2026 NPPES data Orthopaedic Hand Surgery Physician NPI 1811298045 MD
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GAUTAM MALHOTRA, MD

Orthopaedic Hand Surgery Physician in LAGUNA WOODS, California. 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
138
Medicare Part D claims · 91 beneficiaries · Orthopaedic Hand Surgery Physician avg: 180
MIPS score
87.0887/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$63.04
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GAUTAM MALHOTRA, MD reported a CMS MIPS final score of 87.0887/100 — above the 83.1 national average — and filed 138 Medicare Part D claims in 2023.

87.0887/100
MIPS score · +4 vs avg
138
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.

GAUTAM MALHOTRA, MD's MIPS score vs every scored U.S. clinician

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

87 Top 46% higher than 54% 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%). This entry sits in this band. 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)

GAUTAM MALHOTRA, 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 GAUTAM MALHOTRA, MD?

High performer (top quartile)

NPI registry status

Active

Issued 11/04/2010

NPI 1811298045

Primary specialty

Orthopaedic Hand Surgery Physician

Niche

1,962 US NPIs in this specialty

Medicare Part D claims

138 23% vs specialty avg

2023 prescription claims

Specialty avg: 180

MIPS final score

87.0887/100 3.9887000000000086% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Orthopaedic Hand Surgery Physician compares to other specialties among California providers

California providers

Orthopaedic Hand Surgery Physician share within California

1. Orthopaedic Hand Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Hand Surgery Physician share within California

Medicare quality performance — MIPS

GAUTAM MALHOTRA, MD's 2023 MIPS final score plotted against the Orthopaedic Hand Surgery Physician national average

High performer (top quartile)
MIPS Final Score
87.0887/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Hand Surgery Physician) — 87.0887/100 vs national avg 83.1

0%100%National avg83%87.1%
MIPS final score (Orthopaedic Hand Surgery Physician) — 87.0887/100 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).

GAUTAM MALHOTRA, MD appears in the CMS NPPES registry as a Orthopaedic Hand Surgery Physician provider holding MD credentials at 24331 EL TORO RD STE 200, LAGUNA WOODS, CA, 92637, with a listed phone of (949) 484-4718. NPI 1811298045 was issued on 11/04/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MALHOTRA 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 138 prescription claims written by this provider, covering 91 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 56.5%. 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 87.0887/100 for the 2023 performance year (Quality 70.7998, Cost 52.8291), compared with the national average of 83.1.

Orthopaedic Hand Surgery Physician is a narrow specialty nationwide, with 1,962 enrolled providers across 52 states and an average of 180 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

24331 EL TORO RD STE 200
LAGUNA WOODS, CA 92637

Provider Details

NPI 1811298045
Specialty Orthopaedic Hand Surgery Physician
Credentials MD
Gender Male
NPI Issued 11/04/2010

CMS Quality Score (MIPS)

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

87.0887
Final Score
Avg: 83.1
70.7998
Quality
52.8291
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GAUTAM MALHOTRA, 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.

ORTHOWEST
LAGUNA WOODS, CA

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 GAUTAM MALHOTRA, MD. Source: openpaymentsdata.cms.gov.

Total received

$63

Largest payer

Stryker Corporation

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to GAUTAM MALHOTRA, MD. To verify GAUTAM MALHOTRA, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

138
Total Claims
$2K
Total Drug Cost
91
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
138
Total Day Supply
1,625
Generic Drug Cost
$2K
Opioid Claims
78 (56.5% rate)

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
1.49
Gender Split
68% female / 32% male
Age Distribution
<65: 25, 65-74: 39, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What GAUTAM MALHOTRA, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
62
Meloxicam
20
Diclofenac Sodium
14
Tramadol Hcl
13

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

Orthopaedic Hand Surgery Physician Overview

How GAUTAM MALHOTRA, MD fits within the Orthopaedic Hand Surgery Physician landscape nationally.

1,962
Orthopaedic Hand Surgery Physician Providers in US
52
States with Orthopaedic Hand Surgery Physician
180
Avg Claims per Provider

GAUTAM MALHOTRA, MD's 138 claims are below the specialty average of 180.

Nearby Orthopaedic Hand Surgery Physician Providers in California

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

Compare Orthopaedic Hand Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GAUTAM MALHOTRA, MD's specialty?
GAUTAM MALHOTRA, MD specializes in Orthopaedic Hand Surgery Physician and practices in LAGUNA WOODS, California. Credentials: MD.
How much does GAUTAM MALHOTRA, MD prescribe under Medicare Part D?
In 2023, GAUTAM MALHOTRA, MD wrote 138 Medicare Part D claims totaling $2K in drug costs for 91 beneficiaries.
What is GAUTAM MALHOTRA, MD's Medicare quality score?
GAUTAM MALHOTRA, MD has a CMS MIPS Final Score of 87.0887/100 (Quality: 70.7998, Cost: 52.8291). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GAUTAM MALHOTRA, MD located?
GAUTAM MALHOTRA, MD is located at 24331 EL TORO RD STE 200, LAGUNA WOODS, CA, 92637. Phone: (949) 484-4718.
What is GAUTAM MALHOTRA, MD's NPI number?
GAUTAM MALHOTRA, MD's National Provider Identifier (NPI) is 1811298045, issued on 11/04/2010.
Does GAUTAM MALHOTRA, MD prescribe opioids?
Yes, GAUTAM MALHOTRA, MD had 78 opioid claims in 2023 with an opioid prescribing rate of 56.5%.
How many Orthopaedic Hand Surgery Physician providers are there in the US?
There are 1,962 Orthopaedic Hand Surgery Physician providers across 52 states in the US. The average Orthopaedic Hand Surgery Physician provider writes 180 Medicare Part D claims per year.
What drugs does GAUTAM MALHOTRA, MD prescribe most often?
Based on 2023 Medicare Part D data, GAUTAM MALHOTRA, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Meloxicam, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GAUTAM MALHOTRA, MD accept Medicare?
GAUTAM MALHOTRA, MD appears in CMS Medicare data with 138 Part D claims and 91 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GAUTAM MALHOTRA, MD's credentials?
GAUTAM MALHOTRA, MD's NPI is 1811298045 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