NPI registry status
Active
2026 NPPES data Legal Medicine NPI 1043298052 MD FACP
Verify on CMS → Girish Bulsara, MD FACP
Legal Medicine in New Hyde Park, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,065 in Legal Medicine, 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
16K
Medicare Part D claims · 640 beneficiaries · Legal Medicine avg: 3K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$125
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Girish Bulsara, MD FACP reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 16,203 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 16K
- Part D claims, 2023
- 81%
- generic prescribing
- $125
- industry payments (Sunshine Act)
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.
Girish Bulsara, MD FACP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
75 15th percentile higher than 15% of 477,587 scored providers
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
Where Girish Bulsara, MD FACP sits
This provider among legal medicine peers
Across the 93 legal medicine providers who report both Medicare Part D prescribing and a MIPS quality score, Girish Bulsara, MD FACP writes more Part D claims than 97% of them and scores higher on MIPS quality than 27% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one legal medicine peer from a representative sample of 60; the gold marker is Girish Bulsara, MD FACP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Girish Bulsara, MD FACP?
Below national averagePrimary specialty
Legal Medicine
Medicare Part D claims
16,203 6× vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in New York
How Legal Medicine compares to other specialties among New York providers
Medicare quality performance, MIPS
Girish Bulsara, MD FACP's 2023 MIPS final score plotted against the Legal Medicine national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Legal Medicine) - 75/100 vs national avg 83.1
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).
Girish Bulsara, MD FACP appears in the CMS NPPES registry as a Legal Medicine provider holding MD FACP credentials at 54 GREENWAY EAST, New Hyde Park, NY, 11040, with a listed phone of (516) 849-7854. NPI 1043298052 was issued on 01/09/2006.
Medicare Part D records for calendar year 2023 show 16,203 prescription claims written by this provider, covering 640 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 19% brand-name and 81% generic by claim count, with an opioid prescribing rate of 0.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.
Legal Medicine is a narrow specialty nationwide, with 1,065 enrolled providers across 51 states and an average of 2,821 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
Provider Details
| NPI | 1043298052 |
|---|---|
| Specialty | Legal Medicine |
| Credentials | MD FACP |
| Gender | Male |
| NPI Issued | 01/09/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
Avg: 83.1
Reporting: Group practice
Hospital and facility affiliations
Facilities where Girish Bulsara, MD FACP 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.
Bronx Medical Practice PC
Bronx, NY
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 Girish Bulsara, MD FACP. Source: openpaymentsdata.cms.gov.
Total received
$125
Largest payer
Otsuka America Pharmaceutical, 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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Girish Bulsara, MD FACP. To verify Girish Bulsara, MD FACP's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Girish Bulsara, MD FACP - brand share 19.0%
Legal Medicine average
19% brand-name claims vs 81% generic, on 16,203 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.
16,203
Total Claims
$1.3M
Total Drug Cost
640
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 16,390
- Total Day Supply
- 384,146
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $878K
- Generic Drug Cost
- $399K
- Opioid Claims
- 122 (0.8% rate)
- Antibiotic Claims
- 408
Patient Demographics
- Average Patient Age
- 81.1 years
- Avg HCC Risk Score
- 2.40
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 40, 65-74: 134, 75-84: 190, 85+: 276
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Girish Bulsara, MD FACP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
1,000 claims
- Eliquis
Eliquis
843 claims
- Amlodipine Besylate
Amlodipine Besylate
794 claims
- Levothyroxine Sodium
Levothyroxine Sodium
537 claims
- Furosemide
Furosemide
492 claims
- Gabapentin
Gabapentin
474 claims
- Lisinopril
Lisinopril
458 claims
- Tamsulosin Hcl
Tamsulosin Hcl
444 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 1,000 |
| Eliquis Apixaban | 843 |
| Amlodipine Besylate | 794 |
| Levothyroxine Sodium | 537 |
| Furosemide | 492 |
| Gabapentin | 474 |
| Lisinopril | 458 |
| Tamsulosin Hcl | 444 |
| Metformin Hcl | 401 |
| Metoprolol Succinate | 384 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Legal Medicine Overview
How Girish Bulsara, MD FACP fits within the Legal Medicine landscape nationally.
1,065
Legal Medicine Providers in US
51
States with Legal Medicine
2,821
Avg Claims per Provider
Girish Bulsara, MD FACP's 16,203 claims are above the specialty average of 2,821.
Nearby Legal Medicine Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Bulsara.
Shaheen Ahmad
Astoria, NY
Dr. Ofem Ajah
MD
Brooklyn, NY
Dr. Dale Alexander
MD
Brooklyn, NY
Dr. Angelique Anderson
M.D.
New York, NY
Francis Anello
Middle Village, NY
Compare Legal Medicine nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Legal Medicine peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Girish Bulsara, MD FACP's specialty? ▼
Girish Bulsara, MD FACP specializes in Legal Medicine and practices in New Hyde Park, New York. Credentials: MD FACP.
How much does Girish Bulsara, MD FACP prescribe under Medicare Part D? ▼
In 2023, Girish Bulsara, MD FACP wrote 16,203 Medicare Part D claims totaling $1.3M in drug costs for 640 beneficiaries.
What is Girish Bulsara, MD FACP's Medicare quality score? ▼
Girish Bulsara, MD FACP has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Girish Bulsara, MD FACP located? ▼
Girish Bulsara, MD FACP is located at 54 GREENWAY EAST, New Hyde Park, NY, 11040. Phone: (516) 849-7854.
What is Girish Bulsara, MD FACP's NPI number? ▼
Girish Bulsara, MD FACP's National Provider Identifier (NPI) is 1043298052, issued on 01/09/2006.
Does Girish Bulsara, MD FACP prescribe more brand-name or generic drugs? ▼
Girish Bulsara, MD FACP's prescribing is 19% brand-name and 81% generic drugs by claim count, with $878K in brand drug costs.
Does Girish Bulsara, MD FACP prescribe opioids? ▼
Yes, Girish Bulsara, MD FACP had 122 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many Legal Medicine providers are there in the US? ▼
There are 1,065 Legal Medicine providers across 51 states in the US. The average Legal Medicine provider writes 2,821 Medicare Part D claims per year.
What drugs does Girish Bulsara, MD FACP prescribe most often? ▼
Based on 2023 Medicare Part D data, Girish Bulsara, MD FACP's most frequently prescribed drugs include Atorvastatin Calcium, Eliquis, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Girish Bulsara, MD FACP accept Medicare? ▼
Girish Bulsara, MD FACP appears in CMS Medicare data with 16,203 Part D claims and 640 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Girish Bulsara, MD FACP's credentials? ▼
Girish Bulsara, MD FACP's NPI is 1043298052 with credentials MD FACP. 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
Compiled from official public sources by the PlainDoctor editorial team.
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.