NPPES file of Aug 9, 2026

Hemal Gada, MD

Cardiovascular Disease Physician · Wormleysburg, PA

Hemal Gada, MD is a cardiovascular disease physician with a practice address in Wormleysburg, Pennsylvania, and NPI 1386852390, issued on May 21, 2007. Check the license (Pennsylvania MD456155, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1386852390
Name
Hemal Gada
Credential
MD
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License number
MD456155 PA
Self-reported in NPPES; status is on the state search
Practice location
1000 N Front St, Wormleysburg, PA 17043
Phone
(717) 731-0101
Enumerated
May 21, 2007
Record last updated
Jan 2, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(717) 731-8539
Medicaid ID
103056503 PA
Medicare enrollment
Enrolled (PECOS I20151014000740); accepts Medicare assignment
Medical or professional school
University Of Michigan Medical School, 2005
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1000 N Front St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Shweta Aggarwal, MDCardiovascular Disease Physician1053568972
  2. William Apollo, M.D.Cardiovascular Disease Physician1629079587
  3. Kunal Bodiwala, MDCardiovascular Disease Physician1043496789
  4. Gouthami Boga, MDCardiovascular Disease Physician1043466881
  5. Todd Bokelman, M.D.Cardiovascular Disease Physician1881695724
  6. Agnes ChangRegistered Nurse1871682369

Verify Hemal Gada in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD456155
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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69% fewer Medicare Part D claims than the average cardiovascular disease physician in 2024

953 Medicare Part D claims for 261 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 26% of claims.

  1. Hemal Gada953
  2. Specialty average3,078

Most prescribed

  1. Metoprolol Succinate102 claims
  2. Jardiance98 claims
  3. Eliquis87 claims
  4. Furosemide85 claims
  5. Atorvastatin Calcium76 claims
  6. Metoprolol Tartrate69 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 79 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score66.6
  2. Costout of 100 · 30%63.3
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $311,858.45

265 payments; by number, the most common kind was compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program; the largest payer was Medtronic, Inc. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Hemal Gada$311,858
  2. Specialty average$3,820

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Cardiology Associates OF Altoona LLPAltoona, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Hemal Gada among 1,476 cardiovascular disease physician records in Pennsylvania

Hemal Gada, MD is one of 1,476 cardiovascular disease physician records with a practice address in Pennsylvania. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 55% of them.

  • NPI issued2007 · 55% of these records are older, 36% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated2005 · median 2000 among the 1,003 with a school on file
  • Record last updated2021 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

24 cardiovascular disease physician records list a practice address in Wormleysburg

They are 24 of the 198 NPPES records with a practice address in Wormleysburg, and 1,476 cardiovascular disease physician records in Pennsylvania.

The 8 cardiovascular disease physician records with the nearest ZIP codes

  1. William Apollo, M.D.Wormleysburg, PA 170431629079587
  2. Todd Bokelman, M.D.Wormleysburg, PA 170431881695724
  3. Felix Gutierrez, M.D.Wormleysburg, PA 170431538160387
  4. Steven Jones, M.D.Wormleysburg, PA 170431902807506
  5. Dennis Line, M.DWormleysburg, PA 170431437150372
  6. Robert Martin, M.D.Wormleysburg, PA 170431619978210
  7. Thach Nguyen, M.D.Wormleysburg, PA 170431972504777
  8. David Pawlush, MDWormleysburg, PA 170431952302663

Common questions

What is Hemal Gada, MD's NPI number?

Hemal Gada, MD's National Provider Identifier (NPI) is 1386852390, issued on May 21, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Hemal Gada, MD located?

The NPPES record lists a practice address at 1000 N Front St, Wormleysburg, PA, 17043. Phone: (717) 731-0101. Providers update this record themselves, so call before visiting.

How can I verify Hemal Gada, MD's license?

NPPES lists Pennsylvania license number MD456155, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Hemal Gada, MD prescribe under Medicare Part D?

In 2024, Hemal Gada, MD had 953 Medicare Part D claims for 261 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

What is Hemal Gada, MD's MIPS final score?

The 2023 MIPS final score is 79 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.