NPI registry status
Active
2026 NPPES data Hospice and Palliative Medicine (Family Medicine) Physician NPI 1285859496 MD
Verify on CMS → Gunmeet Kaleka, MD
Hospice and Palliative Medicine (Family Medicine) Physician in Menasha, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 830 in Hospice and Palliative Medicine (Family Medicine) 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
4K
Medicare Part D claims · 301 beneficiaries · Hospice and Palliative Medicine (Family Medicine) Physician avg: 2K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.8/100
▼ 6 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Gunmeet Kaleka, MD reported a CMS MIPS final score of 77.8/100 - below the 83.5 national average - and filed 3,883 Medicare Part D claims in 2024.
- 77.8/100
- MIPS score · -6 vs avg
- 4K
- Part D claims, 2024
- 88%
- 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.
Federal trust snapshot
What official records show about Gunmeet Kaleka, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1285859496), first enumerated 04/13/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 3,883 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 77.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1285859496 · Hospice and Palliative Medicine (Family Medicine) Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-BELOW · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1285859496
- ENUM-MID 2007
- TAX-NARROW 830
- MIPS-BELOW 77.8/100
- RX-MID 3,883
- BOOK-THIN 14 in Wisconsin
- PHOTO-FINISH Diana Johnson · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Kevin Norris · l…
Kevin Norris
77.5 MIPS pts
- Ben Geishauser ·…
Ben Geishauser
77.7 MIPS pts
- Kaleka · this pr…
Kaleka · this provider
77.8 MIPS pts
- Diana Johnson · …
Diana Johnson
77.8 MIPS pts
- Brenda Krygowski…
Brenda Krygowski
78.2 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Gunmeet Kaleka, MD'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.
78 ≥ 20th percentile 20% 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 Gunmeet Kaleka, MD sits
This provider among hospice and palliative medicine (family medicine) physician peers
Across the 142 hospice and palliative medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Gunmeet Kaleka, MD writes more Part D claims than 85% of them and scores higher on MIPS quality than 21% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one hospice and palliative medicine (family medicine) physician peer from a representative sample of 60; the gold marker is Gunmeet Kaleka, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Gunmeet Kaleka, MD 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 Gunmeet Kaleka, MD?
Below national averagePrimary specialty
Hospice and Palliative Medicine (Family Medicine) Physician
Medicare Part D claims
3,883 82% vs specialty avg
MIPS final score
77.8/100 5.7 pts vs avg
Specialty distribution in Wisconsin
How Hospice and Palliative Medicine (Family Medicine) Physician compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
Gunmeet Kaleka, MD's 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 77.8/100
- 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 | 1285859496 |
|---|---|
| Specialty | Hospice and Palliative Medicine (Family Medicine) Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 04/13/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.7756
Final Score
Measured-score avg: 83.5
77.471
Quality
63.8013
Cost
77
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Gunmeet Kaleka, MD 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.
Ascension Medical Group-Fox Valley Wisconsin Inc
Appleton, WI
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Gunmeet Kaleka, MD - brand share 11.0%
Hospice and Palliative Medicine (Family Medicine) Physician average
11% brand-name claims vs 88% generic, on 3,883 2024 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 2024.
