2026 NPPES data Family Medicine Physician NPI 1831354281 M.D
Verify on CMS →

Anil Kumar Gogineni, M.D

Family Medicine Physician in Bronx, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, 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
2K
Medicare Part D claims · 140 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
74%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$418.42
18 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Anil Kumar Gogineni, M.D filed 1,793 Medicare Part D claims in 2023 as a Family Medicine Physician in Bronx, New York, prescribing 74% generic.

2K
Part D claims, 2023
74%
generic prescribing
Likely
board-certified (heuristic)
≥83rd
pct by Part D claim volume (lower-bound band)

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.

CMS NPPES provider registry desk

NPI 1831354281 · Family Medicine Physician

NPI-10 · ENUM-MID · TAX-MEGA · RX-MID · BOOK-MID · PHOTO-ENUM

  • NPI-10 1831354281
  • ENUM-MID 2008
  • TAX-MEGA 148K Family Medicine
  • RX-MID 1,793
  • BOOK-MID 5,914 in New York
  • PHOTO-ENUM Michel Bornacelly Pe… · 2008

Anil Kumar Gogineni, M.D's Medicare Part D volume vs every U.S. prescriber

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

1,793 ≥ 83rd percentile 83% of 1,370,886 prescribers are in lower value bands

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%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). This entry sits in this band. 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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

Anil Kumar Gogineni, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Anil Kumar Gogineni, M.D?

Quality data not reported

NPI registry status

Active

Issued 07/25/2008

NPI 1831354281

Primary specialty

Family Medicine Physician

High-volume

147,760 US NPIs in this specialty

Medicare Part D claims

1,793 48% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in New York

How Family Medicine Physician compares to other specialties among New York providers

New York providers
Student in an Organized Heal…7.8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Family Medicine Physician1.1%
Largest specialties in New York (% 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 Family Medicine Physician. Verify directly:

How MIPS and board certification work

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).

Practice Address

1276 FULTON AVE
Bronx, NY 10456

Provider Details

NPI 1831354281
Specialty Family Medicine Physician
Credentials M.D
Gender Male
NPI Issued 07/25/2008

Hospital and facility affiliations

Facilities where Anil Kumar Gogineni, 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.

Bronxcare Health System
Bronx, NY

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 Anil Kumar Gogineni, M.D. Source: openpaymentsdata.cms.gov.

Total received

$418

Largest payer

ViiV Healthcare Company

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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Anil Kumar Gogineni, M.D. To verify Anil Kumar Gogineni, M.D's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Anil Kumar Gogineni, M.D - brand share 23.0%
Family Medicine Physician average

23% brand-name claims vs 74% generic, on 1,793 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.

1,793
Total Claims
$300K
Total Drug Cost
140
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,067
Total Day Supply
89,619
Brand vs Generic
23% brand / 74% generic
Brand Drug Cost
$271K
Generic Drug Cost
$27K

Patient Demographics

Average Patient Age
68.2 years
Avg HCC Risk Score
1.77
Gender Split
58% female / 42% male
Age Distribution
<65: 32, 65-74: 79, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Anil Kumar Gogineni, 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
Atorvastatin Calcium
163
Albuterol Sulfate Hfa
Albuterol Sulfate
141
Omeprazole
91
Amlodipine Besylate
85
Lisinopril
70
Gabapentin
68
Metformin Hcl
63
Hydrochlorothiazide
58
Montelukast Sodium
47
Fluticasone Propionate
43

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

Family Medicine Physician Overview

How Anil Kumar Gogineni, M.D fits within the Family Medicine Physician landscape nationally.

147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Anil Kumar Gogineni, M.D's 1,793 claims are below the specialty average of 3,418.

Nationwide Family Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Gogineni, both outside New York so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2008)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Family Medicine Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Gogineni.

One of 5,914 Family Medicine Physician providers enrolled in New York, 5 are shown here.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Anil Kumar Gogineni, M.D's specialty?
Anil Kumar Gogineni, M.D specializes in Family Medicine Physician and practices in Bronx, New York. Credentials: M.D.
How much does Anil Kumar Gogineni, M.D prescribe under Medicare Part D?
In 2023, Anil Kumar Gogineni, M.D wrote 1,793 Medicare Part D claims totaling $300K in drug costs for 140 beneficiaries.
Where is Anil Kumar Gogineni, M.D located?
Anil Kumar Gogineni, M.D is located at 1276 FULTON AVE, Bronx, NY, 10456. Phone: (718) 466-3255.
What is Anil Kumar Gogineni, M.D's NPI number?
Anil Kumar Gogineni, M.D's National Provider Identifier (NPI) is 1831354281, issued on 07/25/2008.
Does Anil Kumar Gogineni, M.D prescribe more brand-name or generic drugs?
Anil Kumar Gogineni, M.D's prescribing is 23% brand-name and 74% generic drugs by claim count, with $271K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Anil Kumar Gogineni, M.D prescribe most often?
Based on 2023 Medicare Part D data, Anil Kumar Gogineni, M.D's most frequently prescribed drugs include Atorvastatin Calcium, Albuterol Sulfate Hfa, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Anil Kumar Gogineni, M.D accept Medicare?
Anil Kumar Gogineni, M.D appears in CMS Medicare data with 1,793 Part D claims and 140 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Anil Kumar Gogineni, M.D's credentials?
Anil Kumar Gogineni, M.D's NPI is 1831354281 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

View source datasets and methodology notes
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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.