2026 NPPES data Emergency Medicine Physician NPI 1538480041 MD
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GAURAV SAHAY, MD

Emergency Medicine Physician in HUNTINGTON, West Virginia. 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
207
Medicare Part D claims · 138 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
94.1061/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

GAURAV SAHAY, MD reported a CMS MIPS final score of 94.1061/100 — above the 83.1 national average — and filed 207 Medicare Part D claims in 2023.

94.1061/100
MIPS score · +11 vs avg
207
Part D claims, 2023
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.

GAURAV SAHAY, MD's MIPS score vs every scored U.S. clinician

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

94 Top 25% higher than 75% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

GAURAV SAHAY, 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 GAURAV SAHAY, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/18/2010

NPI 1538480041

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

207 41% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

94.1061/100 11.006100000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Emergency Medicine Physician compares to other specialties among West Virginia providers

West Virginia providers

Emergency Medicine Physician share within West Virginia

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

Medicare quality performance — MIPS

GAURAV SAHAY, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
94.1061/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 94.1061/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Emergency Medicine Physician) — 94.1061/100 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).

GAURAV SAHAY, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 1249 15TH ST, HUNTINGTON, WV, 25701, with a listed phone of (304) 691-1000. NPI 1538480041 was issued on 06/18/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SAHAY 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 207 prescription claims written by this provider, covering 138 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 8.7%. 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 94.1061/100 for the 2023 performance year (Quality 78.4655), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

1249 15TH ST
HUNTINGTON, WV 25701

Provider Details

NPI 1538480041
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/18/2010

CMS Quality Score (MIPS)

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

94.1061
Final Score
Avg: 83.1
78.4655
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where GAURAV SAHAY, 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.

JEFFERSON MEMORIAL HOSPITAL
RANSON, WV

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

207
Total Claims
$3K
Total Drug Cost
138
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
219
Total Day Supply
2,340
Generic Drug Cost
$2K
Opioid Claims
18 (8.7% rate)
Antibiotic Claims
73

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
1.53
Gender Split
62% female / 38% male
Age Distribution
<65: 32, 65-74: 50, 75-84: 39, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What GAURAV SAHAY, 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
Cephalexin
30
Prednisone
28
Meloxicam
13
Cefdinir
11
Tramadol Hcl
11

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

Emergency Medicine Physician Overview

How GAURAV SAHAY, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

GAURAV SAHAY, MD's 207 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as SAHAY.

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

Frequently Asked Questions

What is GAURAV SAHAY, MD's specialty?
GAURAV SAHAY, MD specializes in Emergency Medicine Physician and practices in HUNTINGTON, West Virginia. Credentials: MD.
How much does GAURAV SAHAY, MD prescribe under Medicare Part D?
In 2023, GAURAV SAHAY, MD wrote 207 Medicare Part D claims totaling $3K in drug costs for 138 beneficiaries.
What is GAURAV SAHAY, MD's Medicare quality score?
GAURAV SAHAY, MD has a CMS MIPS Final Score of 94.1061/100 (Quality: 78.4655). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GAURAV SAHAY, MD located?
GAURAV SAHAY, MD is located at 1249 15TH ST, HUNTINGTON, WV, 25701. Phone: (304) 691-1000.
What is GAURAV SAHAY, MD's NPI number?
GAURAV SAHAY, MD's National Provider Identifier (NPI) is 1538480041, issued on 06/18/2010.
Does GAURAV SAHAY, MD prescribe opioids?
Yes, GAURAV SAHAY, MD had 18 opioid claims in 2023 with an opioid prescribing rate of 8.7%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does GAURAV SAHAY, MD prescribe most often?
Based on 2023 Medicare Part D data, GAURAV SAHAY, MD's most frequently prescribed drugs include Cephalexin, Prednisone, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GAURAV SAHAY, MD accept Medicare?
GAURAV SAHAY, MD appears in CMS Medicare data with 207 Part D claims and 138 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GAURAV SAHAY, MD's credentials?
GAURAV SAHAY, MD's NPI is 1538480041 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