2026 NPPES data Adolescent Medicine (Family Medicine) Physician NPI 1609894898 M.D.
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ARCHANA GUPTA, M.D.

Adolescent Medicine (Family Medicine) Physician in CALIFORNIA, Maryland. 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 · 247 beneficiaries · Adolescent Medicine (Family Medicine) Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.5073/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$556.33
35 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ARCHANA GUPTA, M.D. reported a CMS MIPS final score of 77.5073/100 — below the 83.1 national average — and filed 3,314 Medicare Part D claims in 2023.

77.5073/100
MIPS score · -6 vs avg
3K
Part D claims, 2023
91%
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.

ARCHANA 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

78 24th percentile higher than 24% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

ARCHANA GUPTA, M.D. 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).

What does the federal data show about ARCHANA GUPTA, M.D.?

Below national average

NPI registry status

Active

Issued 07/17/2006

NPI 1609894898

Primary specialty

Adolescent Medicine (Family Medicine) Physician

Rare

261 US NPIs in this specialty

Medicare Part D claims

3,314 15% vs specialty avg

2023 prescription claims

Specialty avg: 2,881

MIPS final score

77.5073/100 5.592699999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maryland

How Adolescent Medicine (Family Medicine) Physician compares to other specialties among Maryland providers

Maryland providers

Adolescent Medicine (Family Medicine) Physician share within Maryland

1. Adolescent Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adolescent Medicine (Family Medicine) Physician share within Maryland

Medicare quality performance — MIPS

ARCHANA GUPTA, M.D.'s 2023 MIPS final score plotted against the Adolescent Medicine (Family Medicine) Physician national average

Below national average
MIPS Final Score
77.5073/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adolescent Medicine (Family Medicine) Physician) — 77.5073/100 vs national avg 83.1

0%100%National avg83%77.5%
MIPS final score (Adolescent Medicine (Family Medicine) Physician) — 77.5073/100 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).

ARCHANA GUPTA, M.D. appears in the CMS NPPES registry as a Adolescent Medicine (Family Medicine) Physician provider holding M.D. credentials at 22590 SHADY CT, CALIFORNIA, MD, 20619, with a listed phone of (301) 373-7900. NPI 1609894898 was issued on 07/17/2006. 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 3,314 prescription claims written by this provider, covering 247 Medicare beneficiaries and totaling roughly $241K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 2.0%. 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 77.5073/100 for the 2023 performance year (Quality 53.3871, Cost 74.9705), compared with the national average of 83.1.

Adolescent Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 261 enrolled providers across 44 states and an average of 2,881 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

22590 SHADY CT
CALIFORNIA, MD 20619

Provider Details

NPI 1609894898
Specialty Adolescent Medicine (Family Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 07/17/2006

CMS Quality Score (MIPS)

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

77.5073
Final Score
Avg: 83.1
53.3871
Quality
74.9705
Cost
96
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ARCHANA 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.

MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
HOLLYWOOD, MD

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

Total received

$556

Largest payer

ABBVIE INC.

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

ARCHANA GUPTA, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 3,314 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.

3,314
Total Claims
$241K
Total Drug Cost
247
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,963
Total Day Supply
202,036
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$166K
Generic Drug Cost
$72K
Opioid Claims
66 (2.0% rate)
Antibiotic Claims
42

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.16
Gender Split
66% female / 34% male
Age Distribution
<65: 48, 65-74: 119, 75-84: 59, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

What ARCHANA 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
Atorvastatin Calcium
216
Levothyroxine Sodium
119
Albuterol Sulfate Hfa
Albuterol Sulfate
116
Lisinopril
108
Amlodipine Besylate
100
Losartan Potassium
96
Gabapentin
90
Meloxicam
81
Metoprolol Succinate
81
Omeprazole
78

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

Adolescent Medicine (Family Medicine) Physician Overview

How ARCHANA GUPTA, M.D. fits within the Adolescent Medicine (Family Medicine) Physician landscape nationally.

261
Adolescent Medicine (Family Medicine) Physician Providers in US
44
States with Adolescent Medicine (Family Medicine) Physician
2,881
Avg Claims per Provider

ARCHANA GUPTA, M.D.'s 3,314 claims are above the specialty average of 2,881.

Nearby Adolescent Medicine (Family Medicine) Physician Providers in Maryland

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

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

Frequently Asked Questions

What is ARCHANA GUPTA, M.D.'s specialty?
ARCHANA GUPTA, M.D. specializes in Adolescent Medicine (Family Medicine) Physician and practices in CALIFORNIA, Maryland. Credentials: M.D..
How much does ARCHANA GUPTA, M.D. prescribe under Medicare Part D?
In 2023, ARCHANA GUPTA, M.D. wrote 3,314 Medicare Part D claims totaling $241K in drug costs for 247 beneficiaries.
What is ARCHANA GUPTA, M.D.'s Medicare quality score?
ARCHANA GUPTA, M.D. has a CMS MIPS Final Score of 77.5073/100 (Quality: 53.3871, Cost: 74.9705). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ARCHANA GUPTA, M.D. located?
ARCHANA GUPTA, M.D. is located at 22590 SHADY CT, CALIFORNIA, MD, 20619. Phone: (301) 373-7900.
What is ARCHANA GUPTA, M.D.'s NPI number?
ARCHANA GUPTA, M.D.'s National Provider Identifier (NPI) is 1609894898, issued on 07/17/2006.
Does ARCHANA GUPTA, M.D. prescribe more brand-name or generic drugs?
ARCHANA GUPTA, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $166K in brand drug costs.
Does ARCHANA GUPTA, M.D. prescribe opioids?
Yes, ARCHANA GUPTA, M.D. had 66 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Adolescent Medicine (Family Medicine) Physician providers are there in the US?
There are 261 Adolescent Medicine (Family Medicine) Physician providers across 44 states in the US. The average Adolescent Medicine (Family Medicine) Physician provider writes 2,881 Medicare Part D claims per year.
What drugs does ARCHANA GUPTA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ARCHANA GUPTA, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ARCHANA GUPTA, M.D. accept Medicare?
ARCHANA GUPTA, M.D. appears in CMS Medicare data with 3,314 Part D claims and 247 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ARCHANA GUPTA, M.D.'s credentials?
ARCHANA GUPTA, M.D.'s NPI is 1609894898 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