2026 NPPES data Orthopaedic Surgery Physician NPI 1477744654 MD
Verify on CMS →

Sean Gallagher, MD

Orthopaedic Surgery Physician in Austin, Texas. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,781 in Orthopaedic 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
774
Medicare Part D claims · 166 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.9/100
▼ 0 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Sean Gallagher, MD reported a CMS MIPS final score of 82.9/100 - below the 83.1 national average - and filed 774 Medicare Part D claims in 2023.

82.9/100
MIPS score · 0 vs avg
774
Part D claims, 2023
96%
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.

Sean Gallagher, MD's MIPS score vs every scored U.S. clinician

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

83 39th percentile higher than 39% 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%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. 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 Sean Gallagher, MD sits

This provider among orthopaedic surgery physician peers

Across the 8,194 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sean Gallagher, MD writes more Part D claims than 84% of them and scores higher on MIPS quality than 55% - 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: 78 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 37Sean Gallagher, MD-Part D claim volume, percentile in specialty: 84 · MIPS quality, percentile: 55
Part D claim volume vs MIPS quality, by specialty percentile

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

Board certification likely (heuristic, not verified)

Sean Gallagher, MD 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 Sean Gallagher, MD?

Near national average

NPI registry status

Active

Issued 08/05/2007

NPI 1477744654

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

774 139% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

82.9/100 0.2 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Orthopaedic Surgery Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Orthopaedic Surgery Physician - 0.4%Orthopaedic Surgery Physician0.4%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Sean Gallagher, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Near national average
MIPS Final Score
82.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) - 82.9/100 vs national avg 83.1

0%100%National avg83%82.9%
MIPS final score (Orthopaedic Surgery Physician) - 82.9/100 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).

Sean Gallagher, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 3901 MEDICAL PKWY, Austin, TX, 78756, with a listed phone of (512) 960-4590. NPI 1477744654 was issued on 08/05/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Gallagher 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 774 prescription claims written by this provider, covering 166 Medicare beneficiaries and totaling roughly $16K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 28.7%. 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 82.9/100 for the 2023 performance year (Quality 57.2, Cost 100), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

3901 MEDICAL PKWY
Austin, TX 78756

Provider Details

NPI 1477744654
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 08/05/2007

CMS Quality Score (MIPS)

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

82.8867
Final Score
Avg: 83.1
57.2169
Quality
100
Cost

Reporting: Individual

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 Sean Gallagher, MD. To verify Sean Gallagher, 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.

Brand vs generic prescribing mix · Generic-heavy

Sean Gallagher, MD - brand share 4.0%
Orthopaedic Surgery Physician average

4% brand-name claims vs 96% generic, on 774 2023 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 2023.

774
Total Claims
$16K
Total Drug Cost
166
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
981
Total Day Supply
19,051
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$3K
Generic Drug Cost
$13K
Opioid Claims
222 (28.7% rate)
Antibiotic Claims
104

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
0.83
Gender Split
70% female / 30% male

Top Prescribed Drugs (Medicare Part D)

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

What Sean Gallagher, 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
Tramadol Hcl
140
Meloxicam
135
Celecoxib
111
Cephalexin
79
Oxycodone Hcl
79
Dexamethasone
44
Tranexamic Acid
33
Pregabalin
21
Diclofenac Sodium
15
Gabapentin
14

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

Orthopaedic Surgery Physician Overview

How Sean Gallagher, MD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

Sean Gallagher, MD's 774 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Texas

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

Compare Orthopaedic 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 Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Orthopaedic 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 Sean Gallagher, MD's specialty?
Sean Gallagher, MD specializes in Orthopaedic Surgery Physician and practices in Austin, Texas. Credentials: MD.
How much does Sean Gallagher, MD prescribe under Medicare Part D?
In 2023, Sean Gallagher, MD wrote 774 Medicare Part D claims totaling $16K in drug costs for 166 beneficiaries.
What is Sean Gallagher, MD's Medicare quality score?
Sean Gallagher, MD has a CMS MIPS Final Score of 82.9/100 (Quality: 57.2, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sean Gallagher, MD located?
Sean Gallagher, MD is located at 3901 MEDICAL PKWY, Austin, TX, 78756. Phone: (512) 960-4590.
What is Sean Gallagher, MD's NPI number?
Sean Gallagher, MD's National Provider Identifier (NPI) is 1477744654, issued on 08/05/2007.
Does Sean Gallagher, MD prescribe more brand-name or generic drugs?
Sean Gallagher, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $3K in brand drug costs.
Does Sean Gallagher, MD prescribe opioids?
Yes, Sean Gallagher, MD had 222 opioid claims in 2023 with an opioid prescribing rate of 28.7%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does Sean Gallagher, MD prescribe most often?
Based on 2023 Medicare Part D data, Sean Gallagher, MD's most frequently prescribed drugs include Tramadol Hcl, Meloxicam, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sean Gallagher, MD accept Medicare?
Sean Gallagher, MD appears in CMS Medicare data with 774 Part D claims and 166 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sean Gallagher, MD's credentials?
Sean Gallagher, MD's NPI is 1477744654 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.