NPPES file of Aug 9, 2026

Paul Andrew Ricketts, M.D.

Gastroenterology Physician · Chesapeake, VA

Paul Andrew Ricketts, M.D. is a gastroenterology physician with a practice address in Chesapeake, Virginia, and NPI 1326222928, issued on Dec 19, 2007. Check the license (Virginia 0101251578, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1326222928
Name
Paul Andrew Ricketts
Credential
M.D.
Primary taxonomy
Gastroenterology Physician 207RG0100X
License numbers
0101251578 VA
036122994 IL
Self-reported in NPPES; status is on the state search
Practice location
113 Gainsborough SQ Ste 202, Chesapeake, VA 23320
Phone
(757) 627-6416
Enumerated
Dec 19, 2007
Record last updated
May 29, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(757) 627-3709
Medicare enrollment
Enrolled (PECOS I20120710000188); 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 113 Gainsborough SQ Ste 202

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

  1. Janine Brown, CFNPFamily Nurse Practitioner1306905328
  2. Douglas Howerton, M.D.Gastroenterology Physician1295734283
  3. Gary Payman, M.D.Gastroenterology Physician1265431266
  4. Michael Sperling, M.D.Gastroenterology Physician1508865569
  5. Bruce Waldholtz, M.D.Gastroenterology Physician1871592840
  6. Scott Yagel, M.D.Gastroenterology Physician1326028747

Verify Paul Andrew Ricketts in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101251578
    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 Virginia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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42% more Medicare Part D claims than the average gastroenterology physician in 2024

1,153 Medicare Part D claims for 382 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims.

  1. Paul Ricketts1,153
  2. Specialty average811

Most prescribed

  1. Omeprazole205 claims
  2. Pantoprazole Sodium165 claims
  3. Famotidine113 claims
  4. Gavilyte-G67 claims
  5. Colestipol Hcl42 claims
  6. Esomeprazole Magnesium40 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.

The practice group's MIPS final score for 2023 (Medicare payment program): 91.8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.1
  2. Costout of 100 · 30%87.6
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,305.76

62 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Paul Ricketts$1,305.76
  2. Specialty average$5,015.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Capital Digestive Care LLCChesapeake, VA

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

Paul Andrew Ricketts among 536 gastroenterology physician records in Virginia

Paul Andrew Ricketts, M.D. is one of 536 gastroenterology physician records with a practice address in Virginia. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 54% of them.

  • NPI issued2007 · 54% of these records are older, 35% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 73% of these records are
  • Graduated2002 · median 2001 among the 389 with a school on file
  • Record last updated2019 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in Virginia

There are 536 gastroenterology physician records in Virginia.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Douglas Howerton, M.D.Chesapeake, VA 233201295734283
  2. David Kreger, M.D.Chesapeake, VA 233201346225646
  3. Walid Makdisi, M.D.Chesapeake, VA 233201518941137
  4. Shoba Mendu, M.D.Chesapeake, VA 233201952522161
  5. Gary Payman, M.D.Chesapeake, VA 233201265431266
  6. Rene Rivera, MDChesapeake, VA 233201356537054
  7. Michael Sperling, M.D.Chesapeake, VA 233201508865569
  8. Brian Sullivan, M.D.Chesapeake, VA 233201891767547

Common questions

What is Paul Andrew Ricketts, M.D.'s NPI number?

Paul Andrew Ricketts, M.D.'s National Provider Identifier (NPI) is 1326222928, issued on Dec 19, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Paul Andrew Ricketts, M.D. located?

The NPPES record lists a practice address at 113 Gainsborough SQ Ste 202, Chesapeake, VA, 23320. Phone: (757) 627-6416. Providers update this record themselves, so call before visiting.

How can I verify Paul Andrew Ricketts, M.D.'s license?

NPPES lists Virginia license number 0101251578, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Paul Andrew Ricketts, M.D. prescribe under Medicare Part D?

In 2024, Paul Andrew Ricketts, M.D. had 1,153 Medicare Part D claims for 382 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is Paul Andrew Ricketts, M.D.'s MIPS final score?

The 2023 MIPS final score is 91.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

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.