NPI registry status
Active
2026 NPPES data Addiction Medicine (Preventive Medicine) Physician NPI 1033347075 M.D.
Verify on CMS → Richard Gaston, M.D.
Addiction Medicine (Preventive Medicine) Physician in Florence, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 325 in Addiction Medicine (Preventive Medicine) 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
400
Medicare Part D claims · 195 beneficiaries · Addiction Medicine (Preventive Medicine) Physician avg: 959
MIPS score
90.4/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$22.24
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Richard Gaston, M.D. reported a CMS MIPS final score of 90.4/100 - above the 83.1 national average - and filed 400 Medicare Part D claims in 2023.
- 90.4/100
- MIPS score · +7 vs avg
- 400
- Part D claims, 2023
- 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.
Richard Gaston, 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
90 Top 40% higher than 60% of 477,587 scored providers
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 Richard Gaston, M.D. sits
This provider among addiction medicine (preventive medicine) physician peers
Across the 56 addiction medicine (preventive medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Richard Gaston, M.D. writes more Part D claims than 61% of them and scores higher on MIPS quality than 54% - placing this provider in the high-volume, high-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
Each dot is one addiction medicine (preventive medicine) physician peer from a representative sample of 55; the gold marker is Richard Gaston, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Richard Gaston, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Richard Gaston, M.D.?
High performer (top quartile)Primary specialty
Addiction Medicine (Preventive Medicine) Physician
Medicare Part D claims
400 58% vs specialty avg
MIPS final score
90.4/100 7.3 pts vs avg
Specialty distribution in Kentucky
How Addiction Medicine (Preventive Medicine) Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Richard Gaston, M.D.'s 2023 MIPS final score plotted against the Addiction Medicine (Preventive Medicine) Physician national average
- MIPS Final Score
- 90.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Addiction Medicine (Preventive Medicine) Physician) - 90.4/100 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).
Richard Gaston, M.D. appears in the CMS NPPES registry as a Addiction Medicine (Preventive Medicine) Physician provider holding M.D. credentials at 4900 HOUSTON RD, Florence, KY, 41042, with a listed phone of (859) 301-8074. NPI 1033347075 was issued on 06/29/2009.
Medicare Part D records for calendar year 2023 show 400 prescription claims written by this provider, covering 195 Medicare beneficiaries and totaling roughly $18K in drug spend, with an opioid prescribing rate of 9.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.4/100 for the 2023 performance year (Quality 80.8), compared with the national average of 83.1.
Addiction Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 325 enrolled providers across 44 states and an average of 959 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
Provider Details
| NPI | 1033347075 |
|---|---|
| Specialty | Addiction Medicine (Preventive Medicine) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/29/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Richard Gaston, 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.
Summit Medical Group Inc
Edgewood, KY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Richard Gaston, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$22
Largest payer
Janssen Pharmaceuticals, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
400
Total Claims
$18K
Total Drug Cost
195
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 450
- Total Day Supply
- 7,954
- Generic Drug Cost
- $3K
- Opioid Claims
- 37 (9.3% rate)
- Antibiotic Claims
- 85
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 2.88
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 41, 65-74: 81, 75-84: 57, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Richard Gaston, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
42 claims
- Doxycycline Hyclate
Doxycycline Hyclate
37 claims
- Albuterol Sulfate … 14
Albuterol Sulfate Hfa
14 claims
- Losartan Potassium 12
Losartan Potassium
12 claims
- Oxycodone Hcl 12
Oxycodone Hcl
12 claims
- Carvedilol 11
Carvedilol
11 claims
- Cephalexin 11
Cephalexin
11 claims
- Eliquis 11
Eliquis
11 claims
| Drug | Claims |
|---|---|
| Prednisone | 42 |
| Doxycycline Hyclate | 37 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 14 |
| Losartan Potassium | 12 |
| Oxycodone Hcl | 12 |
| Carvedilol | 11 |
| Cephalexin | 11 |
| Eliquis Apixaban | 11 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 11 |
| Levofloxacin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Addiction Medicine (Preventive Medicine) Physician in KY →
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Compare specialties →
Addiction Medicine (Preventive Medicine) Physician Overview
How Richard Gaston, M.D. fits within the Addiction Medicine (Preventive Medicine) Physician landscape nationally.
325
Addiction Medicine (Preventive Medicine) Physician Providers in US
44
States with Addiction Medicine (Preventive Medicine) Physician
959
Avg Claims per Provider
Richard Gaston, M.D.'s 400 claims are below the specialty average of 959.
Nearby Addiction Medicine (Preventive Medicine) Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Gaston.
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 Kentucky medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Addiction Medicine (Preventive Medicine) 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.
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Frequently Asked Questions
What is Richard Gaston, M.D.'s specialty? ▼
Richard Gaston, M.D. specializes in Addiction Medicine (Preventive Medicine) Physician and practices in Florence, Kentucky. Credentials: M.D..
How much does Richard Gaston, M.D. prescribe under Medicare Part D? ▼
In 2023, Richard Gaston, M.D. wrote 400 Medicare Part D claims totaling $18K in drug costs for 195 beneficiaries.
What is Richard Gaston, M.D.'s Medicare quality score? ▼
Richard Gaston, M.D. has a CMS MIPS Final Score of 90.4/100 (Quality: 80.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Richard Gaston, M.D. located? ▼
Richard Gaston, M.D. is located at 4900 HOUSTON RD, Florence, KY, 41042. Phone: (859) 301-8074.
What is Richard Gaston, M.D.'s NPI number? ▼
Richard Gaston, M.D.'s National Provider Identifier (NPI) is 1033347075, issued on 06/29/2009.
Does Richard Gaston, M.D. prescribe opioids? ▼
Yes, Richard Gaston, M.D. had 37 opioid claims in 2023 with an opioid prescribing rate of 9.3%.
How many Addiction Medicine (Preventive Medicine) Physician providers are there in the US? ▼
There are 325 Addiction Medicine (Preventive Medicine) Physician providers across 44 states in the US. The average Addiction Medicine (Preventive Medicine) Physician provider writes 959 Medicare Part D claims per year.
What drugs does Richard Gaston, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Richard Gaston, M.D.'s most frequently prescribed drugs include Prednisone, Doxycycline Hyclate, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Richard Gaston, M.D. accept Medicare? ▼
Richard Gaston, M.D. appears in CMS Medicare data with 400 Part D claims and 195 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Richard Gaston, M.D.'s credentials? ▼
Richard Gaston, M.D.'s NPI is 1033347075 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.