2026 NPPES data Neurology Physician NPI 1659483873 MD
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RANDY GARDELL, MD

Neurology Physician in WACO, Texas. 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
9K
Medicare Part D claims · 1K beneficiaries · Neurology Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.0703/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$4.5K
256 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RANDY GARDELL, MD reported a CMS MIPS final score of 75.0703/100 — below the 83.1 national average — and filed 9,092 Medicare Part D claims in 2023.

75.0703/100
MIPS score · -8 vs avg
9K
Part D claims, 2023
90%
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.

RANDY GARDELL, MD's MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

RANDY GARDELL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 RANDY GARDELL, MD?

Below national average

NPI registry status

Active

Issued 09/01/2006

NPI 1659483873

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

9,092 595% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

MIPS final score

75.0703/100 8.029699999999991% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Neurology Physician compares to other specialties among Texas providers

Texas providers

Neurology Physician share within Texas

1. Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology Physician share within Texas

Medicare quality performance — MIPS

RANDY GARDELL, MD's 2023 MIPS final score plotted against the Neurology Physician national average

Below national average
MIPS Final Score
75.0703/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology Physician) — 75.0703/100 vs national avg 83.1

0%100%National avg83%75.1%
MIPS final score (Neurology Physician) — 75.0703/100 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).

RANDY GARDELL, MD appears in the CMS NPPES registry as a Neurology Physician provider holding MD credentials at 205 WOODHEW DR STE 110, WACO, TX, 76712, with a listed phone of (254) 399-9291. NPI 1659483873 was issued on 09/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARDELL 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 9,092 prescription claims written by this provider, covering 1,212 Medicare beneficiaries and totaling roughly $3.4 million in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 1.9%. 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 75.0703/100 for the 2023 performance year (Quality 50.1407), compared with the national average of 83.1.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

205 WOODHEW DR STE 110
WACO, TX 76712

Provider Details

NPI 1659483873
Specialty Neurology Physician
Credentials MD
Gender Male
NPI Issued 09/01/2006

CMS Quality Score (MIPS)

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

75.0703
Final Score
Avg: 83.1
50.1407
Quality

Reporting: Individual

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 RANDY GARDELL, MD. Source: openpaymentsdata.cms.gov.

Total received

$4.5K

Largest payer

ARGENX US, INC.

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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to RANDY GARDELL, MD. To verify RANDY GARDELL, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

RANDY GARDELL, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 9,092 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.

9,092
Total Claims
$3.4M
Total Drug Cost
1,212
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,534
Total Day Supply
399,645
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$3.0M
Generic Drug Cost
$398K
Opioid Claims
171 (1.9% rate)

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.43
Gender Split
60% female / 40% male
Age Distribution
<65: 180, 65-74: 444, 75-84: 474, 85+: 114

Top Prescribed Drugs (Medicare Part D)

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

What RANDY GARDELL, MD 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
Gabapentin
1,183
Donepezil Hcl
1,134
Memantine Hcl
873
Primidone
363
Carbidopa-Levodopa
Carbidopa/Levodopa
343
Levetiracetam
315
Topiramate
263
Duloxetine Hcl
187
Clopidogrel
Clopidogrel Bisulfate
176
Amitriptyline Hcl
170

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

Neurology Physician Overview

How RANDY GARDELL, MD fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

RANDY GARDELL, MD's 9,092 claims are above the specialty average of 1,309.

Nearby Neurology Physician Providers in Texas

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

Compare Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RANDY GARDELL, MD's specialty?
RANDY GARDELL, MD specializes in Neurology Physician and practices in WACO, Texas. Credentials: MD.
How much does RANDY GARDELL, MD prescribe under Medicare Part D?
In 2023, RANDY GARDELL, MD wrote 9,092 Medicare Part D claims totaling $3.4M in drug costs for 1,212 beneficiaries.
What is RANDY GARDELL, MD's Medicare quality score?
RANDY GARDELL, MD has a CMS MIPS Final Score of 75.0703/100 (Quality: 50.1407). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RANDY GARDELL, MD located?
RANDY GARDELL, MD is located at 205 WOODHEW DR STE 110, WACO, TX, 76712. Phone: (254) 399-9291.
What is RANDY GARDELL, MD's NPI number?
RANDY GARDELL, MD's National Provider Identifier (NPI) is 1659483873, issued on 09/01/2006.
Does RANDY GARDELL, MD prescribe more brand-name or generic drugs?
RANDY GARDELL, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $3.0M in brand drug costs.
Does RANDY GARDELL, MD prescribe opioids?
Yes, RANDY GARDELL, MD had 171 opioid claims in 2023 with an opioid prescribing rate of 1.9%.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does RANDY GARDELL, MD prescribe most often?
Based on 2023 Medicare Part D data, RANDY GARDELL, MD's most frequently prescribed drugs include Gabapentin, Donepezil Hcl, Memantine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RANDY GARDELL, MD accept Medicare?
RANDY GARDELL, MD appears in CMS Medicare data with 9,092 Part D claims and 1,212 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RANDY GARDELL, MD's credentials?
RANDY GARDELL, MD's NPI is 1659483873 with credentials MD. 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