2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1255564100 M.D.
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PETER GUMMA, M.D.

Physical Medicine & Rehabilitation Physician in DETROIT, Michigan. 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
465
Medicare Part D claims · 98 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.4456/100
▼ 1 pts below national avg 83.1 · [object Object]

What the federal data shows

PETER GUMMA, M.D. reported a CMS MIPS final score of 82.4456/100 — below the 83.1 national average — and filed 465 Medicare Part D claims in 2023.

82.4456/100
MIPS score · -1 vs avg
465
Part D claims, 2023
88%
generic prescribing
Likely
board-certified (heuristic)

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.

PETER GUMMA, M.D.'s MIPS score vs every scored U.S. clinician

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

82 39th percentile higher than 39% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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

Board certification likely (heuristic — not verified)

PETER GUMMA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about PETER GUMMA, M.D.?

Near national average

NPI registry status

Active

Issued 08/26/2009

NPI 1255564100

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

465 40% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

82.4456/100 0.6543999999999954% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Physical Medicine & Rehabilitation Physician compares to other specialties among Michigan providers

Michigan providers

Physical Medicine & Rehabilitation Physician share within Michigan

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Michigan

Medicare quality performance — MIPS

PETER GUMMA, M.D.'s 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Near national average
MIPS Final Score
82.4456/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 82.4456/100 vs national avg 83.1

0%100%National avg83%82.4%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 82.4456/100 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).

PETER GUMMA, M.D. appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding M.D. credentials at 17187 SCHAEFER HWY, DETROIT, MI, 48235, with a listed phone of (313) 367-2767. NPI 1255564100 was issued on 08/26/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUMMA 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 465 prescription claims written by this provider, covering 98 Medicare beneficiaries and totaling roughly $25K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 7.1%. 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 82.4456/100 for the 2023 performance year (Quality 88.2662, Cost 23.797), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

17187 SCHAEFER HWY
DETROIT, MI 48235

Provider Details

NPI 1255564100
Specialty Physical Medicine & Rehabilitation Physician
Credentials M.D.
Gender Male
NPI Issued 08/26/2009

CMS Quality Score (MIPS)

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

82.4456
Final Score
Avg: 83.1
88.2662
Quality
23.797
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where PETER GUMMA, 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.

JAWAD A SHAH, MD PC
FLINT, MI
MICHIGAN REHABILITATION PHYSICIANS
DETROIT, MI

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 — Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 — they are NOT specific to PETER GUMMA, M.D.. To verify PETER GUMMA, M.D.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PETER GUMMA, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 465 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.

465
Total Claims
$25K
Total Drug Cost
98
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
475
Total Day Supply
11,251
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$18K
Generic Drug Cost
$6K
Opioid Claims
33 (7.1% rate)
Antibiotic Claims
11

Patient Demographics

Average Patient Age
68.8 years
Avg HCC Risk Score
2.21
Gender Split
65% female / 35% male
Age Distribution
<65: 27, 65-74: 39, 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.

What PETER GUMMA, M.D. 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
Atorvastatin Calcium
36
Gabapentin
22
Carvedilol
18
Pantoprazole Sodium
16
Nifedipine Er
Nifedipine
15
Clopidogrel
Clopidogrel Bisulfate
12
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
12
Meclizine Hcl
12
Amlodipine Besylate
11

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

Physical Medicine & Rehabilitation Physician Overview

How PETER GUMMA, M.D. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

PETER GUMMA, M.D.'s 465 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Michigan

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

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PETER GUMMA, M.D.'s specialty?
PETER GUMMA, M.D. specializes in Physical Medicine & Rehabilitation Physician and practices in DETROIT, Michigan. Credentials: M.D..
How much does PETER GUMMA, M.D. prescribe under Medicare Part D?
In 2023, PETER GUMMA, M.D. wrote 465 Medicare Part D claims totaling $25K in drug costs for 98 beneficiaries.
What is PETER GUMMA, M.D.'s Medicare quality score?
PETER GUMMA, M.D. has a CMS MIPS Final Score of 82.4456/100 (Quality: 88.2662, Cost: 23.797). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PETER GUMMA, M.D. located?
PETER GUMMA, M.D. is located at 17187 SCHAEFER HWY, DETROIT, MI, 48235. Phone: (313) 367-2767.
What is PETER GUMMA, M.D.'s NPI number?
PETER GUMMA, M.D.'s National Provider Identifier (NPI) is 1255564100, issued on 08/26/2009.
Does PETER GUMMA, M.D. prescribe more brand-name or generic drugs?
PETER GUMMA, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $18K in brand drug costs.
Does PETER GUMMA, M.D. prescribe opioids?
Yes, PETER GUMMA, M.D. had 33 opioid claims in 2023 with an opioid prescribing rate of 7.1%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does PETER GUMMA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PETER GUMMA, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Gabapentin, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PETER GUMMA, M.D. accept Medicare?
PETER GUMMA, M.D. appears in CMS Medicare data with 465 Part D claims and 98 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PETER GUMMA, M.D.'s credentials?
PETER GUMMA, M.D.'s NPI is 1255564100 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