NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1356395859 M.D.
Verify on CMS → Ashok Kapur, M.D.
Gastroenterology Physician in Fort Wayne, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 17,061 in Gastroenterology 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
230
Medicare Part D claims · 139 beneficiaries · Gastroenterology Physician avg: 848
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.2/100
▼ 10 pts below national avg 83.5 · Mid-tier
Industry payments
$25.89
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Ashok Kapur, M.D. reported a CMS MIPS final score of 73.2/100 - below the 83.5 national average - and filed 230 Medicare Part D claims in 2024.
- 73.2/100
- MIPS score · -10 vs avg
- 230
- Part D claims, 2024
- 94%
- 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.
Federal trust snapshot
What official records show about Ashok Kapur, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1356395859), first enumerated 05/19/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 230 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 73.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$25.89 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1356395859 · Gastroenterology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1356395859
- ENUM-LEGACY 2006
- TAX-MID 17K Gastroenterology Physician
- MIPS-LOW 73.2/100
- RX-LIGHT 230
- BOOK-THIN 283 in Indiana
- PHOTO-FINISH Thomas Abell · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Kapur · this pro…
Kapur · this provider
73.2 MIPS pts
- Jonathan Goldste…
Jonathan Goldstein
73.2 MIPS pts
- Thomas Abell · n…
Thomas Abell
73.2 MIPS pts
- Gerald Dryden · …
Gerald Dryden
73.2 MIPS pts
- Michael Eiswerth…
Michael Eiswerth
73.2 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Ashok Kapur, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
73 ≥ 11th percentile 11% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Ashok Kapur, M.D. sits
This provider among gastroenterology physician peers
Across the 5,560 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ashok Kapur, M.D. writes more Part D claims than 17% of them and scores higher on MIPS quality than 11% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Ashok Kapur, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ashok Kapur, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Ashok Kapur, M.D.?
Below national averagePrimary specialty
Gastroenterology Physician
Medicare Part D claims
230 73% vs specialty avg
MIPS final score
73.2/100 10.3 pts vs avg
Specialty distribution in Indiana
How Gastroenterology Physician compares to other specialties among Indiana providers
Medicare quality performance, MIPS
Ashok Kapur, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 73.2/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1356395859 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/19/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
73.1977
Final Score
Measured-score avg: 83.5
58.7401
Quality
51.919
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Ashok Kapur, 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.
According to CMS billing records, Ashok Kapur, M.D. is affiliated with 3 Medicare-billing facilities across 2 states.
Baptist Health Medical Group Inc
La Grange, KY
Deaconess Specialty Physicians, Inc
Jasper, IN
Parkview Health System Inc
Fort Wayne, IN
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 Ashok Kapur, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$26
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
Ashok Kapur, M.D. - brand share 6.0%
Gastroenterology Physician average
6% brand-name claims vs 94% generic, on 230 2024 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 2024.
230
Total Claims
$4K
Total Drug Cost
139
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 320
- Total Day Supply
- 4,834
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $982
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 69.4 years
- Avg HCC Risk Score
- 1.14
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 30, 65-74: 72, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Ashok Kapur, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Promethazine Hcl
Promethazine Hcl
61 claims
- Peg 3350-Electrolyte
Peg 3350-Electrolyte
59 claims
- Pantoprazole Sodium
Pantoprazole Sodium
43 claims
- Gavilyte-C
Gavilyte-C
30 claims
| Drug | Claims |
|---|---|
| Promethazine Hcl | 61 |
| Peg 3350-Electrolyte Sodium Chloride/Nahco3/Kcl/Peg | 59 |
| Pantoprazole Sodium | 43 |
| Gavilyte-C Peg3350/Sod Sulf,bicarb,cl/Kcl | 30 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Ashok Kapur, M.D. fits within the Gastroenterology Physician landscape nationally.
17,061
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
848
Avg Claims per Provider
Ashok Kapur, M.D.'s 230 claims are below the specialty average of 848.
Nationwide Gastroenterology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Kapur, both outside Indiana so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (73.2 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Gastroenterology Physician Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Kapur.
One of 283 Gastroenterology Physician providers enrolled in Indiana, 5 are shown here.
Dr. Khaled Abdeljawad
M.D
Indianapolis, IN
Priya Abhyankar
Danville, IN
Dr. Mohammed Abu-Rumaileh
MD
Indianapolis, IN
Dr. Amarnath Agrawal
M.D.
Chesterton, IN
Dr. Furqan Ahmed
M.D.
Indianapolis, IN
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Ashok Kapur, M.D.'s specialty? ▼
Ashok Kapur, M.D. specializes in Gastroenterology Physician and practices in Fort Wayne, Indiana. Credentials: M.D..
How much does Ashok Kapur, M.D. prescribe under Medicare Part D? ▼
In 2024, Ashok Kapur, M.D. wrote 230 Medicare Part D claims totaling $4K in drug costs for 139 beneficiaries.
What is Ashok Kapur, M.D.'s Medicare quality score? ▼
Ashok Kapur, M.D. has a CMS MIPS Final Score of 73.2/100 (Quality: 58.7, Cost: 51.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ashok Kapur, M.D. located? ▼
Ashok Kapur, M.D. is located at 11104 PARKVIEW CIRCLE DR STE 310, Fort Wayne, IN, 46845. Phone: (260) 266-5230.
What is Ashok Kapur, M.D.'s NPI number? ▼
Ashok Kapur, M.D.'s National Provider Identifier (NPI) is 1356395859, issued on 05/19/2006.
Does Ashok Kapur, M.D. prescribe more brand-name or generic drugs? ▼
Ashok Kapur, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $982 in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 17,061 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 848 Medicare Part D claims per year.
What drugs does Ashok Kapur, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Ashok Kapur, M.D.'s most frequently prescribed drugs include Promethazine Hcl, Peg 3350-Electrolyte, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ashok Kapur, M.D. accept Medicare? ▼
Ashok Kapur, M.D. appears in CMS Medicare data with 230 Part D claims and 139 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ashok Kapur, M.D.'s credentials? ▼
Ashok Kapur, M.D.'s NPI is 1356395859 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.