NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1235685520 MD
Verify on CMS → Gurkaran Thiara, MD
Family Medicine Physician in Sedro Woolley, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,125 in 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
5K
Medicare Part D claims · 621 beneficiaries · Family Medicine Physician avg: 4K
Generic prescribing
89%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Gurkaran Thiara, MD filed 4,803 Medicare Part D claims in 2024 as a Family Medicine Physician in Sedro Woolley, Washington, prescribing 89% generic.
- 5K
- Part D claims, 2024
- 89%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥93rd
- pct by Part D claim volume (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.
Federal trust snapshot
What official records show about Gurkaran Thiara, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1235685520), first enumerated 08/28/2016.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 4,803 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- 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
- State context
State board disciplinary context
Washington statewide board action statistics are published annually — these figures describe aggregate state activity, not Gurkaran Thiara, MD's individual license status. Verify directly with the state medical board.
Source: WMC annual report 2023
- 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 1235685520 · Family Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · RX-MID · BOOK-MID · PHOTO-ENUM
- NPI-10 1235685520
- ENUM-MID 2016
- TAX-MEGA 150K Family Medicine
- RX-MID 4,803
- BOOK-MID 5,264 in Washington
- PHOTO-ENUM Elliot Frank · 2016
Gurkaran Thiara, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
4,803 ≥ 93rd percentile 93% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Gurkaran Thiara, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Gurkaran Thiara, MD?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
4,803 36% vs specialty avg
Specialty distribution in Washington
How Family Medicine Physician compares to other specialties among Washington providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Medicine Physician. Verify directly:
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 | 1235685520 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/28/2016 |
Hospital and facility affiliations
Facilities where Gurkaran Thiara, 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.
Optum Care Washington PLLC
Bellingham, WA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Gurkaran Thiara, MD. To verify Gurkaran Thiara, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases
WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Gurkaran Thiara, MD - brand share 10.0%
Family Medicine Physician average
10% brand-name claims vs 89% generic, on 4,803 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.
4,803
Total Claims
$270K
Total Drug Cost
621
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 11,163.267
- Total Day Supply
- 326,039
- Brand vs Generic
- 10% brand / 89% generic
- Brand Drug Cost
- $196K
- Generic Drug Cost
- $72K
- Opioid Claims
- 136 (2.8% rate)
- Antibiotic Claims
- 72
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 1.19
- Gender Split
- 48% female / 52% male
- Age Distribution
- <65: 74, 65-74: 310, 75-84: 177, 85+: 60
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Gurkaran Thiara, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
438 claims
- Amlodipine Besylate
Amlodipine Besylate
355 claims
- Lisinopril
Lisinopril
216 claims
- Levothyroxine Sodium 161
Levothyroxine Sodium
161 claims
- Gabapentin 139
Gabapentin
139 claims
- Metformin Hcl 139
Metformin Hcl
139 claims
- Rosuvastatin Calcium 111
Rosuvastatin Calcium
111 claims
- Albuterol Sulfate … 108
Albuterol Sulfate Hfa
108 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 438 |
| Amlodipine Besylate | 355 |
| Lisinopril | 216 |
| Levothyroxine Sodium | 161 |
| Gabapentin | 139 |
| Metformin Hcl | 139 |
| Rosuvastatin Calcium | 111 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 108 |
| Losartan Potassium | 106 |
| Metoprolol Succinate | 101 |
* 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 Gurkaran Thiara, MD fits within the Family Medicine Physician landscape nationally.
150,125
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,519
Avg Claims per Provider
Gurkaran Thiara, MD's 4,803 claims are above the specialty average of 3,519.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Thiara, both outside Washington so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2016)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Washington
Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Thiara.
One of 5,264 Family Medicine Physician providers enrolled in Washington, 5 are shown here.
Dr. Shawn Aaron
MD
Longview, WA
Dr. John Abano
M.D.
Shoreline, WA
Dr. Sarah Abbot
DO
Kirkland, WA
Dr. Arthur Abbott
M.D.
Seattle, WA
Dr. Dale Abbott
MD
Burlington, WA
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Gurkaran Thiara, MD's specialty? ▼
Gurkaran Thiara, MD specializes in Family Medicine Physician and practices in Sedro Woolley, Washington. Credentials: MD.
How much does Gurkaran Thiara, MD prescribe under Medicare Part D? ▼
In 2024, Gurkaran Thiara, MD wrote 4,803 Medicare Part D claims totaling $270K in drug costs for 621 beneficiaries.
Where is Gurkaran Thiara, MD located? ▼
Gurkaran Thiara, MD is located at 1990 HOSPITAL DR STE 200, Sedro Woolley, WA, 98284. Phone: (360) 856-8810.
What is Gurkaran Thiara, MD's NPI number? ▼
Gurkaran Thiara, MD's National Provider Identifier (NPI) is 1235685520, issued on 08/28/2016.
Does Gurkaran Thiara, MD prescribe more brand-name or generic drugs? ▼
Gurkaran Thiara, MD's prescribing is 10% brand-name and 89% generic drugs by claim count, with $196K in brand drug costs.
Does Gurkaran Thiara, MD prescribe opioids? ▼
Yes, Gurkaran Thiara, MD had 136 opioid claims in 2024 with an opioid prescribing rate of 2.8%.
How many Family Medicine Physician providers are there in the US? ▼
There are 150,125 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,519 Medicare Part D claims per year.
What drugs does Gurkaran Thiara, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Gurkaran Thiara, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gurkaran Thiara, MD accept Medicare? ▼
Gurkaran Thiara, MD appears in CMS Medicare data with 4,803 Part D claims and 621 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gurkaran Thiara, MD's credentials? ▼
Gurkaran Thiara, MD's NPI is 1235685520 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.
- 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.