Freddy Gaton, M.D.
NPI 1003896416 · Family Medicine Physician · Roberta, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Freddy Gaton, M.D. is a Family Medicine Physician provider in Roberta, GA (NPI 1003896416).
Provider details
- NPI number
- 1003896416
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 040386 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
6,363 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 1,372 | $44 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 686 | $58 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 648 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 594 | $84 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 520 | $9 |
| Injection of Drug Or Substance Under Skin Or Into Muscle |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 302 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 1,632 | 221 |
| Atorvastatin Calcium | 1,290 | 312 |
| Amlodipine Besylate | 1,189 | 288 |
| Gabapentin | 1,179 | 223 |
| Lisinopril | 886 | 207 |
| Omeprazole | 859 | 192 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,143 across 59 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 420 Lamar Rd NMacon, GA 31210-7110Phone: (478) 471-0089Fax: (478) 471-0708
Registry dates
- Enumerated
- 2006-01-20
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Frequently asked questions
- What is Freddy Gaton's NPI number?
- Freddy Gaton's National Provider Identifier (NPI) is 1003896416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Freddy Gaton's specialty?
- Freddy Gaton is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Freddy Gaton located?
- Freddy Gaton's practice location on file with NPPES is 106 Mccrary Ave, Roberta, GA 31078-4916.
- What is Freddy Gaton's phone number?
- The practice phone number listed in the NPPES registry for Freddy Gaton is (478) 836-2819.
- Does Freddy Gaton accept Medicare?
- Freddy Gaton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Freddy Gaton's NPI active?
- Yes — Freddy Gaton's NPI (1003896416) is active in the NPPES registry as of the last update on 2025-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.