2026 NPPES data Family Medicine Physician NPI 1417994013 MD
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BHAVESH GANDHI, MD

Family Medicine Physician in JOLIET, Illinois. 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
17K
Medicare Part D claims · 800 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
21.1853/100
▼ 62 pts below national avg 83.1 · [object Object]
Industry payments
$307.87
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BHAVESH GANDHI, MD reported a CMS MIPS final score of 21.1853/100 — below the 83.1 national average — and filed 16,752 Medicare Part D claims in 2023.

21.1853/100
MIPS score · -62 vs avg
17K
Part D claims, 2023
89%
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.

BHAVESH GANDHI, MD's MIPS score vs every scored U.S. clinician

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

21 3rd percentile higher than 3% 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%). This entry sits in this band. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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)

BHAVESH GANDHI, 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).

What does the federal data show about BHAVESH GANDHI, MD?

Below national average

NPI registry status

Active

Issued 06/01/2006

NPI 1417994013

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

16,752 390% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

21.1853/100 61.914699999999996% pts

Below average band

vs 83.1 national avg

Specialty distribution in Illinois

How Family Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Family Medicine Physician share within Illinois

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Illinois

Medicare quality performance — MIPS

BHAVESH GANDHI, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
21.1853/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 21.1853/100 vs national avg 83.1

0%100%National avg83%21.2%
MIPS final score (Family Medicine Physician) — 21.1853/100 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).

BHAVESH GANDHI, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 1051 ESSINGTON RD STE 290, JOLIET, IL, 60435, with a listed phone of (815) 773-7827. NPI 1417994013 was issued on 06/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GANDHI 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 16,752 prescription claims written by this provider, covering 800 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 1.6%. 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 21.1853/100 for the 2023 performance year (Quality 30, Cost 21.153), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

1051 ESSINGTON RD STE 290
JOLIET, IL 60435

Provider Details

NPI 1417994013
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/01/2006

CMS Quality Score (MIPS)

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

21.1853
Final Score
Avg: 83.1
30
Quality
21.153
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where BHAVESH GANDHI, 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.

GANDHI MEDICAL CONSULTANTS S C
JOLIET, 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 BHAVESH GANDHI, MD. Source: openpaymentsdata.cms.gov.

Total received

$308

Largest payer

Inspire Medical Systems, 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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to BHAVESH GANDHI, MD. To verify BHAVESH GANDHI, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

BHAVESH GANDHI, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 16,752 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.

16,752
Total Claims
$1.3M
Total Drug Cost
800
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
30,921
Total Day Supply
865,275
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$946K
Generic Drug Cost
$368K
Opioid Claims
263 (1.6% rate)
Antibiotic Claims
374

Patient Demographics

Average Patient Age
80.3 years
Avg HCC Risk Score
1.87
Gender Split
66% female / 34% male
Age Distribution
<65: 25, 65-74: 172, 75-84: 330, 85+: 273

Top Prescribed Drugs (Medicare Part D)

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

What BHAVESH GANDHI, MD 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
947
Furosemide
661
Levothyroxine Sodium
647
Eliquis
Apixaban
527
Gabapentin
489
Amlodipine Besylate
436
Omeprazole
435
Carvedilol
426
Potassium Chloride
420
Pantoprazole Sodium
400

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

Family Medicine Physician Overview

How BHAVESH GANDHI, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

BHAVESH GANDHI, MD's 16,752 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Illinois

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

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

Frequently Asked Questions

What is BHAVESH GANDHI, MD's specialty?
BHAVESH GANDHI, MD specializes in Family Medicine Physician and practices in JOLIET, Illinois. Credentials: MD.
How much does BHAVESH GANDHI, MD prescribe under Medicare Part D?
In 2023, BHAVESH GANDHI, MD wrote 16,752 Medicare Part D claims totaling $1.3M in drug costs for 800 beneficiaries.
What is BHAVESH GANDHI, MD's Medicare quality score?
BHAVESH GANDHI, MD has a CMS MIPS Final Score of 21.1853/100 (Quality: 30, Cost: 21.153). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BHAVESH GANDHI, MD located?
BHAVESH GANDHI, MD is located at 1051 ESSINGTON RD STE 290, JOLIET, IL, 60435. Phone: (815) 773-7827.
What is BHAVESH GANDHI, MD's NPI number?
BHAVESH GANDHI, MD's National Provider Identifier (NPI) is 1417994013, issued on 06/01/2006.
Does BHAVESH GANDHI, MD prescribe more brand-name or generic drugs?
BHAVESH GANDHI, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $946K in brand drug costs.
Does BHAVESH GANDHI, MD prescribe opioids?
Yes, BHAVESH GANDHI, MD had 263 opioid claims in 2023 with an opioid prescribing rate of 1.6%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does BHAVESH GANDHI, MD prescribe most often?
Based on 2023 Medicare Part D data, BHAVESH GANDHI, MD's most frequently prescribed drugs include Atorvastatin Calcium, Furosemide, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BHAVESH GANDHI, MD accept Medicare?
BHAVESH GANDHI, MD appears in CMS Medicare data with 16,752 Part D claims and 800 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BHAVESH GANDHI, MD's credentials?
BHAVESH GANDHI, MD's NPI is 1417994013 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