2026 NPPES data Cardiovascular Disease Physician NPI 1316207624 M.D.
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GAUTHAM KANAGARAJ, M.D.

Cardiovascular Disease Physician in GAINESVILLE, Georgia. 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
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
72.5169/100
▼ 11 pts below national avg 83.1 · [object Object]
Industry payments
$1.1K
17 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GAUTHAM KANAGARAJ, M.D. reported a CMS MIPS final score of 72.5169/100 — below the 83.1 national average — and filed 253 Medicare Part D claims in 2023.

72.5169/100
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.

GAUTHAM KANAGARAJ, 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

73 10th percentile higher than 10% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

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 average

NPI registry status

Active

Issued 05/21/2012

NPI 1316207624

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

253 92% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

72.5169/100 10.583099999999988% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Georgia

How Cardiovascular Disease Physician compares to other specialties among Georgia providers

Georgia providers

Cardiovascular Disease Physician share within Georgia

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
72.5169/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 72.5169/100 vs national avg 83.1

0%100%National avg83%72.5%
MIPS final score (Cardiovascular Disease Physician) — 72.5169/100 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).

GAUTHAM KANAGARAJ, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 200 S ENOTA DR NE STE 480, GAINESVILLE, GA, 30501, with a listed phone of (770) 219-0950. NPI 1316207624 was issued on 05/21/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KANAGARAJ 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 253 prescription claims written by this provider, covering 82 Medicare beneficiaries and totaling roughly $58K in drug spend, split 25% brand-name and 75% 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 72.5169/100 for the 2023 performance year (Quality 65.641, Cost 51.9154), 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

200 S ENOTA DR NE STE 480
GAINESVILLE, GA 30501

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
Avg: 83.1
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%
Specialty average (est.)

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

24,795
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.

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.

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 72.5169/100 (Quality: 65.641, Cost: 51.9154). The national average MIPS Final Score is 83.1. 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 24,795 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 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

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