NPI registry status
Active
2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1215184247 M.B.B.S.
Verify on CMS → Avni Gupta, M.B.B.S.
Pain Medicine (Anesthesiology) Physician in Baltimore, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,020 in Pain Medicine (Anesthesiology) 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
970
Medicare Part D claims · 325 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.2K
38 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Avni Gupta, M.B.B.S. filed 970 Medicare Part D claims in 2023 as a Pain Medicine (Anesthesiology) Physician in Baltimore, Maryland, prescribing 95% generic.
- 970
- Part D claims, 2023
- 95%
- 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.
Avni Gupta, M.B.B.S.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
970 Top 25% higher than 75% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Avni Gupta, M.B.B.S. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 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 Avni Gupta, M.B.B.S.?
Quality data not reportedPrimary specialty
Pain Medicine (Anesthesiology) Physician
Medicare Part D claims
970 41% vs specialty avg
Specialty distribution in Maryland
How Pain Medicine (Anesthesiology) Physician compares to other specialties among Maryland 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 Pain Medicine (Anesthesiology) 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).
Avni Gupta, M.B.B.S. appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding M.B.B.S. credentials at 4922 LANIER AVE APT A, Baltimore, MD, 21215, with a listed phone of (443) 514-4429. NPI 1215184247 was issued on 08/21/2008.
Medicare Part D records for calendar year 2023 show 970 prescription claims written by this provider, covering 325 Medicare beneficiaries and totaling roughly $55K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 44.0%.
Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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
Provider Details
| NPI | 1215184247 |
|---|---|
| Specialty | Pain Medicine (Anesthesiology) Physician |
| Credentials | M.B.B.S. |
| Gender | Female |
| NPI Issued | 08/21/2008 |
Hospital and facility affiliations
Facilities where Avni Gupta, M.B.B.S. 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.
Carle Health Care Incorporated
Urbana, IL
Methodist Medical Center OF Illinois
Peoria, IL
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 Avni Gupta, M.B.B.S.. Source: openpaymentsdata.cms.gov.
Total received
$1.2K
Largest payer
Medtronic, 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
Avni Gupta, M.B.B.S. - brand share 5.0%
Pain Medicine (Anesthesiology) Physician average
5% brand-name claims vs 95% generic, on 970 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.
970
Total Claims
$55K
Total Drug Cost
325
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,059
- Total Day Supply
- 29,163
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $30K
- Generic Drug Cost
- $25K
- Opioid Claims
- 427 (44.0% rate)
Patient Demographics
- Average Patient Age
- 67.5 years
- Avg HCC Risk Score
- 1.60
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 108, 65-74: 126, 75-84: 71, 85+: 20
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Avni Gupta, M.B.B.S. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
192 claims
- Gabapentin
Gabapentin
92 claims
- Tizanidine Hcl
Tizanidine Hcl
92 claims
- Tramadol Hcl 76
Tramadol Hcl
76 claims
- Duloxetine Hcl 69
Duloxetine Hcl
69 claims
- Oxycodone-Acetamin… 63
Oxycodone-Acetaminophen
63 claims
- Pregabalin 63
Pregabalin
63 claims
- Cyclobenzaprine Hcl 24
Cyclobenzaprine Hcl
24 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 192 |
| Gabapentin | 92 |
| Tizanidine Hcl | 92 |
| Tramadol Hcl | 76 |
| Duloxetine Hcl | 69 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 63 |
| Pregabalin | 63 |
| Cyclobenzaprine Hcl | 24 |
| Baclofen | 22 |
| Buprenorphine | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Anesthesiology) Physician in MD →
All providers in Maryland →
Compare specialties →
Pain Medicine (Anesthesiology) Physician Overview
How Avni Gupta, M.B.B.S. fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.
4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider
Avni Gupta, M.B.B.S.'s 970 claims are below the specialty average of 1,657.
Nearby Pain Medicine (Anesthesiology) Physician Providers in Maryland
Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Gupta.
Dr. Peju Adekoya
M.D.
Baltimore, MD
Dr. John Aziz
M.D.
Oxon Hill, MD
Dr. Romana Baig
MD
Columbia, MD
Dr. Taylor Byrne
D.O.
Bethesda, MD
Dr. Kenneth Carle
M.D.
Towson, MD
Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Maryland medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine (Anesthesiology) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Medical Specialties Explained
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Frequently Asked Questions
What is Avni Gupta, M.B.B.S.'s specialty? ▼
Avni Gupta, M.B.B.S. specializes in Pain Medicine (Anesthesiology) Physician and practices in Baltimore, Maryland. Credentials: M.B.B.S..
How much does Avni Gupta, M.B.B.S. prescribe under Medicare Part D? ▼
In 2023, Avni Gupta, M.B.B.S. wrote 970 Medicare Part D claims totaling $55K in drug costs for 325 beneficiaries.
Where is Avni Gupta, M.B.B.S. located? ▼
Avni Gupta, M.B.B.S. is located at 4922 LANIER AVE APT A, Baltimore, MD, 21215. Phone: (443) 514-4429.
What is Avni Gupta, M.B.B.S.'s NPI number? ▼
Avni Gupta, M.B.B.S.'s National Provider Identifier (NPI) is 1215184247, issued on 08/21/2008.
Does Avni Gupta, M.B.B.S. prescribe more brand-name or generic drugs? ▼
Avni Gupta, M.B.B.S.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $30K in brand drug costs.
Does Avni Gupta, M.B.B.S. prescribe opioids? ▼
Yes, Avni Gupta, M.B.B.S. had 427 opioid claims in 2023 with an opioid prescribing rate of 44.0%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US? ▼
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does Avni Gupta, M.B.B.S. prescribe most often? ▼
Based on 2023 Medicare Part D data, Avni Gupta, M.B.B.S.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Avni Gupta, M.B.B.S. accept Medicare? ▼
Avni Gupta, M.B.B.S. appears in CMS Medicare data with 970 Part D claims and 325 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Avni Gupta, M.B.B.S.'s credentials? ▼
Avni Gupta, M.B.B.S.'s NPI is 1215184247 with credentials M.B.B.S.. 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
Compiled from official public sources by the PlainDoctor editorial team.