NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1699233684
Verify on CMS → Tammy Gilbert
Family Nurse Practitioner in Louisville, 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 210,832 in Family Nurse Practitioner, 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
5K
Medicare Part D claims · 213 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.5/100
▲ 12 pts above national avg 83.5 · Exceptional
Industry payments
$16.75
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Tammy Gilbert reported a CMS MIPS final score of 95.5/100 - above the 83.5 national average - and filed 4,643 Medicare Part D claims in 2023.
- 95.5/100
- MIPS score · +12 vs avg
- 5K
- Part D claims, 2023
- 85%
- generic prescribing
- $16.75
- industry payments (Sunshine Act)
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.
CMS NPPES provider registry desk
NPI 1699233684 · Family Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-ELITE · RX-MID · BOOK-MID · PHOTO-FINISH
- NPI-10 1699233684
- ENUM-RECENT 2019
- TAX-MEGA 211K Family Nurse
- MIPS-ELITE 95.5/100
- RX-MID 4,643
- BOOK-MID 5,006 in Kentucky
- PHOTO-FINISH Rebecca Alexander · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Gilbert · this p…
Gilbert · this provider
95.5 MIPS pts
- Melissa Baker · …
Melissa Baker
95.5 MIPS pts
- Rebecca Alexande…
Rebecca Alexander
95.5 MIPS pts
- Anitalynn Anders…
Anitalynn Anderson
95.5 MIPS pts
- Greta Bakanowski…
Greta Bakanowski
95.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Tammy Gilbert'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.
96 ≥ 78th percentile 78% of 454,083 measured providers are in lower value bands
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 Tammy Gilbert sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Tammy Gilbert writes more Part D claims than 94% of them and scores higher on MIPS quality than 80% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Tammy Gilbert. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Tammy Gilbert?
High performer (top quartile)Primary specialty
Family Nurse Practitioner
Medicare Part D claims
4,643 280% vs specialty avg
MIPS final score
95.5/100 12 pts vs avg
Specialty distribution in Kentucky
How Family Nurse Practitioner compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Tammy Gilbert's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 95.5/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1699233684 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Gender | Female |
| NPI Issued | 03/08/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.5077
Final Score
Measured-score avg: 83.5
89.5953
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Tammy Gilbert 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.
Grace Community Health Center, Inc.
Corbin, 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).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Tammy Gilbert. Source: openpaymentsdata.cms.gov.
Total received
$17
Largest payer
Neurocrine Biosciences, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Tammy Gilbert - brand share 14.0%
Family Nurse Practitioner average
14% brand-name claims vs 85% generic, on 4,643 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.
4,643
Total Claims
$307K
Total Drug Cost
213
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,685
- Total Day Supply
- 98,887
- Brand vs Generic
- 14% brand / 85% generic
- Brand Drug Cost
- $205K
- Generic Drug Cost
- $99K
- Opioid Claims
- 310 (6.7% rate)
- Antibiotic Claims
- 206
Patient Demographics
- Average Patient Age
- 79.9 years
- Avg HCC Risk Score
- 2.50
- Gender Split
- 69% female / 31% male
- Age Distribution
- <65: 19, 65-74: 47, 75-84: 66, 85+: 81
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Tammy Gilbert prescribes most
Top Medicare Part D drugs by claim count, 2023
- Sertraline Hcl
Sertraline Hcl
286 claims
- Gabapentin
Gabapentin
252 claims
- Mirtazapine
Mirtazapine
177 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
176 claims
- Levothyroxine Sodium
Levothyroxine Sodium
164 claims
- Tramadol Hcl
Tramadol Hcl
131 claims
- Furosemide
Furosemide
129 claims
- Ondansetron Hcl
Ondansetron Hcl
122 claims
| Drug | Claims |
|---|---|
| Sertraline Hcl | 286 |
| Gabapentin | 252 |
| Mirtazapine | 177 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 176 |
| Levothyroxine Sodium | 164 |
| Tramadol Hcl | 131 |
| Furosemide | 129 |
| Ondansetron Hcl | 122 |
| Famotidine | 96 |
| Divalproex Sodium | 93 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Tammy Gilbert fits within the Family Nurse Practitioner landscape nationally.
210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider
Tammy Gilbert's 4,643 claims are above the specialty average of 1,222.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Gilbert, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (95.5 here).
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Gilbert.
One of 5,006 Family Nurse Practitioner providers enrolled in Kentucky, 5 are shown here.
Dr. Katie Aaron
APRN
Columbia, KY
Dr. Rachael Abell
APRN
Louisville, KY
Dr. Amy Ables
APRN
Hartford, KY
Dr. Melanie Abner
APRN, CNM
Morehead, KY
Dr. Julie Abney
APRN
Lexington, KY
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Tammy Gilbert's specialty? ▼
Tammy Gilbert specializes in Family Nurse Practitioner and practices in Louisville, Kentucky.
How much does Tammy Gilbert prescribe under Medicare Part D? ▼
In 2023, Tammy Gilbert wrote 4,643 Medicare Part D claims totaling $307K in drug costs for 213 beneficiaries.
What is Tammy Gilbert's Medicare quality score? ▼
Tammy Gilbert has a CMS MIPS Final Score of 95.5/100 (Quality: 89.6). 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 Tammy Gilbert located? ▼
Tammy Gilbert is located at 9510 ORMSBY STATION RD STE 100, Louisville, KY, 40223. Phone: (502) 327-9100.
What is Tammy Gilbert's NPI number? ▼
Tammy Gilbert's National Provider Identifier (NPI) is 1699233684, issued on 03/08/2019.
Does Tammy Gilbert prescribe more brand-name or generic drugs? ▼
Tammy Gilbert's prescribing is 14% brand-name and 85% generic drugs by claim count, with $205K in brand drug costs.
Does Tammy Gilbert prescribe opioids? ▼
Yes, Tammy Gilbert had 310 opioid claims in 2023 with an opioid prescribing rate of 6.7%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 210,832 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Tammy Gilbert prescribe most often? ▼
Based on 2023 Medicare Part D data, Tammy Gilbert's most frequently prescribed drugs include Sertraline Hcl, Gabapentin, Mirtazapine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Tammy Gilbert accept Medicare? ▼
Tammy Gilbert appears in CMS Medicare data with 4,643 Part D claims and 213 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Tammy Gilbert's credentials? ▼
Tammy Gilbert's NPI is 1699233684. 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 (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
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 May 2026.