2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1528092277 M.D.
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GAUTAM POPLI, M.D.

Neurology with Special Qualifications in Child Neurology Physician in WINSTON SALEM, North Carolina. 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
18
Medicare Part D claims · Neurology with Special Qualifications in Child Neurology Physician avg: 359
Generic prescribing
33%
generic claims · 67% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.5K
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GAUTAM POPLI, M.D. filed 18 Medicare Part D claims in 2023 as a Neurology with Special Qualifications in Child Neurology Physician in WINSTON SALEM, North Carolina, prescribing 33% generic.

18
Part D claims, 2023
33%
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 POPLI, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

18 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

GAUTAM POPLI, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 POPLI, M.D.?

Quality data not reported

NPI registry status

Active

Issued 07/10/2006

NPI 1528092277

Primary specialty

Neurology with Special Qualifications in Child Neurology Physician

Niche

1,803 US NPIs in this specialty

Medicare Part D claims

18 95% vs specialty avg

2023 prescription claims

Specialty avg: 359

Specialty distribution in North Carolina

How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among North Carolina providers

North Carolina providers

Neurology with Special Qualifications in Child Neurology Physician share within North Carolina

1. Neurology with Special Qualifications in Child Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology with Special Qualifications in Child Neurology Physician share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Neurology with Special Qualifications in Child Neurology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Neurology with Special Qualifications in Child Neurology Physician ABMS/AOA estimate

Est. board-certified rate (Neurology with Special Qualifications in Child Neurology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Neurology with Special Qualifications in Child Neurology Physician) — ABMS / AOA estimate

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 POPLI, M.D. is a Neurology with Special Qualifications in Child Neurology Physician provider practicing in WINSTON SALEM, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1528092277. 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.

GAUTAM POPLI, M.D. appears in the CMS NPPES registry as a Neurology with Special Qualifications in Child Neurology Physician provider holding M.D. credentials at MEDICAL CENTER BLVD, WINSTON SALEM, NC, 27157, with a listed phone of (336) 716-2255. NPI 1528092277 was issued on 07/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what POPLI 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 18 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $21K in drug spend, split 67% brand-name and 33% 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.

Neurology with Special Qualifications in Child Neurology Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 51 states and an average of 359 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

MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157

Provider Details

NPI 1528092277
Specialty Neurology with Special Qualifications in Child Neurology Physician
Credentials M.D.
Gender Male
NPI Issued 07/10/2006

Hospital and facility affiliations

Facilities where GAUTAM POPLI, 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.

WAKE FOREST UNIVERSITY HEALTH SCIENCES
WINSTON SALEM, NC

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

Total received

$1.5K

Largest payer

NEUROPACE, INC.

Most common payment type

Education

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.

Brand vs generic prescribing mix · Brand-heavy

GAUTAM POPLI, M.D. — brand share 67.0%
Specialty average (est.)

67% brand-name claims vs 33% generic, on 18 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.

18
Total Claims
$21K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
26
Total Day Supply
752
Brand vs Generic
67% brand / 33% generic
Brand Drug Cost
$21K

Patient Demographics

Average Patient Age
46.5 years
Avg HCC Risk Score
1.49

Neurology with Special Qualifications in Child Neurology Physician Overview

How GAUTAM POPLI, M.D. fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.

1,803
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
359
Avg Claims per Provider

GAUTAM POPLI, M.D.'s 18 claims are below the specialty average of 359.

Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as POPLI.

Compare Neurology with Special Qualifications in Child Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GAUTAM POPLI, M.D.'s specialty?
GAUTAM POPLI, M.D. specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in WINSTON SALEM, North Carolina. Credentials: M.D..
How much does GAUTAM POPLI, M.D. prescribe under Medicare Part D?
In 2023, GAUTAM POPLI, M.D. wrote 18 Medicare Part D claims totaling $21K in drug costs for N/A beneficiaries.
Where is GAUTAM POPLI, M.D. located?
GAUTAM POPLI, M.D. is located at MEDICAL CENTER BLVD, WINSTON SALEM, NC, 27157. Phone: (336) 716-2255.
What is GAUTAM POPLI, M.D.'s NPI number?
GAUTAM POPLI, M.D.'s National Provider Identifier (NPI) is 1528092277, issued on 07/10/2006.
Does GAUTAM POPLI, M.D. prescribe more brand-name or generic drugs?
GAUTAM POPLI, M.D.'s prescribing is 67% brand-name and 33% generic drugs by claim count, with $21K in brand drug costs.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US?
There are 1,803 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 359 Medicare Part D claims per year.
Does GAUTAM POPLI, M.D. accept Medicare?
GAUTAM POPLI, M.D. appears in CMS Medicare data with 18 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GAUTAM POPLI, M.D.'s credentials?
GAUTAM POPLI, M.D.'s NPI is 1528092277 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.
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