3,883
Total Claims
$203K
Total Drug Cost
301
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 9,263.633
- Total Day Supply
- 272,521
- Brand vs Generic
- 11% brand / 88% generic
- Brand Drug Cost
- $139K
- Generic Drug Cost
- $61K
- Opioid Claims
- 14 (0.4% rate)
- Antibiotic Claims
- 58
Patient Demographics
- Average Patient Age
- 73.4 years
- Avg HCC Risk Score
- 1.03
- Gender Split
- 82% female / 18% male
- Age Distribution
- <65: 25, 65-74: 149, 75-84: 91, 85+: 36
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Gunmeet Kaleka, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
271 claims
- Omeprazole
Omeprazole
213 claims
- Levothyroxine Sodium
Levothyroxine Sodium
205 claims
- Lisinopril
Lisinopril
159 claims
- Simvastatin
Simvastatin
145 claims
- Amlodipine Besylate
Amlodipine Besylate
127 claims
- Hydrochlorothiazide
Hydrochlorothiazide
121 claims
- Fluticasone Propio… 90
Fluticasone Propionate
90 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 271 |
| Omeprazole | 213 |
| Levothyroxine Sodium | 205 |
| Lisinopril | 159 |
| Simvastatin | 145 |
| Amlodipine Besylate | 127 |
| Hydrochlorothiazide | 121 |
| Fluticasone Propionate | 90 |
| Losartan Potassium | 90 |
| Metoprolol Succinate | 90 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Hospice and Palliative Medicine (Family Medicine) Physician in WI →
All providers in Wisconsin →
Compare specialties →
Hospice and Palliative Medicine (Family Medicine) Physician Overview
How Gunmeet Kaleka, MD fits within the Hospice and Palliative Medicine (Family Medicine) Physician landscape nationally.
830
Hospice and Palliative Medicine (Family Medicine) Physician Providers in US
51
States with Hospice and Palliative Medicine (Family Medicine) Physician
2,137
Avg Claims per Provider
Gunmeet Kaleka, MD's 3,883 claims are above the specialty average of 2,137.
Nationwide Hospice and Palliative Medicine (Family Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Kaleka, both outside Wisconsin so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (77.8 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Hospice and Palliative Medicine (Family Medicine) Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Kaleka.
One of 14 Hospice and Palliative Medicine (Family Medicine) Physician providers enrolled in Wisconsin, 5 are shown here.
Frequently Asked Questions
What is Gunmeet Kaleka, MD's specialty? ▼
Gunmeet Kaleka, MD specializes in Hospice and Palliative Medicine (Family Medicine) Physician and practices in Menasha, Wisconsin. Credentials: MD.
How much does Gunmeet Kaleka, MD prescribe under Medicare Part D? ▼
In 2024, Gunmeet Kaleka, MD wrote 3,883 Medicare Part D claims totaling $203K in drug costs for 301 beneficiaries.
What is Gunmeet Kaleka, MD's Medicare quality score? ▼
Gunmeet Kaleka, MD has a CMS MIPS Final Score of 77.8/100 (Quality: 77.5, Cost: 63.8). 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 Gunmeet Kaleka, MD located? ▼
Gunmeet Kaleka, MD is located at 2005 MIDWAY RD, Menasha, WI, 54952. Phone: (920) 832-8500.
What is Gunmeet Kaleka, MD's NPI number? ▼
Gunmeet Kaleka, MD's National Provider Identifier (NPI) is 1285859496, issued on 04/13/2007.
Does Gunmeet Kaleka, MD prescribe more brand-name or generic drugs? ▼
Gunmeet Kaleka, MD's prescribing is 11% brand-name and 88% generic drugs by claim count, with $139K in brand drug costs.
Does Gunmeet Kaleka, MD prescribe opioids? ▼
Yes, Gunmeet Kaleka, MD had 14 opioid claims in 2024 with an opioid prescribing rate of 0.4%.
How many Hospice and Palliative Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 830 Hospice and Palliative Medicine (Family Medicine) Physician providers across 51 states in the US. The average Hospice and Palliative Medicine (Family Medicine) Physician provider writes 2,137 Medicare Part D claims per year.
What drugs does Gunmeet Kaleka, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Gunmeet Kaleka, MD's most frequently prescribed drugs include Atorvastatin Calcium, Omeprazole, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gunmeet Kaleka, MD accept Medicare? ▼
Gunmeet Kaleka, MD appears in CMS Medicare data with 3,883 Part D claims and 301 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gunmeet Kaleka, MD's credentials? ▼
Gunmeet Kaleka, MD's NPI is 1285859496 with credentials MD. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.