2026 NPPES data Interventional Pain Medicine Physician NPI 1104007319 MD
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TROY GINGERICH, MD

Interventional Pain Medicine Physician in CHARLOTTE, North Carolina. 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
3K
Medicare Part D claims · 823 beneficiaries · Interventional Pain Medicine Physician avg: 2K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.9393/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$3.1K
47 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TROY GINGERICH, MD is a Interventional Pain Medicine Physician ([object Object]) practicing in CHARLOTTE, North Carolina with a Medicare Part D prescribing footprint of 3K claims across 823 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 90.9393/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $3.1K across 47 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TROY GINGERICH, MD reported a CMS MIPS final score of 90.9393 out of 100, above the 83.1 national average, and filed 3,454 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)

TROY GINGERICH, 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).

TROY GINGERICH, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 11/15/2007

NPI 1104007319

Primary specialty

Interventional Pain Medicine Physician

Niche

1,528 US NPIs in this specialty

Medicare Part D claims

3,454 57% vs specialty avg

2023 prescription claims

Specialty avg: 2,197

MIPS final score

90.9393/100 7.839300000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Interventional Pain Medicine Physician compares to other specialties among North Carolina providers

North Carolina providers

Interventional Pain Medicine Physician share within North Carolina

1. Interventional Pain Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Pain Medicine Physician share within North Carolina

Medicare quality performance — MIPS

TROY GINGERICH, MD's 2023 MIPS final score plotted against the Interventional Pain Medicine Physician national average

High performer (top quartile)
MIPS Final Score
90.9393/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Pain Medicine Physician) — 90.9393/100 vs national avg 83.1

0%100%National avg83%90.9%
MIPS final score (Interventional Pain Medicine Physician) — 90.9393/100 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).

TROY GINGERICH, MD is a Interventional Pain Medicine Physician provider practicing in CHARLOTTE, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1104007319. 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.

TROY GINGERICH, MD appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider holding MD credentials at 6060 PIEDMONT ROW DR S STE 575, CHARLOTTE, NC, 28287, with a listed phone of (704) 862-4700. NPI 1104007319 was issued on 11/15/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GINGERICH 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 3,454 prescription claims written by this provider, covering 823 Medicare beneficiaries and totaling roughly $264K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 67.9%. 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 90.9393/100 for the 2023 performance year (Quality 85.2938), compared with the national average of 83.1.

Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 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

6060 PIEDMONT ROW DR S STE 575
CHARLOTTE, NC 28287

Provider Details

NPI 1104007319
Specialty Interventional Pain Medicine Physician
Credentials MD
Gender Male
NPI Issued 11/15/2007

CMS Quality Score (MIPS)

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

90.9393
Final Score
Avg: 83.1
85.2938
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where TROY GINGERICH, 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.

EAST CAROLINA ANESTHESIA ASSOCIATES PLLC
APEX, NC

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 TROY GINGERICH, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.1K

Largest payer

Nevro Corp.

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 · Generic-heavy

TROY GINGERICH, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 3,454 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.

3,454
Total Claims
$264K
Total Drug Cost
823
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,334
Total Day Supply
121,167
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$94K
Generic Drug Cost
$171K
Opioid Claims
2,345 (67.9% rate)
Antibiotic Claims
58

Patient Demographics

Average Patient Age
68.5 years
Avg HCC Risk Score
1.72
Gender Split
66% female / 34% male
Age Distribution
<65: 261, 65-74: 307, 75-84: 218, 85+: 37

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
721
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
611
Oxycodone Hcl
309
Tramadol Hcl
240
Gabapentin
168
Tizanidine Hcl
162
Morphine Sulfate Er
Morphine Sulfate
121
Pregabalin
99
Methocarbamol
87
Cyclobenzaprine Hcl
80

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

Interventional Pain Medicine Physician Overview

How TROY GINGERICH, MD fits within the Interventional Pain Medicine Physician landscape nationally.

1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider

TROY GINGERICH, MD's 3,454 claims are above the specialty average of 2,197.

Nearby Interventional Pain Medicine Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as GINGERICH.

Compare Interventional Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TROY GINGERICH, MD's specialty?
TROY GINGERICH, MD specializes in Interventional Pain Medicine Physician and practices in CHARLOTTE, North Carolina. Credentials: MD.
How much does TROY GINGERICH, MD prescribe under Medicare Part D?
In 2023, TROY GINGERICH, MD wrote 3,454 Medicare Part D claims totaling $264K in drug costs for 823 beneficiaries.
What is TROY GINGERICH, MD's Medicare quality score?
TROY GINGERICH, MD has a CMS MIPS Final Score of 90.9393/100 (Quality: 85.2938). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TROY GINGERICH, MD located?
TROY GINGERICH, MD is located at 6060 PIEDMONT ROW DR S STE 575, CHARLOTTE, NC, 28287. Phone: (704) 862-4700.
What is TROY GINGERICH, MD's NPI number?
TROY GINGERICH, MD's National Provider Identifier (NPI) is 1104007319, issued on 11/15/2007.
Does TROY GINGERICH, MD prescribe more brand-name or generic drugs?
TROY GINGERICH, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $94K in brand drug costs.
Does TROY GINGERICH, MD prescribe opioids?
Yes, TROY GINGERICH, MD had 2,345 opioid claims in 2023 with an opioid prescribing rate of 67.9%.
How many Interventional Pain Medicine Physician providers are there in the US?
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
What drugs does TROY GINGERICH, MD prescribe most often?
Based on 2023 Medicare Part D data, TROY GINGERICH, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TROY GINGERICH, MD accept Medicare?
TROY GINGERICH, MD appears in CMS Medicare data with 3,454 Part D claims and 823 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TROY GINGERICH, MD's credentials?
TROY GINGERICH, MD's NPI is 1104007319 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