NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1205276664 DO
Verify on CMS → Theotonius Gomes, DO
Pediatrics Physician in Kalamazoo, Michigan.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,576 in Pediatrics 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
53
Medicare Part D claims · 21 beneficiaries · Pediatrics Physician avg: 762
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
Theotonius Gomes, DO reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 53 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 53
- 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.
Theotonius Gomes, DO'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
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 Theotonius Gomes, DO sits
This provider among pediatrics physician peers
Across the 1,120 pediatrics physician providers who report both Medicare Part D prescribing and a MIPS quality score, Theotonius Gomes, DO writes more Part D claims than 34% of them and scores higher on MIPS quality than 92% - placing this provider in the lower-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
Each dot is one pediatrics physician peer from a representative sample of 60; the gold marker is Theotonius Gomes, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Theotonius Gomes, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Theotonius Gomes, DO?
High performer (top quartile)Primary specialty
Pediatrics Physician
Medicare Part D claims
53 93% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in Michigan
How Pediatrics Physician compares to other specialties among Michigan providers
Medicare quality performance, MIPS
Theotonius Gomes, DO's 2023 MIPS final score plotted against the Pediatrics Physician national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatrics Physician) - 100/100 vs national avg 83.1
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).
Theotonius Gomes, DO appears in the CMS NPPES registry as a Pediatrics Physician provider holding DO credentials at 1000 OAKLAND DR, Kalamazoo, MI, 49008, with a listed phone of (269) 337-6345. NPI 1205276664 was issued on 07/01/2013.
Medicare Part D records for calendar year 2023 show 53 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $612 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 89, Cost 86), compared with the national average of 83.1.
Pediatrics Physician is a high-volume specialty nationwide, with 80,576 enrolled providers across 56 states and an average of 762 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
Provider Details
| NPI | 1205276664 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 07/01/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
88.9916
Quality
86.0241
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Theotonius Gomes, DO 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.
Bronson Methodist Hospital
★★★★☆ 4/5
Kalamazoo, MI
Acute Care Hospitals
CMS CCN: 230017
Western Michigan University School OF Medicine
Kalamazoo, MI
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 - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Theotonius Gomes, DO. To verify Theotonius Gomes, DO's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases
MI-BOM 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 Michigan 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.
53
Total Claims
$612
Total Drug Cost
21
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 60
- Total Day Supply
- 1,582
- Generic Drug Cost
- $380
Patient Demographics
- Average Patient Age
- 63.7 years
- Avg HCC Risk Score
- 2.98
Pediatrics Physician Overview
How Theotonius Gomes, DO fits within the Pediatrics Physician landscape nationally.
80,576
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider
Theotonius Gomes, DO's 53 claims are below the specialty average of 762.
Nearby Pediatrics Physician Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Gomes.
Amal Abd Allah
Lansing, MI
Dr. Abdalla Abdalla-Ali
MD
Lansing, MI
Dr. Tassneem Abdel Karim
MD
Lansing, MI
Dr. Ibrahim Abdulhamid
MD
Detroit, MI
Dr. Lukman Abdurrahim
MD
Grand Rapids, MI
Compare Pediatrics 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 Michigan medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatrics 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.
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Frequently Asked Questions
What is Theotonius Gomes, DO's specialty? ▼
Theotonius Gomes, DO specializes in Pediatrics Physician and practices in Kalamazoo, Michigan. Credentials: DO.
How much does Theotonius Gomes, DO prescribe under Medicare Part D? ▼
In 2023, Theotonius Gomes, DO wrote 53 Medicare Part D claims totaling $612 in drug costs for 21 beneficiaries.
What is Theotonius Gomes, DO's Medicare quality score? ▼
Theotonius Gomes, DO has a CMS MIPS Final Score of 100/100 (Quality: 89, Cost: 86). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Theotonius Gomes, DO located? ▼
Theotonius Gomes, DO is located at 1000 OAKLAND DR, Kalamazoo, MI, 49008. Phone: (269) 337-6345.
What is Theotonius Gomes, DO's NPI number? ▼
Theotonius Gomes, DO's National Provider Identifier (NPI) is 1205276664, issued on 07/01/2013.
How many Pediatrics Physician providers are there in the US? ▼
There are 80,576 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
Does Theotonius Gomes, DO accept Medicare? ▼
Theotonius Gomes, DO appears in CMS Medicare data with 53 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theotonius Gomes, DO's credentials? ▼
Theotonius Gomes, DO's NPI is 1205276664 with credentials DO. 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
Compiled from official public sources by the PlainDoctor editorial team.
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.