2026 NPPES data Specialist NPI 1386677227 M.D.
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Thomas Gautsch, M.D.

Specialist in Gallatin, Tennessee. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,658 in Specialist, 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
1K
Medicare Part D claims · 218 beneficiaries · Specialist avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$322.29
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Thomas Gautsch, M.D. filed 1,022 Medicare Part D claims in 2023 as a Specialist in Gallatin, Tennessee, prescribing 93% generic.

1K
Part D claims, 2023
93%
generic prescribing
$322.29
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.

Thomas Gautsch, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

1,022 Top 24% higher than 76% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Thomas Gautsch, M.D.?

Quality data not reported

NPI registry status

Active

Issued 07/07/2006

NPI 1386677227

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

1,022 31% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in Tennessee

How Specialist compares to other specialties among Tennessee providers

Tennessee providers

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

Family Nurse Practitioner - 6.4%Family Nurse Practitioner6.4%Pharmacist - 5.9%Pharmacist5.9%Student in an Organized Health Care Education/Training Program - 4.6%Student in an Organized Health Care Education/Training Program4.6%Physical Therapist - 4.2%Physical Therapist4.2%Behavior Technician - 4.2%Behavior Technician4.2%Registered Nurse - 3.9%Registered Nurse3.9%Specialist - 0.8%Specialist0.8%
Largest specialties in Tennessee (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Specialist. Verify directly:

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).

Thomas Gautsch, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 570 HARTSVILLE PIKE, Gallatin, TN, 37066, with a listed phone of (615) 452-3320. NPI 1386677227 was issued on 07/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Gautsch 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 1,022 prescription claims written by this provider, covering 218 Medicare beneficiaries and totaling roughly $29K in drug spend, split 7% brand-name and 93% 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

570 HARTSVILLE PIKE
Gallatin, TN 37066

Provider Details

NPI 1386677227
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 07/07/2006

Hospital and facility affiliations

Facilities where Thomas Gautsch, M.D. 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.

Advanced Diagnostic Imaging PC
Nashville, TN

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 Thomas Gautsch, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$322

Largest payer

Hikma Pharmaceuticals USA

Most common payment type

Consulting Fee

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 · Generic-heavy

Thomas Gautsch, M.D. - brand share 7.0%
Specialist average

7% brand-name claims vs 93% generic, on 1,022 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.

1,022
Total Claims
$29K
Total Drug Cost
218
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,055
Total Day Supply
13,900
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$18K
Generic Drug Cost
$11K
Opioid Claims
293 (28.7% rate)
Antibiotic Claims
121

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
0.67
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

What Thomas Gautsch, M.D. 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
Celecoxib
139
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
136
Mupirocin
123
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
119
Meloxicam
96
Ondansetron Odt
Ondansetron
94
Amoxicillin
73
Eliquis
Apixaban
73
Ondansetron Hcl
42
Tramadol Hcl
34

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

Specialist Overview

How Thomas Gautsch, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

Thomas Gautsch, M.D.'s 1,022 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Tennessee

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

Compare Specialist 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 Tennessee medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Specialist 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 Thomas Gautsch, M.D.'s specialty?
Thomas Gautsch, M.D. specializes in Specialist and practices in Gallatin, Tennessee. Credentials: M.D..
How much does Thomas Gautsch, M.D. prescribe under Medicare Part D?
In 2023, Thomas Gautsch, M.D. wrote 1,022 Medicare Part D claims totaling $29K in drug costs for 218 beneficiaries.
Where is Thomas Gautsch, M.D. located?
Thomas Gautsch, M.D. is located at 570 HARTSVILLE PIKE, Gallatin, TN, 37066. Phone: (615) 452-3320.
What is Thomas Gautsch, M.D.'s NPI number?
Thomas Gautsch, M.D.'s National Provider Identifier (NPI) is 1386677227, issued on 07/07/2006.
Does Thomas Gautsch, M.D. prescribe more brand-name or generic drugs?
Thomas Gautsch, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $18K in brand drug costs.
Does Thomas Gautsch, M.D. prescribe opioids?
Yes, Thomas Gautsch, M.D. had 293 opioid claims in 2023 with an opioid prescribing rate of 28.7%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Thomas Gautsch, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Thomas Gautsch, M.D.'s most frequently prescribed drugs include Celecoxib, Hydrocodone-Acetaminophen, Mupirocin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas Gautsch, M.D. accept Medicare?
Thomas Gautsch, M.D. appears in CMS Medicare data with 1,022 Part D claims and 218 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Gautsch, M.D.'s credentials?
Thomas Gautsch, M.D.'s NPI is 1386677227 with credentials M.D.. 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.
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.