2026 NPPES data Family Medicine Physician NPI 1245218064 M.D.
Verify on CMS →

GNANARAJ KOILPILLAI, M.D.

Family Medicine Physician in FREDERICK, Maryland. 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
321
Medicare Part D claims · 110 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
80.2568/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$103.72
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GNANARAJ KOILPILLAI, M.D. reported a CMS MIPS final score of 80.2568/100 — below the 83.1 national average — and filed 321 Medicare Part D claims in 2023.

80.2568/100
MIPS score · -3 vs avg
321
Part D claims, 2023
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.

GNANARAJ KOILPILLAI, 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

80 33rd percentile higher than 33% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

GNANARAJ KOILPILLAI, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 GNANARAJ KOILPILLAI, M.D.?

Near national average

NPI registry status

Active

Issued 01/03/2006

NPI 1245218064

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

321 91% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

80.2568/100 2.843199999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maryland

How Family Medicine Physician compares to other specialties among Maryland providers

Maryland providers

Family Medicine Physician share within Maryland

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Maryland

Medicare quality performance — MIPS

GNANARAJ KOILPILLAI, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
80.2568/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 80.2568/100 vs national avg 83.1

0%100%National avg83%80.3%
MIPS final score (Family Medicine Physician) — 80.2568/100 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).

GNANARAJ KOILPILLAI, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 194 THOMAS JOHNSON DR, FREDERICK, MD, 21702, with a listed phone of (240) 215-6310. NPI 1245218064 was issued on 01/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOILPILLAI 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 321 prescription claims written by this provider, covering 110 Medicare beneficiaries and totaling roughly $38K in drug spend. 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 80.2568/100 for the 2023 performance year (Quality 79.2903, Cost 54.8991), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

194 THOMAS JOHNSON DR
FREDERICK, MD 21702

Provider Details

NPI 1245218064
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 01/03/2006

CMS Quality Score (MIPS)

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

80.2568
Final Score
Avg: 83.1
79.2903
Quality
54.8991
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GNANARAJ KOILPILLAI, 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.

FREDERICK HEALTH MEDICAL GROUP LLC
FREDERICK, MD
WALNUT STREET COMMUNITY HEALTH CENTER, INC.
HAGERSTOWN, MD

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 GNANARAJ KOILPILLAI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$104

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.

Medicare Part D Prescribing Data

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

321
Total Claims
$38K
Total Drug Cost
110
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
665
Total Day Supply
19,577
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.72
Gender Split
51% female / 49% male

Top Prescribed Drugs (Medicare Part D)

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

What GNANARAJ KOILPILLAI, 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
Warfarin Sodium
36
Baclofen
29
Atorvastatin Calcium
25
Metoprolol Tartrate
12

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

Family Medicine Physician Overview

How GNANARAJ KOILPILLAI, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

GNANARAJ KOILPILLAI, M.D.'s 321 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Maryland

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GNANARAJ KOILPILLAI, M.D.'s specialty?
GNANARAJ KOILPILLAI, M.D. specializes in Family Medicine Physician and practices in FREDERICK, Maryland. Credentials: M.D..
How much does GNANARAJ KOILPILLAI, M.D. prescribe under Medicare Part D?
In 2023, GNANARAJ KOILPILLAI, M.D. wrote 321 Medicare Part D claims totaling $38K in drug costs for 110 beneficiaries.
What is GNANARAJ KOILPILLAI, M.D.'s Medicare quality score?
GNANARAJ KOILPILLAI, M.D. has a CMS MIPS Final Score of 80.2568/100 (Quality: 79.2903, Cost: 54.8991). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GNANARAJ KOILPILLAI, M.D. located?
GNANARAJ KOILPILLAI, M.D. is located at 194 THOMAS JOHNSON DR, FREDERICK, MD, 21702. Phone: (240) 215-6310.
What is GNANARAJ KOILPILLAI, M.D.'s NPI number?
GNANARAJ KOILPILLAI, M.D.'s National Provider Identifier (NPI) is 1245218064, issued on 01/03/2006.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does GNANARAJ KOILPILLAI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GNANARAJ KOILPILLAI, M.D.'s most frequently prescribed drugs include Warfarin Sodium, Baclofen, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GNANARAJ KOILPILLAI, M.D. accept Medicare?
GNANARAJ KOILPILLAI, M.D. appears in CMS Medicare data with 321 Part D claims and 110 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GNANARAJ KOILPILLAI, M.D.'s credentials?
GNANARAJ KOILPILLAI, M.D.'s NPI is 1245218064 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