NPPES file of Aug 9, 2026

Robert Gousse, M.D.

Sports Medicine (Family Medicine) Physician · Fresno, CA

Robert Gousse, M.D. is a sports medicine (family medicine) physician with a practice address in Fresno, California, and NPI 1952667792, issued on Apr 5, 2012. Check the license (California A149982, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1952667792
Name
Robert Gousse
Credential
M.D.
Primary taxonomy
Sports Medicine (Family Medicine) Physician 207QS0010X
License number
A149982 CA
Self-reported in NPPES; status is on the state search
Practice location
1630 E Herndon Ave, Fresno, CA 93720
Phone
(559) 290-7050
Enumerated
Apr 5, 2012
Record last updated
Jan 30, 2026
Medicare enrollment
Enrolled (PECOS I20170818002694); accepts Medicare assignment
Medical or professional school
University Of South Florida College Of Medicine, 2012
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1630 E Herndon Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rasheed Amireh, MDPain Medicine Physician1023040748
  2. Henry Aryan, MD, FACS, FAANSNeurological Surgery Physician1992867329
  3. Nathaniel Barrows, RNNurse Practitioner1497487516
  4. Harold Borchardt, PA-CPhysician Assistant1770475410
  5. Gabriel Boyd, PASurgical Physician Assistant1922035989
  6. Todd BranerPhysician Assistant1932182193

Verify Robert Gousse in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license A149982
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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4.9 times the Medicare Part D claims of the average sports medicine (family medicine) physician in 2024

4,214 Medicare Part D claims for 391 beneficiaries, against an average of 855 among the 2,237 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 40 claims were for opioids.

  1. Robert Gousse4,214
  2. Specialty average855

Most prescribed

  1. Atorvastatin Calcium251 claims
  2. Rosuvastatin Calcium239 claims
  3. Levothyroxine Sodium190 claims
  4. Ozempic134 claims
  5. Amlodipine Besylate126 claims
  6. Metformin Hcl123 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 85.8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score91.3
  2. Costout of 100 · 30%61.3
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,004.86

44 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 1,218 providers of this specialty with any payment received $781.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Robert Gousse$1,004.86
  2. Specialty average$781.49

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Community Foundation Medical GroupFresno, CA
  2. Sierra Pacific Orthopaedic Center Medical Group, Inc.Fresno, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Robert Gousse among 266 sports medicine (family medicine) physician records in California

Robert Gousse, M.D. is one of 266 sports medicine (family medicine) physician records with a practice address in California. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 48% of them.

  • NPI issued2012 · 48% of these records are older, 46% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 71% of these records are
  • Graduated2012 · median 2012 among the 190 with a school on file
  • Record last updated2026 · 43% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QS0010X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Sports Medicine (Family Medicine) Physician providers in California

There are 266 sports medicine (family medicine) physician records in California.

The 8 sports medicine (family medicine) physician records with the nearest ZIP codes

  1. Holupathirage Caldera, MBBSFresno, CA 937201467915082
  2. Beau Kalmes, DOFresno, CA 937201083062475
  3. Rod Kraft, MDFresno, CA 937201851374979
  4. Richard Oravec, MDFresno, CA 937221265793020
  5. Gabriel Carpio-Bracho, M.D.Fresno, CA 937261700226669
  6. Mario Gutierrez, M.D.Fresno, CA 937261205254968
  7. Gary Arends, DOMadera, CA 936361932181724
  8. Iqbal Kasam, M.D.Palmdale, CA 935511184914525

Common questions

What is Robert Gousse, M.D.'s NPI number?

Robert Gousse, M.D.'s National Provider Identifier (NPI) is 1952667792, issued on Apr 5, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Robert Gousse, M.D. located?

The NPPES record lists a practice address at 1630 E Herndon Ave, Fresno, CA, 93720. Phone: (559) 290-7050. Providers update this record themselves, so call before visiting.

How can I verify Robert Gousse, M.D.'s license?

NPPES lists California license number A149982, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Robert Gousse, M.D. prescribe under Medicare Part D?

In 2024, Robert Gousse, M.D. had 4,214 Medicare Part D claims for 391 beneficiaries; the average among sports medicine (family medicine) physician prescribers was 855. Part D covers Medicare prescriptions only.

What is Robert Gousse, M.D.'s MIPS final score?

The 2023 MIPS final score is 85.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.