2026 NPPES data Plastic Surgery Physician NPI 1518046044 MD
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TODD GERLACH, MD

Plastic Surgery Physician in PEORIA, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
196
Medicare Part D claims · 120 beneficiaries · Plastic Surgery Physician avg: 84
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$29.14
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TODD GERLACH, MD is a Plastic Surgery Physician ([object Object]) practicing in PEORIA, Illinois with a Medicare Part D prescribing footprint of 196 claims across 120 beneficiaries . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $29.14 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TODD GERLACH, MD reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 196 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

TODD GERLACH, 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).

TODD GERLACH, MD at a glance

Below national average

NPI registry status

Active

Issued 11/03/2006

NPI 1518046044

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Medicare Part D claims

196 133% vs specialty avg

2023 prescription claims

Specialty avg: 84

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Plastic Surgery Physician compares to other specialties among Illinois providers

Illinois providers

Plastic Surgery Physician share within Illinois

1. Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery Physician share within Illinois

Medicare quality performance — MIPS

TODD GERLACH, MD's 2023 MIPS final score plotted against the Plastic Surgery Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Plastic Surgery Physician) — 75/100 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).

TODD GERLACH, MD is a Plastic Surgery Physician provider practicing in PEORIA, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1518046044. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TODD GERLACH, MD appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding MD credentials at 4909 N GLEN PARK PLACE RD, PEORIA, IL, 61614, with a listed phone of (309) 674-7546. NPI 1518046044 was issued on 11/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GERLACH 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 196 prescription claims written by this provider, covering 120 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 30.6%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,316 enrolled providers across 52 states and an average of 84 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

4909 N GLEN PARK PLACE RD
PEORIA, IL 61614

Provider Details

NPI 1518046044
Specialty Plastic Surgery Physician
Credentials MD
Gender Male
NPI Issued 11/03/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where TODD GERLACH, 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.

SODERSTROM DERMATOLOGY CENTER S C.
PEORIA, IL

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 TODD GERLACH, MD. Source: openpaymentsdata.cms.gov.

Total received

$29

Largest payer

ABBVIE 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.

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to TODD GERLACH, MD. To verify TODD GERLACH, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois 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.

196
Total Claims
$1K
Total Drug Cost
120
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
196
Total Day Supply
1,047
Brand Drug Cost
$0
Generic Drug Cost
$1K
Opioid Claims
60 (30.6% rate)
Antibiotic Claims
121

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.25
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cephalexin
89
Acetaminophen-Codeine
Acetaminophen With Codeine
45
Clindamycin Hcl
16
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
11

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

Plastic Surgery Physician Overview

How TODD GERLACH, MD fits within the Plastic Surgery Physician landscape nationally.

5,316
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider

TODD GERLACH, MD's 196 claims are above the specialty average of 84.

Nearby Plastic Surgery Physician Providers in Illinois

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

Compare Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TODD GERLACH, MD's specialty?
TODD GERLACH, MD specializes in Plastic Surgery Physician and practices in PEORIA, Illinois. Credentials: MD.
How much does TODD GERLACH, MD prescribe under Medicare Part D?
In 2023, TODD GERLACH, MD wrote 196 Medicare Part D claims totaling $1K in drug costs for 120 beneficiaries.
What is TODD GERLACH, MD's Medicare quality score?
TODD GERLACH, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TODD GERLACH, MD located?
TODD GERLACH, MD is located at 4909 N GLEN PARK PLACE RD, PEORIA, IL, 61614. Phone: (309) 674-7546.
What is TODD GERLACH, MD's NPI number?
TODD GERLACH, MD's National Provider Identifier (NPI) is 1518046044, issued on 11/03/2006.
Does TODD GERLACH, MD prescribe opioids?
Yes, TODD GERLACH, MD had 60 opioid claims in 2023 with an opioid prescribing rate of 30.6%.
How many Plastic Surgery Physician providers are there in the US?
There are 5,316 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
What drugs does TODD GERLACH, MD prescribe most often?
Based on 2023 Medicare Part D data, TODD GERLACH, MD's most frequently prescribed drugs include Cephalexin, Acetaminophen-Codeine, Clindamycin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TODD GERLACH, MD accept Medicare?
TODD GERLACH, MD appears in CMS Medicare data with 196 Part D claims and 120 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TODD GERLACH, MD's credentials?
TODD GERLACH, MD's NPI is 1518046044 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