enrolled providers across 54 states and an average of 1,283 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

1 MEDICAL CENTER DR
BIDDEFORD, ME 04005

Provider Details

NPI 1255082335
Specialty Gerontology Nurse Practitioner
Credentials AGACNP
Gender Male
NPI Issued 01/11/2022

CMS Quality Score (MIPS)

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

98.0699
Final Score
Avg: 83.1
86.1398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where PAUL GOMEZ, AGACNP 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.

MAINEHEALTH
PORTLAND, ME

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 · Generic-heavy

PAUL GOMEZ, AGACNP — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 127 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.

127
Total Claims
$6K
Total Drug Cost
59
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
139
Total Day Supply
2,707
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$4K
Generic Drug Cost
$2K
Antibiotic Claims
29

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
2.70
Gender Split
54% female / 46% male
Age Distribution
<65: 16, 65-74: 19, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
20
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
18

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

Gerontology Nurse Practitioner Overview

How PAUL GOMEZ, AGACNP fits within the Gerontology Nurse Practitioner landscape nationally.

9,625
Gerontology Nurse Practitioner Providers in US
54
States with Gerontology Nurse Practitioner
1,283
Avg Claims per Provider

PAUL GOMEZ, AGACNP's 127 claims are below the specialty average of 1,283.

Nearby Gerontology Nurse Practitioner Providers in Maine

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

Compare Gerontology Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL GOMEZ, AGACNP's specialty?
PAUL GOMEZ, AGACNP specializes in Gerontology Nurse Practitioner and practices in BIDDEFORD, Maine. Credentials: AGACNP.
How much does PAUL GOMEZ, AGACNP prescribe under Medicare Part D?
In 2023, PAUL GOMEZ, AGACNP wrote 127 Medicare Part D claims totaling $6K in drug costs for 59 beneficiaries.
What is PAUL GOMEZ, AGACNP's Medicare quality score?
PAUL GOMEZ, AGACNP has a CMS MIPS Final Score of 98.0699/100 (Quality: 86.1398). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL GOMEZ, AGACNP located?
PAUL GOMEZ, AGACNP is located at 1 MEDICAL CENTER DR, BIDDEFORD, ME, 04005. Phone: (207) 294-8404.
What is PAUL GOMEZ, AGACNP's NPI number?
PAUL GOMEZ, AGACNP's National Provider Identifier (NPI) is 1255082335, issued on 01/11/2022.
Does PAUL GOMEZ, AGACNP prescribe more brand-name or generic drugs?
PAUL GOMEZ, AGACNP's prescribing is 9% brand-name and 91% generic drugs by claim count, with $4K in brand drug costs.
How many Gerontology Nurse Practitioner providers are there in the US?
There are 9,625 Gerontology Nurse Practitioner providers across 54 states in the US. The average Gerontology Nurse Practitioner provider writes 1,283 Medicare Part D claims per year.
What drugs does PAUL GOMEZ, AGACNP prescribe most often?
Based on 2023 Medicare Part D data, PAUL GOMEZ, AGACNP's most frequently prescribed drugs include Prednisone, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL GOMEZ, AGACNP accept Medicare?
PAUL GOMEZ, AGACNP appears in CMS Medicare data with 127 Part D claims and 59 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL GOMEZ, AGACNP's credentials?
PAUL GOMEZ, AGACNP's NPI is 1255082335 with credentials AGACNP. 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