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2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1548428725 M.D.
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Gita Pillai, M.D.

Adult Reconstructive Orthopaedic Surgery Physician in Lewes, Delaware.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,254 in Adult Reconstructive Orthopaedic Surgery 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
1K
Medicare Part D claims · 745 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
MIPS score
80.1/100
▼ 3 pts below national avg 83.5 · Above neutral
Industry payments
$1.7K
18 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Gita Pillai, M.D. reported a CMS MIPS final score of 80.1/100 - below the 83.5 national average - and filed 1,137 Medicare Part D claims in 2023.

80.1/100
MIPS score · -3 vs avg
1K
Part D claims, 2023
Likely
board-certified (heuristic)
≥30th
pct among measured MIPS (lower-bound band)

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.

Gita Pillai, 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.

80 ≥ 30th percentile 30% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Gita Pillai, M.D. sits

This provider among adult reconstructive orthopaedic surgery physician peers

Across the 428 adult reconstructive orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Gita Pillai, M.D. writes more Part D claims than 83% of them and scores higher on MIPS quality than 39% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 20Gita Pillai, M.D., Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 39
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult reconstructive orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Gita Pillai, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Gita Pillai, 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 Gita Pillai, M.D.?

Near national average

NPI registry status

Active

Issued 05/25/2008

NPI 1548428725

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,254 US NPIs in this specialty

Medicare Part D claims

1,137 131% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

80.1/100 3.4 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Delaware

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Delaware providers

Delaware providers
Registered Nurse5.9%Physical Therapist5.3%Pharmacist4.1%Student in an Organized Heal…4%Clinical Social Worker4%Mental Health Counselor3.7%Adult Reconstructive Orthopa…0%
Largest specialties in Delaware (% of in-state providers)

Medicare quality performance, MIPS

Gita Pillai, M.D.'s 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

Near national average
MIPS Final Score
80.1/100
vs 83.5 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) - 80.1/100 vs national avg 83.5

0%100%National avg84%80.1%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) - 80.1/100 vs national avg 83.5
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).

Gita Pillai, M.D. appears in the CMS NPPES registry as an Adult Reconstructive Orthopaedic Surgery Physician provider holding M.D. credentials at 12100 BLACK SWAN DRIVE, Lewes, DE, 19958, with a listed phone of (302) 644-3311. NPI 1548428725 was issued on 05/25/2008.

Medicare Part D records for calendar year 2023 show 1,137 prescription claims written by this provider, covering 745 Medicare beneficiaries and totaling roughly $8K in drug spend, with an opioid prescribing rate of 10.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.1/100 for the 2023 performance year (Quality 78.6, Cost 55), compared with the 83.5 average among clinicians with a measured score.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,254 enrolled providers across 51 states and an average of 493 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

12100 BLACK SWAN DRIVE
Lewes, DE 19958
(302) 644-3311

Provider Details

NPI 1548428725
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials M.D.
Gender Female
NPI Issued 05/25/2008

CMS Quality Score (MIPS)

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

80.0731
Final Score
Measured-score avg: 83.5
78.5951
Quality
54.9818
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Gita Pillai, 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.

First State Orthopaedics PA
Newark, DE

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 Gita Pillai, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

Largest payer

Supreme Orthopedic Systems, LLC

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,137
Total Claims
$8K
Total Drug Cost
745
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,137
Total Day Supply
19,481
Generic Drug Cost
$8K
Opioid Claims
122 (10.7% rate)
Antibiotic Claims
46

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
0.88
Gender Split
61% female / 39% male
Age Distribution
<65: 39, 65-74: 457, 75-84: 221, 85+: 28

Top Prescribed Drugs (Medicare Part D)

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

What Gita Pillai, 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
Meloxicam
 534
Prednisone
 112
Oxycodone Hcl
 104
Naproxen
 92
Gabapentin
 68
Methylprednisolone
 67
Celecoxib
 39
Amoxicillin
 28
Diclofenac Sodium Er
Diclofenac Sodium
28
Tramadol Hcl
 14

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

More Adult Reconstructive Orthopaedic Surgery Physician in DE → All providers in Delaware → Compare specialties →

Adult Reconstructive Orthopaedic Surgery Physician Overview

How Gita Pillai, M.D. fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,254
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

Gita Pillai, M.D.'s 1,137 claims are above the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Delaware

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

Dr. David Axon
MD
Wilmington, DE
Dr. Yehuda Kerbel
MD
Newark, DE
Dr. James Rubano
M.D., MBA
Wilmington, DE
Dr. Adam Santoro
DO
Newark, DE
Dr. Cameron Yau
MD
Lewes, DE

Compare Adult Reconstructive Orthopaedic Surgery Physician 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 Delaware medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Adult Reconstructive Orthopaedic Surgery Physician 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 Gita Pillai, M.D.'s specialty? ▼
Gita Pillai, M.D. specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in Lewes, Delaware. Credentials: M.D..
How much does Gita Pillai, M.D. prescribe under Medicare Part D? ▼
In 2023, Gita Pillai, M.D. wrote 1,137 Medicare Part D claims totaling $8K in drug costs for 745 beneficiaries.
What is Gita Pillai, M.D.'s Medicare quality score? ▼
Gita Pillai, M.D. has a CMS MIPS Final Score of 80.1/100 (Quality: 78.6, Cost: 55). 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 Gita Pillai, M.D. located? ▼
Gita Pillai, M.D. is located at 12100 BLACK SWAN DRIVE, Lewes, DE, 19958. Phone: (302) 644-3311.
What is Gita Pillai, M.D.'s NPI number? ▼
Gita Pillai, M.D.'s National Provider Identifier (NPI) is 1548428725, issued on 05/25/2008.
Does Gita Pillai, M.D. prescribe opioids? ▼
Yes, Gita Pillai, M.D. had 122 opioid claims in 2023 with an opioid prescribing rate of 10.7%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US? ▼
There are 1,254 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does Gita Pillai, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Gita Pillai, M.D.'s most frequently prescribed drugs include Meloxicam, Prednisone, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gita Pillai, M.D. accept Medicare? ▼
Gita Pillai, M.D. appears in CMS Medicare data with 1,137 Part D claims and 745 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gita Pillai, M.D.'s credentials? ▼
Gita Pillai, M.D.'s NPI is 1548428725 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

Compiled from official public sources by the editorial process.

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.