2026 NPPES data Forensic Psychiatry Physician NPI 1225041353 MD
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BAL GUPTA, MD

Forensic Psychiatry Physician in WARREN, Michigan. 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
2K
Medicare Part D claims · 157 beneficiaries · Forensic Psychiatry Physician avg: 869
MIPS score
78.3155/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$222.87
11 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: BAL GUPTA, MD is a Forensic Psychiatry Physician ([object Object]) practicing in WARREN, Michigan with a Medicare Part D prescribing footprint of 2K claims across 157 beneficiaries . Their CMS MIPS Final Score of 78.3155/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $222.87 across 11 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: BAL GUPTA, MD reported a CMS MIPS final score of 78.3155 out of 100, below the 83.1 national average, and filed 2,196 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

BAL GUPTA, MD 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).

BAL GUPTA, MD at a glance

Near national average

NPI registry status

Active

Issued 08/13/2006

NPI 1225041353

Primary specialty

Forensic Psychiatry Physician

Niche

841 US NPIs in this specialty

Medicare Part D claims

2,196 153% vs specialty avg

2023 prescription claims

Specialty avg: 869

MIPS final score

78.3155/100 4.784499999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Forensic Psychiatry Physician compares to other specialties among Michigan providers

Michigan providers

Forensic Psychiatry Physician share within Michigan

1. Forensic Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Forensic Psychiatry Physician share within Michigan

Medicare quality performance — MIPS

BAL GUPTA, MD's 2023 MIPS final score plotted against the Forensic Psychiatry Physician national average

Near national average
MIPS Final Score
78.3155/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Forensic Psychiatry Physician) — 78.3155/100 vs national avg 83.1

0%100%National avg83%78.3%
MIPS final score (Forensic Psychiatry Physician) — 78.3155/100 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).

BAL GUPTA, MD is a Forensic Psychiatry Physician provider practicing in WARREN, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1225041353. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

BAL GUPTA, MD appears in the CMS NPPES registry as a Forensic Psychiatry Physician provider holding MD credentials at 11900 E TWELVE MILE RD, WARREN, MI, 48093, with a listed phone of (586) 573-5300. NPI 1225041353 was issued on 08/13/2006. 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 2,196 prescription claims written by this provider, covering 157 Medicare beneficiaries and totaling roughly $77K in drug spend. 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 78.3155/100 for the 2023 performance year (Quality 51.119), compared with the national average of 83.1.

Forensic Psychiatry Physician is a narrow specialty nationwide, with 841 enrolled providers across 47 states and an average of 869 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

11900 E TWELVE MILE RD
WARREN, MI 48093

Provider Details

NPI 1225041353
Specialty Forensic Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 08/13/2006

CMS Quality Score (MIPS)

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

78.3155
Final Score
Avg: 83.1
51.119
Quality
84
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where BAL GUPTA, MD 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.

BAL K GUPTA MD PC
WARREN, MI

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 BAL GUPTA, MD. Source: openpaymentsdata.cms.gov.

Total received

$223

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.

License & disciplinary context — Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 — they are NOT specific to BAL GUPTA, MD. To verify BAL GUPTA, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,196
Total Claims
$77K
Total Drug Cost
157
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,123
Total Day Supply
91,877
Generic Drug Cost
$60K

Patient Demographics

Average Patient Age
68.6 years
Avg HCC Risk Score
1.42
Gender Split
58% female / 42% male
Age Distribution
<65: 42, 65-74: 72, 75-84: 31, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Benztropine Mesylate
170
Alprazolam
138
Paroxetine Hcl
115
Quetiapine Fumarate
114
Clonazepam
112
Divalproex Sodium
101
Trazodone Hcl
100
Fluoxetine Hcl
78
Fluphenazine Hcl
77
Lorazepam
71

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

Forensic Psychiatry Physician Overview

How BAL GUPTA, MD fits within the Forensic Psychiatry Physician landscape nationally.

841
Forensic Psychiatry Physician Providers in US
47
States with Forensic Psychiatry Physician
869
Avg Claims per Provider

BAL GUPTA, MD's 2,196 claims are above the specialty average of 869.

Nearby Forensic Psychiatry Physician Providers in Michigan

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

Compare Forensic Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BAL GUPTA, MD's specialty?
BAL GUPTA, MD specializes in Forensic Psychiatry Physician and practices in WARREN, Michigan. Credentials: MD.
How much does BAL GUPTA, MD prescribe under Medicare Part D?
In 2023, BAL GUPTA, MD wrote 2,196 Medicare Part D claims totaling $77K in drug costs for 157 beneficiaries.
What is BAL GUPTA, MD's Medicare quality score?
BAL GUPTA, MD has a CMS MIPS Final Score of 78.3155/100 (Quality: 51.119). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BAL GUPTA, MD located?
BAL GUPTA, MD is located at 11900 E TWELVE MILE RD, WARREN, MI, 48093. Phone: (586) 573-5300.
What is BAL GUPTA, MD's NPI number?
BAL GUPTA, MD's National Provider Identifier (NPI) is 1225041353, issued on 08/13/2006.
How many Forensic Psychiatry Physician providers are there in the US?
There are 841 Forensic Psychiatry Physician providers across 47 states in the US. The average Forensic Psychiatry Physician provider writes 869 Medicare Part D claims per year.
What drugs does BAL GUPTA, MD prescribe most often?
Based on 2023 Medicare Part D data, BAL GUPTA, MD's most frequently prescribed drugs include Benztropine Mesylate, Alprazolam, Paroxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BAL GUPTA, MD accept Medicare?
BAL GUPTA, MD appears in CMS Medicare data with 2,196 Part D claims and 157 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BAL GUPTA, MD's credentials?
BAL GUPTA, MD's NPI is 1225041353 with credentials MD. 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