NPI registry status
Active
2026 NPPES data Cardiovascular Disease Physician NPI 1316207624 M.D.
Verify on CMS → Gautham Kanagaraj, M.D.
Cardiovascular Disease Physician in Gainesville, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,810 in Cardiovascular Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
253
Medicare Part D claims · 82 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.5/100
▼ 11 pts below national avg 83.5 · Mid-tier
Industry payments
$1.1K
17 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Gautham Kanagaraj, M.D. reported a CMS MIPS final score of 72.5/100 - below the 83.5 national average - and filed 253 Medicare Part D claims in 2023.
- 72.5/100
- MIPS score · -11 vs avg
- 253
- Part D claims, 2023
- 75%
- 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.
CMS NPPES provider registry desk
NPI 1316207624 · Cardiovascular Disease Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1316207624
- ENUM-MID 2012
- TAX-MID 25K Cardiovascular Disease
- MIPS-LOW 72.5/100
- RX-LIGHT 253
- BOOK-LIGHT 687 in Georgia
- PHOTO-FINISH Ramy Badawi · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Kanagaraj · this…
Kanagaraj · this provider
72.5 MIPS pts
- Michael Yee · hi…
Michael Yee
72.5 MIPS pts
- Ramy Badawi · near
Ramy Badawi
72.5 MIPS pts
- Jamalah Munir · …
Jamalah Munir
72.5 MIPS pts
- Ryan Smith · near
Ryan Smith
72.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Gautham Kanagaraj, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
73 ≥ 10th percentile 10% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Gautham Kanagaraj, M.D. sits
This provider among cardiovascular disease physician peers
Across the 7,999 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Gautham Kanagaraj, M.D. writes more Part D claims than 9% of them and scores higher on MIPS quality than 10% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is Gautham Kanagaraj, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Gautham Kanagaraj, 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 Gautham Kanagaraj, M.D.?
Below national averagePrimary specialty
Cardiovascular Disease Physician
Medicare Part D claims
253 92% vs specialty avg
MIPS final score
72.5/100 11 pts vs avg
Specialty distribution in Georgia
How Cardiovascular Disease Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Gautham Kanagaraj, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average
- MIPS Final Score
- 72.5/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1316207624 |
|---|---|
| Specialty | Cardiovascular Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/21/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
72.5169
Final Score
Measured-score avg: 83.5
65.641
Quality
51.9154
Cost
89
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Gautham Kanagaraj, 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.
Georgia Heart Institute LLC
Gainesville, GA
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 Gautham Kanagaraj, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.1K
Largest payer
Abbott Laboratories
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.
Brand vs generic prescribing mix · Above average
Gautham Kanagaraj, M.D. - brand share 25.0%
Cardiovascular Disease Physician average
25% brand-name claims vs 75% generic, on 253 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.
253
Total Claims
$58K
Total Drug Cost
82
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 432
- Total Day Supply
- 12,655
- Brand vs Generic
- 25% brand / 75% generic
- Brand Drug Cost
- $52K
- Generic Drug Cost
- $6K
Patient Demographics
- Average Patient Age
- 74.3 years
- Avg HCC Risk Score
- 1.57
- Gender Split
- 44% female / 56% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Gautham Kanagaraj, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amiodarone Hcl
Amiodarone Hcl
39 claims
- Metoprolol Succinate
Metoprolol Succinate
33 claims
- Flecainide Acetate
Flecainide Acetate
31 claims
- Pantoprazole Sodium
Pantoprazole Sodium
31 claims
- Xarelto
Xarelto
29 claims
- Eliquis
Eliquis
22 claims
| Drug | Claims |
|---|---|
| Amiodarone Hcl | 39 |
| Metoprolol Succinate | 33 |
| Flecainide Acetate | 31 |
| Pantoprazole Sodium | 31 |
| Xarelto Rivaroxaban | 29 |
| Eliquis Apixaban | 22 |
* 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 Gautham Kanagaraj, M.D. fits within the Cardiovascular Disease Physician landscape nationally.
24,810
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider
Gautham Kanagaraj, M.D.'s 253 claims are below the specialty average of 3,033.
Nationwide Cardiovascular Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Kanagaraj, both outside Georgia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (72.5 here).
Same NPPES enumeration year (2012)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Cardiovascular Disease Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Kanagaraj.
One of 687 Cardiovascular Disease Physician providers enrolled in Georgia, 5 are shown here.
Dr. Elia Abboud
MD
Gainesville, GA
Dr. Amir Abdoly
DO
Brunswick, GA
Dr. Abdulla Abdulla
MD
Augusta, GA
Dr. Akinniran Abisogun
M.D.
Savannah, GA
Dr. James Abraham
M.D.
Covington, GA
Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Gautham Kanagaraj, M.D.'s specialty? ▼
Gautham Kanagaraj, M.D. specializes in Cardiovascular Disease Physician and practices in Gainesville, Georgia. Credentials: M.D..
How much does Gautham Kanagaraj, M.D. prescribe under Medicare Part D? ▼
In 2023, Gautham Kanagaraj, M.D. wrote 253 Medicare Part D claims totaling $58K in drug costs for 82 beneficiaries.
What is Gautham Kanagaraj, M.D.'s Medicare quality score? ▼
Gautham Kanagaraj, M.D. has a CMS MIPS Final Score of 72.5/100 (Quality: 65.6, Cost: 51.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Gautham Kanagaraj, M.D. located? ▼
Gautham Kanagaraj, M.D. is located at 200 S ENOTA DR NE STE 480, Gainesville, GA, 30501. Phone: (770) 219-0950.
What is Gautham Kanagaraj, M.D.'s NPI number? ▼
Gautham Kanagaraj, M.D.'s National Provider Identifier (NPI) is 1316207624, issued on 05/21/2012.
Does Gautham Kanagaraj, M.D. prescribe more brand-name or generic drugs? ▼
Gautham Kanagaraj, M.D.'s prescribing is 25% brand-name and 75% generic drugs by claim count, with $52K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US? ▼
There are 24,810 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 Gautham Kanagaraj, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Gautham Kanagaraj, M.D.'s most frequently prescribed drugs include Amiodarone Hcl, Metoprolol Succinate, Flecainide Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gautham Kanagaraj, M.D. accept Medicare? ▼
Gautham Kanagaraj, M.D. appears in CMS Medicare data with 253 Part D claims and 82 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gautham Kanagaraj, M.D.'s credentials? ▼
Gautham Kanagaraj, M.D.'s NPI is 1316207624 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.