2026 NPPES data Cardiovascular Disease Physician NPI 1497071203 M.D.
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GAUTAM PATANKAR, M.D.

Cardiovascular Disease Physician in HOUSTON, Texas. 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
3K
Medicare Part D claims · 523 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.5695/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$670.52
32 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GAUTAM PATANKAR, M.D. reported a CMS MIPS final score of 94.5695/100 — above the 83.1 national average — and filed 2,732 Medicare Part D claims in 2023.

94.5695/100
MIPS score · +11 vs avg
3K
Part D claims, 2023
90%
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.

GAUTAM PATANKAR, M.D.'s MIPS score vs every scored U.S. clinician

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

95 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)

GAUTAM PATANKAR, M.D. 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 PATANKAR, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/19/2010

NPI 1497071203

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

2,732 10% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

94.5695/100 11.46950000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Cardiovascular Disease Physician compares to other specialties among Texas providers

Texas providers

Cardiovascular Disease Physician share within Texas

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Texas

Medicare quality performance — MIPS

GAUTAM PATANKAR, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
94.5695/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 94.5695/100 vs national avg 83.1

0%100%National avg83%94.6%
MIPS final score (Cardiovascular Disease Physician) — 94.5695/100 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 PATANKAR, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 13325 HARGRAVE RD STE 150, HOUSTON, TX, 77070, with a listed phone of (281) 955-7863. NPI 1497071203 was issued on 04/19/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PATANKAR 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 2,732 prescription claims written by this provider, covering 523 Medicare beneficiaries and totaling roughly $335K in drug spend, split 10% brand-name and 90% generic by claim count. 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 94.5695/100 for the 2023 performance year (Quality 95.6844, Cost 73.3602), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

13325 HARGRAVE RD STE 150
HOUSTON, TX 77070

Provider Details

NPI 1497071203
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Male
NPI Issued 04/19/2010

CMS Quality Score (MIPS)

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

94.5695
Final Score
Avg: 83.1
95.6844
Quality
73.3602
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where GAUTAM PATANKAR, M.D. 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.

HEART CARE CENTER OF NORTHWEST HOUSTON PA
HOUSTON, TX

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 PATANKAR, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$671

Largest payer

Tactile Systems Technology 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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to GAUTAM PATANKAR, M.D.. To verify GAUTAM PATANKAR, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

GAUTAM PATANKAR, M.D. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 2,732 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.

2,732
Total Claims
$335K
Total Drug Cost
523
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,025
Total Day Supply
208,830
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$277K
Generic Drug Cost
$58K

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
2.18
Gender Split
57% female / 43% male
Age Distribution
<65: 44, 65-74: 234, 75-84: 178, 85+: 67

Top Prescribed Drugs (Medicare Part D)

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

What GAUTAM PATANKAR, M.D. 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
233
Furosemide
216
Metoprolol Succinate
194
Clopidogrel
Clopidogrel Bisulfate
183
Losartan Potassium
157
Rosuvastatin Calcium
138
Carvedilol
127
Amlodipine Besylate
117
Eliquis
Apixaban
95
Potassium Chloride
93

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

Cardiovascular Disease Physician Overview

How GAUTAM PATANKAR, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

GAUTAM PATANKAR, M.D.'s 2,732 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Texas

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GAUTAM PATANKAR, M.D.'s specialty?
GAUTAM PATANKAR, M.D. specializes in Cardiovascular Disease Physician and practices in HOUSTON, Texas. Credentials: M.D..
How much does GAUTAM PATANKAR, M.D. prescribe under Medicare Part D?
In 2023, GAUTAM PATANKAR, M.D. wrote 2,732 Medicare Part D claims totaling $335K in drug costs for 523 beneficiaries.
What is GAUTAM PATANKAR, M.D.'s Medicare quality score?
GAUTAM PATANKAR, M.D. has a CMS MIPS Final Score of 94.5695/100 (Quality: 95.6844, Cost: 73.3602). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GAUTAM PATANKAR, M.D. located?
GAUTAM PATANKAR, M.D. is located at 13325 HARGRAVE RD STE 150, HOUSTON, TX, 77070. Phone: (281) 955-7863.
What is GAUTAM PATANKAR, M.D.'s NPI number?
GAUTAM PATANKAR, M.D.'s National Provider Identifier (NPI) is 1497071203, issued on 04/19/2010.
Does GAUTAM PATANKAR, M.D. prescribe more brand-name or generic drugs?
GAUTAM PATANKAR, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $277K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does GAUTAM PATANKAR, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GAUTAM PATANKAR, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Furosemide, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GAUTAM PATANKAR, M.D. accept Medicare?
GAUTAM PATANKAR, M.D. appears in CMS Medicare data with 2,732 Part D claims and 523 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GAUTAM PATANKAR, M.D.'s credentials?
GAUTAM PATANKAR, M.D.'s NPI is 1497071203 with credentials M.D.. 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