2026 NPPES data Transplant Surgery Physician NPI 1962469361 MD
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Roberto Gedaly, MD

Transplant Surgery Physician in Lexington, 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 1,026 in Transplant Surgery 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
327
Medicare Part D claims · 43 beneficiaries · Transplant Surgery Physician avg: 275
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Roberto Gedaly, MD reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 327 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
327
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.

Roberto Gedaly, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

100 Top 7% higher than 93% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. 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 Roberto Gedaly, MD sits

This provider among transplant surgery physician peers

Across the 248 transplant surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Roberto Gedaly, MD writes more Part D claims than 81% of them and scores higher on MIPS quality than 90% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 32Roberto Gedaly, MD-Part D claim volume, percentile in specialty: 81 · MIPS quality, percentile: 90
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one transplant surgery physician peer from a representative sample of 60; the gold marker is Roberto Gedaly, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Roberto Gedaly, 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).

What does the federal data show about Roberto Gedaly, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/28/2006

NPI 1962469361

Primary specialty

Transplant Surgery Physician

Niche

1,026 US NPIs in this specialty

Medicare Part D claims

327 19% vs specialty avg

2023 prescription claims

Specialty avg: 275

MIPS final score

100/100 16.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Transplant Surgery Physician compares to other specialties among Kentucky providers

Kentucky providers

Largest specialties in Kentucky (% of in-state providers)

Family Nurse Practitioner - 5.9%Family Nurse Practitioner5.9%Student in an Organized Health Care Education/Training Program - 5.2%Student in an Organized Health Care Education/Training Program5.2%Pharmacist - 4.8%Pharmacist4.8%Mental Health Counselor - 4.6%Mental Health Counselor4.6%Clinical Social Worker - 4.1%Clinical Social Worker4.1%Physical Therapist - 3.7%Physical Therapist3.7%Transplant Surgery Physician - 0%Transplant Surgery Physician0%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance, MIPS

Roberto Gedaly, MD's 2023 MIPS final score plotted against the Transplant Surgery Physician national average

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

MIPS final score (Transplant Surgery Physician) - 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Transplant Surgery Physician) - 100/100 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).

Roberto Gedaly, MD appears in the CMS NPPES registry as a Transplant Surgery Physician provider holding MD credentials at 800 ROSE STREET, Lexington, KY, 40536, with a listed phone of (859) 323-1691. NPI 1962469361 was issued on 04/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Gedaly 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 327 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $37K 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Transplant Surgery Physician is a narrow specialty nationwide, with 1,026 enrolled providers across 48 states and an average of 275 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

800 ROSE STREET
Lexington, KY 40536

Provider Details

NPI 1962469361
Specialty Transplant Surgery Physician
Credentials MD
Gender Male
NPI Issued 04/28/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Roberto Gedaly, 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.

Kentucky Medical Services Foundation, Inc
Lexington, 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).

Medicare Part D Prescribing Data

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

327
Total Claims
$37K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
370
Total Day Supply
10,026
Generic Drug Cost
$23K
Antibiotic Claims
62

Patient Demographics

Average Patient Age
56.1 years
Avg HCC Risk Score
6.71
Gender Split
49% female / 51% male
Age Distribution
<65: 28, 65-74: 15, 75-84: 0, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

What Roberto Gedaly, MD 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
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
44
Valganciclovir Hcl
28
Prednisone
18
Famotidine
16
Dapsone
15
Nifedipine Er
Nifedipine
14
Pantoprazole Sodium
14
Entecavir
12
Tacrolimus
11
Ursodiol
11

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

Transplant Surgery Physician Overview

How Roberto Gedaly, MD fits within the Transplant Surgery Physician landscape nationally.

1,026
Transplant Surgery Physician Providers in US
48
States with Transplant Surgery Physician
275
Avg Claims per Provider

Roberto Gedaly, MD's 327 claims are above the specialty average of 275.

Nearby Transplant Surgery Physician Providers in Kentucky

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

Compare Transplant Surgery 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 Kentucky medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Transplant Surgery 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 Roberto Gedaly, MD's specialty?
Roberto Gedaly, MD specializes in Transplant Surgery Physician and practices in Lexington, Kentucky. Credentials: MD.
How much does Roberto Gedaly, MD prescribe under Medicare Part D?
In 2023, Roberto Gedaly, MD wrote 327 Medicare Part D claims totaling $37K in drug costs for 43 beneficiaries.
What is Roberto Gedaly, MD's Medicare quality score?
Roberto Gedaly, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Roberto Gedaly, MD located?
Roberto Gedaly, MD is located at 800 ROSE STREET, Lexington, KY, 40536. Phone: (859) 323-1691.
What is Roberto Gedaly, MD's NPI number?
Roberto Gedaly, MD's National Provider Identifier (NPI) is 1962469361, issued on 04/28/2006.
How many Transplant Surgery Physician providers are there in the US?
There are 1,026 Transplant Surgery Physician providers across 48 states in the US. The average Transplant Surgery Physician provider writes 275 Medicare Part D claims per year.
What drugs does Roberto Gedaly, MD prescribe most often?
Based on 2023 Medicare Part D data, Roberto Gedaly, MD's most frequently prescribed drugs include Sulfamethoxazole-Trimethoprim, Valganciclovir Hcl, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Roberto Gedaly, MD accept Medicare?
Roberto Gedaly, MD appears in CMS Medicare data with 327 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roberto Gedaly, MD's credentials?
Roberto Gedaly, MD's NPI is 1962469361 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

Compiled from official public sources by the PlainDoctor editorial team.