2026 NPPES data Pediatrics Physician NPI 1699880856 M.D.
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Renata Gallagher, M.D.

Pediatrics Physician in San Francisco, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,574 in Pediatrics Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
70
Medicare Part D claims · Pediatrics Physician avg: 762
Generic prescribing
0%
generic claims · 74% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.5/100
▼ 9 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Renata Gallagher, M.D. reported a CMS MIPS final score of 74.5/100 - below the 83.1 national average - and filed 70 Medicare Part D claims in 2023.

74.5/100
MIPS score · -9 vs avg
70
Part D claims, 2023
0%
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.

Renata Gallagher, 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

75 12th percentile higher than 12% 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+: 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

Where Renata Gallagher, M.D. sits

This provider among pediatrics physician peers

Across the 1,120 pediatrics physician providers who report both Medicare Part D prescribing and a MIPS quality score, Renata Gallagher, M.D. writes more Part D claims than 38% of them and scores higher on MIPS quality than 10% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 80Renata Gallagher, M.D.-Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 10
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pediatrics physician peer from a representative sample of 60; the gold marker is Renata Gallagher, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Renata Gallagher, M.D. 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 Renata Gallagher, M.D.?

Below national average

NPI registry status

Active

Issued 08/20/2006

NPI 1699880856

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

70 91% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

74.5/100 8.6 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

How Pediatrics Physician compares to other specialties among California providers

California providers
Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Pediatrics Physician - 1.1%Pediatrics Physician1.1%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Renata Gallagher, M.D.'s 2023 MIPS final score plotted against the Pediatrics Physician national average

Below national average
MIPS Final Score
74.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) - 74.5/100 vs national avg 83.1

0%100%National avg83%74.5%
MIPS final score (Pediatrics Physician) - 74.5/100 vs national avg 83.1
How MIPS and board certification work

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).

Renata Gallagher, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 550 16TH STREET, BOX 0706, San Francisco, CA, 94143, with a listed phone of (415) 476-9997. NPI 1699880856 was issued on 08/20/2006.

Medicare Part D records for calendar year 2023 show 70 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 74% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 74.5/100 for the 2023 performance year, compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

550 16TH STREET, BOX 0706
San Francisco, CA 94143

Provider Details

NPI 1699880856
Specialty Pediatrics Physician
Credentials M.D.
Gender Female
NPI Issued 08/20/2006

CMS Quality Score (MIPS)

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

74.4657
Final Score
Avg: 83.1
46.6814
Cost
76
Promoting Interoperability

Reporting: Group practice

License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Renata Gallagher, M.D.. To verify Renata Gallagher, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Renata Gallagher, M.D. - brand share 74.0%
Pediatrics Physician average

74% brand-name claims vs 0% generic, on 70 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.

70
Total Claims
$1.5M
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
73
Total Day Supply
2,029
Brand vs Generic
74% brand / 0% generic
Brand Drug Cost
$1.5M

Patient Demographics

Average Patient Age
67.0 years
Avg HCC Risk Score
2.38

Top Prescribed Drugs (Medicare Part D)

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

What Renata Gallagher, 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
Vpriv
Velaglucerase Alfa
16
Levocarnitine
13
Dojolvi
Triheptanoin
11

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

Pediatrics Physician Overview

How Renata Gallagher, M.D. fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

Renata Gallagher, M.D.'s 70 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in California

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pediatrics Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Renata Gallagher, M.D.'s specialty?
Renata Gallagher, M.D. specializes in Pediatrics Physician and practices in San Francisco, California. Credentials: M.D..
How much does Renata Gallagher, M.D. prescribe under Medicare Part D?
In 2023, Renata Gallagher, M.D. wrote 70 Medicare Part D claims totaling $1.5M in drug costs for N/A beneficiaries.
What is Renata Gallagher, M.D.'s Medicare quality score?
Renata Gallagher, M.D. has a CMS MIPS Final Score of 74.5/100, Cost: 46.7. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Renata Gallagher, M.D. located?
Renata Gallagher, M.D. is located at 550 16TH STREET, BOX 0706, San Francisco, CA, 94143. Phone: (415) 476-9997.
What is Renata Gallagher, M.D.'s NPI number?
Renata Gallagher, M.D.'s National Provider Identifier (NPI) is 1699880856, issued on 08/20/2006.
Does Renata Gallagher, M.D. prescribe more brand-name or generic drugs?
Renata Gallagher, M.D.'s prescribing is 74% brand-name and 0% generic drugs by claim count, with $1.5M in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does Renata Gallagher, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Renata Gallagher, M.D.'s most frequently prescribed drugs include Vpriv, Levocarnitine, Dojolvi. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Renata Gallagher, M.D. accept Medicare?
Renata Gallagher, M.D. appears in CMS Medicare data with 70 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Renata Gallagher, M.D.'s credentials?
Renata Gallagher, M.D.'s NPI is 1699880856 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.