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2026 NPPES data Hospitalist Physician NPI 1104809771 M.D.
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Richard Gummer, M.D.

Hospitalist Physician in Columbus, Ohio.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 17,950 in Hospitalist 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
190
Medicare Part D claims · 48 beneficiaries · Hospitalist Physician avg: 940
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.3/100
▼ 2 pts below national avg 83.5 · Above neutral
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Richard Gummer, M.D. reported a CMS MIPS final score of 81.3/100 - below the 83.5 national average - and filed 190 Medicare Part D claims in 2024.

81.3/100
MIPS score · -2 vs avg
190
Part D claims, 2024
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.

Federal trust snapshot

What official records show about Richard Gummer, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1104809771), first enumerated 11/28/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 190 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 81.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • State context

    State board disciplinary context

    Ohio statewide board action statistics are published annually — these figures describe aggregate state activity, not Richard Gummer, M.D.'s individual license status. Verify directly with the state medical board.

    Source: OMB annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1104809771 · Hospitalist Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1104809771
  • ENUM-LEGACY 2005
  • TAX-MID 18K Hospitalist Physician
  • MIPS-INLINE 81.3/100
  • RX-LIGHT 190
  • BOOK-LIGHT 709 in Ohio
  • PHOTO-FINISH Ahmad Alkhawaga · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Richard Gummer, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

81 ≥ 32nd percentile 32% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Richard Gummer, M.D. sits

This provider among hospitalist physician peers

Across the 4,317 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Richard Gummer, M.D. writes more Part D claims than 39% of them and scores higher on MIPS quality than 29% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 62Richard Gummer, M.D., Part D claim volume, percentile in specialty: 39 · MIPS quality, percentile: 29
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is Richard Gummer, 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 Gummer, 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 Richard Gummer, M.D.?

Near national average

NPI registry status

Active

Issued 11/28/2005

NPI 1104809771

Primary specialty

Hospitalist Physician

Mid-sized

17,950 US NPIs in this specialty

Medicare Part D claims

190 80% vs specialty avg

2024 prescription claims

Specialty avg: 940

MIPS final score

81.3/100 2.2 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Ohio

How Hospitalist Physician compares to other specialties among Ohio providers

Ohio providers
Case Manager/Care Coordinator11.2%Student in an Organized Heal…4.8%Licensed Practical Nurse3.9%Registered Nurse3.5%Addiction (Substance Use Dis…3.4%Pharmacist3.3%Hospitalist Physician0.2%
Largest specialties in Ohio (% of in-state providers)

Medicare quality performance, MIPS

Richard Gummer, M.D.'s 2023 MIPS final score plotted against the Hospitalist Physician national average

Near national average
MIPS Final Score
81.3/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%81.3%
MIPS final score (Hospitalist Physician) - 81.3/100 vs national avg 83.5
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).

Practice Address

3555 OLENTANGY RIVER RD
Columbus, OH 43214
(614) 268-8164

Provider Details

NPI 1104809771
Specialty Hospitalist Physician
Credentials M.D.
Gender Male
NPI Issued 11/28/2005

CMS Quality Score (MIPS)

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

81.3083
Final Score
Measured-score avg: 83.5
73.5834
Quality
65.7777
Cost
98
Promoting Interoperability

Reporting: Group practice

License & disciplinary context - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Richard Gummer, M.D.. To verify Richard Gummer, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Richard Gummer, M.D. - brand share 12.0%
Hospitalist Physician average

12% brand-name claims vs 88% generic, on 190 2024 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 2024.

190
Total Claims
$9K
Total Drug Cost
48
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
216.367
Total Day Supply
4,667
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$3K
Generic Drug Cost
$6K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
83.0 years
Avg HCC Risk Score
3.16
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Richard Gummer, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Metoprolol Succinate
 12
Pantoprazole Sodium
 12
Tamsulosin Hcl
 12

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

More Hospitalist Physician in OH → All providers in Ohio → Compare specialties →

Hospitalist Physician Overview

How Richard Gummer, M.D. fits within the Hospitalist Physician landscape nationally.

17,950
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
940
Avg Claims per Provider

Richard Gummer, M.D.'s 190 claims are below the specialty average of 940.

Nationwide Hospitalist Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Gummer, both outside Ohio so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (81.3 here).

Ahmad Alkhawaga 81.3 PA Sagar Gandhi 81.3 IL Isha Kaul 81.3 IN Matthew Morrin 81.3 CA

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

William Bell Meridian, MS Kevin King Phenix City, AL Jennifer Greco Sioux Falls, SD Anthony Halat Omaha, NE

Nearby Hospitalist Physician Providers in Ohio

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

One of 709 Hospitalist Physician providers enrolled in Ohio, 5 are shown here.

Dr. Humza Aamir-Khan
MD
Cleveland, OH
Dr. Yamuna Abhayawardhane
M.D., PH.D.
Cincinnati, OH
Dr. Farouk Abu Alhana
MD
Columbus, OH
Dr. Khaled Abuhanttash
M.D.
Toledo, OH
Dr. Jad Achkar
MD
Beachwood, OH

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

Frequently Asked Questions

What is Richard Gummer, M.D.'s specialty? ▼
Richard Gummer, M.D. specializes in Hospitalist Physician and practices in Columbus, Ohio. Credentials: M.D..
How much does Richard Gummer, M.D. prescribe under Medicare Part D? ▼
In 2024, Richard Gummer, M.D. wrote 190 Medicare Part D claims totaling $9K in drug costs for 48 beneficiaries.
What is Richard Gummer, M.D.'s Medicare quality score? ▼
Richard Gummer, M.D. has a CMS MIPS Final Score of 81.3/100 (Quality: 73.6, Cost: 65.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Richard Gummer, M.D. located? ▼
Richard Gummer, M.D. is located at 3555 OLENTANGY RIVER RD, Columbus, OH, 43214. Phone: (614) 268-8164.
What is Richard Gummer, M.D.'s NPI number? ▼
Richard Gummer, M.D.'s National Provider Identifier (NPI) is 1104809771, issued on 11/28/2005.
Does Richard Gummer, M.D. prescribe more brand-name or generic drugs? ▼
Richard Gummer, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $3K in brand drug costs.
How many Hospitalist Physician providers are there in the US? ▼
There are 17,950 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 940 Medicare Part D claims per year.
What drugs does Richard Gummer, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Richard Gummer, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Pantoprazole Sodium, Tamsulosin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Richard Gummer, M.D. accept Medicare? ▼
Richard Gummer, M.D. appears in CMS Medicare data with 190 Part D claims and 48 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Richard Gummer, M.D.'s credentials? ▼
Richard Gummer, M.D.'s NPI is 1104809771 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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.