2026 NPPES data Pediatric Emergency Medicine (Pediatrics) Physician NPI 1275020505 MD
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ROBERT GAKWAYA, MD

Pediatric Emergency Medicine (Pediatrics) Physician in HOUSTON, 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
16
Medicare Part D claims · 11 beneficiaries · Pediatric Emergency Medicine (Pediatrics) Physician avg: 162
MIPS score
97.9178/100
▲ 15 pts above national avg 83.1 · [object Object]
What the federal data reveals: ROBERT GAKWAYA, MD is a Pediatric Emergency Medicine (Pediatrics) Physician ([object Object]) practicing in HOUSTON, Texas with a Medicare Part D prescribing footprint of 16 claims across 11 beneficiaries . Their CMS MIPS Final Score of 97.9178/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ROBERT GAKWAYA, MD reported a CMS MIPS final score of 97.9178 out of 100, above the 83.1 national average, and filed 16 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ROBERT GAKWAYA, MD 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).

ROBERT GAKWAYA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/23/2018

NPI 1275020505

Primary specialty

Pediatric Emergency Medicine (Pediatrics) Physician

Niche

1,803 US NPIs in this specialty

Medicare Part D claims

16 90% vs specialty avg

2023 prescription claims

Specialty avg: 162

MIPS final score

97.9178/100 14.817800000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Pediatric Emergency Medicine (Pediatrics) Physician compares to other specialties among Texas providers

Texas providers

Pediatric Emergency Medicine (Pediatrics) Physician share within Texas

1. Pediatric Emergency Medicine (Pediatrics) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Emergency Medicine (Pediatrics) Physician share within Texas

Medicare quality performance — MIPS

ROBERT GAKWAYA, MD's 2023 MIPS final score plotted against the Pediatric Emergency Medicine (Pediatrics) Physician national average

High performer (top quartile)
MIPS Final Score
97.9178/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Emergency Medicine (Pediatrics) Physician) — 97.9178/100 vs national avg 83.1

0%100%National avg83%97.9%
MIPS final score (Pediatric Emergency Medicine (Pediatrics) Physician) — 97.9178/100 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).

ROBERT GAKWAYA, MD is a Pediatric Emergency Medicine (Pediatrics) Physician provider practicing in HOUSTON, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1275020505. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ROBERT GAKWAYA, MD appears in the CMS NPPES registry as a Pediatric Emergency Medicine (Pediatrics) Physician provider holding MD credentials at 6621 FANNIN ST, HOUSTON, TX, 77030, with a listed phone of (832) 824-3888. NPI 1275020505 was issued on 04/23/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAKWAYA 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 16 prescription claims written by this provider, covering 11 Medicare beneficiaries and totaling roughly $284 in drug spend. 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 97.9178/100 for the 2023 performance year (Quality 87.9745), compared with the national average of 83.1.

Pediatric Emergency Medicine (Pediatrics) Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 47 states and an average of 162 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

6621 FANNIN ST
HOUSTON, TX 77030

Provider Details

NPI 1275020505
Specialty Pediatric Emergency Medicine (Pediatrics) Physician
Credentials MD
Gender Male
NPI Issued 04/23/2018

CMS Quality Score (MIPS)

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

97.9178
Final Score
Avg: 83.1
87.9745
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ROBERT GAKWAYA, MD 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.

TEXAS CHILDRENS PHYSICIAN GROUP
THE WOODLANDS, TX

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 — 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 ROBERT GAKWAYA, MD. To verify ROBERT GAKWAYA, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

16
Total Claims
$284
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
17
Total Day Supply
121
Generic Drug Cost
$274

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.46

Pediatric Emergency Medicine (Pediatrics) Physician Overview

How ROBERT GAKWAYA, MD fits within the Pediatric Emergency Medicine (Pediatrics) Physician landscape nationally.

1,803
Pediatric Emergency Medicine (Pediatrics) Physician Providers in US
47
States with Pediatric Emergency Medicine (Pediatrics) Physician
162
Avg Claims per Provider

ROBERT GAKWAYA, MD's 16 claims are below the specialty average of 162.

Nearby Pediatric Emergency Medicine (Pediatrics) Physician Providers in Texas

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

Compare Pediatric Emergency Medicine (Pediatrics) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROBERT GAKWAYA, MD's specialty?
ROBERT GAKWAYA, MD specializes in Pediatric Emergency Medicine (Pediatrics) Physician and practices in HOUSTON, Texas. Credentials: MD.
How much does ROBERT GAKWAYA, MD prescribe under Medicare Part D?
In 2023, ROBERT GAKWAYA, MD wrote 16 Medicare Part D claims totaling $284 in drug costs for 11 beneficiaries.
What is ROBERT GAKWAYA, MD's Medicare quality score?
ROBERT GAKWAYA, MD has a CMS MIPS Final Score of 97.9178/100 (Quality: 87.9745). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROBERT GAKWAYA, MD located?
ROBERT GAKWAYA, MD is located at 6621 FANNIN ST, HOUSTON, TX, 77030. Phone: (832) 824-3888.
What is ROBERT GAKWAYA, MD's NPI number?
ROBERT GAKWAYA, MD's National Provider Identifier (NPI) is 1275020505, issued on 04/23/2018.
How many Pediatric Emergency Medicine (Pediatrics) Physician providers are there in the US?
There are 1,803 Pediatric Emergency Medicine (Pediatrics) Physician providers across 47 states in the US. The average Pediatric Emergency Medicine (Pediatrics) Physician provider writes 162 Medicare Part D claims per year.
Does ROBERT GAKWAYA, MD accept Medicare?
ROBERT GAKWAYA, MD appears in CMS Medicare data with 16 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT GAKWAYA, MD's credentials?
ROBERT GAKWAYA, MD's NPI is 1275020505 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