2026 NPPES data Addiction Medicine (Psychiatry & Neurology) Physician NPI 1649267188 M.D
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WILLIAM GAERTNER, M.D

Addiction Medicine (Psychiatry & Neurology) Physician in FREDERICKSBURG, Virginia. 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
42
Medicare Part D claims · Addiction Medicine (Psychiatry & Neurology) Physician avg: 1K

What the federal data shows

WILLIAM GAERTNER, M.D filed 42 Medicare Part D claims in 2023 as a Addiction Medicine (Psychiatry & Neurology) Physician in FREDERICKSBURG, Virginia.

42
Part D claims, 2023

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.

WILLIAM GAERTNER, M.D's Medicare Part D volume vs every U.S. prescriber

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

42 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 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. 2,000–2,200: 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

Board-eligible specialty (heuristic — not verified)

WILLIAM GAERTNER, M.D practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about WILLIAM GAERTNER, M.D?

Quality data not reported

NPI registry status

Active

Issued 09/30/2005

NPI 1649267188

Primary specialty

Addiction Medicine (Psychiatry & Neurology) Physician

Niche

658 US NPIs in this specialty

Medicare Part D claims

42 96% vs specialty avg

2023 prescription claims

Specialty avg: 1,019

Specialty distribution in Virginia

How Addiction Medicine (Psychiatry & Neurology) Physician compares to other specialties among Virginia providers

Virginia providers

Addiction Medicine (Psychiatry & Neurology) Physician share within Virginia

1. Addiction Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Psychiatry & Neurology) Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Addiction Medicine (Psychiatry & Neurology) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Addiction Medicine (Psychiatry & Neurology) Physician ABMS/AOA estimate

Est. board-certified rate (Addiction Medicine (Psychiatry & Neurology) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Addiction Medicine (Psychiatry & Neurology) Physician) — ABMS / AOA estimate

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).

WILLIAM GAERTNER, M.D appears in the CMS NPPES registry as a Addiction Medicine (Psychiatry & Neurology) Physician provider holding M.D credentials at 621 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA, 22401, with a listed phone of (540) 372-2028. NPI 1649267188 was issued on 09/30/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAERTNER 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 42 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $11K in drug spend. 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.

Addiction Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 658 enrolled providers across 49 states and an average of 1,019 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

621 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401

Provider Details

NPI 1649267188
Specialty Addiction Medicine (Psychiatry & Neurology) Physician
Credentials M.D
Gender Male
NPI Issued 09/30/2005

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

42
Total Claims
$11K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
62
Total Day Supply
1,840
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
50.8 years
Avg HCC Risk Score
1.19

Addiction Medicine (Psychiatry & Neurology) Physician Overview

How WILLIAM GAERTNER, M.D fits within the Addiction Medicine (Psychiatry & Neurology) Physician landscape nationally.

658
Addiction Medicine (Psychiatry & Neurology) Physician Providers in US
49
States with Addiction Medicine (Psychiatry & Neurology) Physician
1,019
Avg Claims per Provider

WILLIAM GAERTNER, M.D's 42 claims are below the specialty average of 1,019.

Nearby Addiction Medicine (Psychiatry & Neurology) Physician Providers in Virginia

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

Compare Addiction Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is WILLIAM GAERTNER, M.D's specialty?
WILLIAM GAERTNER, M.D specializes in Addiction Medicine (Psychiatry & Neurology) Physician and practices in FREDERICKSBURG, Virginia. Credentials: M.D.
How much does WILLIAM GAERTNER, M.D prescribe under Medicare Part D?
In 2023, WILLIAM GAERTNER, M.D wrote 42 Medicare Part D claims totaling $11K in drug costs for N/A beneficiaries.
Where is WILLIAM GAERTNER, M.D located?
WILLIAM GAERTNER, M.D is located at 621 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA, 22401. Phone: (540) 372-2028.
What is WILLIAM GAERTNER, M.D's NPI number?
WILLIAM GAERTNER, M.D's National Provider Identifier (NPI) is 1649267188, issued on 09/30/2005.
How many Addiction Medicine (Psychiatry & Neurology) Physician providers are there in the US?
There are 658 Addiction Medicine (Psychiatry & Neurology) Physician providers across 49 states in the US. The average Addiction Medicine (Psychiatry & Neurology) Physician provider writes 1,019 Medicare Part D claims per year.
Does WILLIAM GAERTNER, M.D accept Medicare?
WILLIAM GAERTNER, M.D appears in CMS Medicare data with 42 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM GAERTNER, M.D's credentials?
WILLIAM GAERTNER, M.D's NPI is 1649267188 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