2026 NPPES data Cardiovascular Disease Physician NPI 1396990560 M.D.
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ANKUR GUPTA, M.D.

Cardiovascular Disease Physician in VISALIA, California. 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 · 586 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.9864/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$407.05
10 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANKUR GUPTA, M.D. reported a CMS MIPS final score of 88.9864/100 — above the 83.1 national average — and filed 3,400 Medicare Part D claims in 2023.

88.9864/100
MIPS score · +6 vs avg
3K
Part D claims, 2023
85%
generic prescribing
Likely
board-certified (heuristic)

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.

ANKUR GUPTA, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

89 Top 44% higher than 56% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ANKUR GUPTA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 5 hospital affiliations — 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 ANKUR GUPTA, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 12/01/2008

NPI 1396990560

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

3,400 12% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

88.9864/100 5.886400000000009% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Cardiovascular Disease Physician compares to other specialties among California providers

California providers

Cardiovascular Disease Physician share within California

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within California

Medicare quality performance — MIPS

ANKUR GUPTA, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
88.9864/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 88.9864/100 vs national avg 83.1

0%100%National avg83%89%
MIPS final score (Cardiovascular Disease Physician) — 88.9864/100 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).

ANKUR GUPTA, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 820 S AKERS ST STE 130, VISALIA, CA, 93277, with a listed phone of (559) 624-6520. NPI 1396990560 was issued on 12/01/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUPTA 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 3,400 prescription claims written by this provider, covering 586 Medicare beneficiaries and totaling roughly $572K in drug spend, split 15% brand-name and 85% generic by claim count. 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 88.9864/100 for the 2023 performance year (Quality 80.4432, Cost 61.9074), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

820 S AKERS ST STE 130
VISALIA, CA 93277

Provider Details

NPI 1396990560
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Male
NPI Issued 12/01/2008

CMS Quality Score (MIPS)

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

88.9864
Final Score
Avg: 83.1
80.4432
Quality
61.9074
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANKUR GUPTA, 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.

ADVENTIST HEALTH TULARE
★★★☆☆ 3/5
TULARE, CA
Acute Care Hospitals
CMS CCN: 050784
ADVENTIST HEALTH PHYSICIANS NETWORK
HANFORD, CA
HANFORD COMMUNITY HOSPITAL
HANFORD, CA
KAWEAH DELTA HEALTH CARE DISTRICT
VISALIA, CA
SEQUOIA CARDIOVASCULAR ASSOCIATES INC
VISALIA, CA

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 ANKUR GUPTA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$407

Largest payer

Abbott Laboratories

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to ANKUR GUPTA, M.D.. To verify ANKUR GUPTA, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ANKUR GUPTA, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 3,400 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.

3,400
Total Claims
$572K
Total Drug Cost
586
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,713
Total Day Supply
259,895
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$495K
Generic Drug Cost
$77K
Antibiotic Claims
21

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
1.87
Gender Split
55% female / 45% male
Age Distribution
<65: 66, 65-74: 253, 75-84: 190, 85+: 77

Top Prescribed Drugs (Medicare Part D)

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

What ANKUR GUPTA, 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
Metoprolol Succinate
340
Atorvastatin Calcium
306
Carvedilol
211
Amlodipine Besylate
206
Furosemide
162
Rosuvastatin Calcium
160
Eliquis
Apixaban
156
Losartan Potassium
149
Clopidogrel
Clopidogrel Bisulfate
134
Isosorbide Mononitrate Er
Isosorbide Mononitrate
125

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

Cardiovascular Disease Physician Overview

How ANKUR GUPTA, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

ANKUR GUPTA, M.D.'s 3,400 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in California

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANKUR GUPTA, M.D.'s specialty?
ANKUR GUPTA, M.D. specializes in Cardiovascular Disease Physician and practices in VISALIA, California. Credentials: M.D..
How much does ANKUR GUPTA, M.D. prescribe under Medicare Part D?
In 2023, ANKUR GUPTA, M.D. wrote 3,400 Medicare Part D claims totaling $572K in drug costs for 586 beneficiaries.
What is ANKUR GUPTA, M.D.'s Medicare quality score?
ANKUR GUPTA, M.D. has a CMS MIPS Final Score of 88.9864/100 (Quality: 80.4432, Cost: 61.9074). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANKUR GUPTA, M.D. located?
ANKUR GUPTA, M.D. is located at 820 S AKERS ST STE 130, VISALIA, CA, 93277. Phone: (559) 624-6520.
What is ANKUR GUPTA, M.D.'s NPI number?
ANKUR GUPTA, M.D.'s National Provider Identifier (NPI) is 1396990560, issued on 12/01/2008.
Does ANKUR GUPTA, M.D. prescribe more brand-name or generic drugs?
ANKUR GUPTA, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $495K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does ANKUR GUPTA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ANKUR GUPTA, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANKUR GUPTA, M.D. accept Medicare?
ANKUR GUPTA, M.D. appears in CMS Medicare data with 3,400 Part D claims and 586 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANKUR GUPTA, M.D.'s credentials?
ANKUR GUPTA, M.D.'s NPI is 1396990560 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.
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