2026 NPPES data Cardiovascular Disease Physician NPI 1740446178 M.D,F.A.C.C.
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HETAL GANDHI, M.D,F.A.C.C.

Cardiovascular Disease Physician in CRYSTAL LAKE, Illinois. 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
6K
Medicare Part D claims · 779 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$368.63
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HETAL GANDHI, M.D,F.A.C.C. filed 5,553 Medicare Part D claims in 2023 as a Cardiovascular Disease Physician in CRYSTAL LAKE, Illinois, prescribing 85% generic.

6K
Part D claims, 2023
85%
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.

HETAL GANDHI, M.D,F.A.C.C.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

5,553 Top 5% higher than 95% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

HETAL GANDHI, M.D,F.A.C.C. 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 HETAL GANDHI, M.D,F.A.C.C.?

Quality data not reported

NPI registry status

Active

Issued 08/05/2008

NPI 1740446178

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

5,553 83% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

Specialty distribution in Illinois

How Cardiovascular Disease Physician compares to other specialties among Illinois providers

Illinois providers

Cardiovascular Disease Physician share within Illinois

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Cardiovascular Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Cardiovascular Disease Physician ABMS/AOA estimate

Est. board-certified rate (Cardiovascular Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Cardiovascular Disease Physician) — ABMS / AOA estimate

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).

HETAL GANDHI, M.D,F.A.C.C. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D,F.A.C.C. credentials at 525 E CONGRESS PKWY STE 120, CRYSTAL LAKE, IL, 60014, with a listed phone of (815) 206-5700. NPI 1740446178 was issued on 08/05/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GANDHI 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 5,553 prescription claims written by this provider, covering 779 Medicare beneficiaries and totaling roughly $918K in drug spend, split 15% brand-name and 85% generic by claim count. 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.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

525 E CONGRESS PKWY STE 120
CRYSTAL LAKE, IL 60014

Provider Details

NPI 1740446178
Specialty Cardiovascular Disease Physician
Credentials M.D,F.A.C.C.
Gender Male
NPI Issued 08/05/2008

Hospital and facility affiliations

Facilities where HETAL GANDHI, M.D,F.A.C.C. 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.

ADVOCATE HEALTH AND HOSPITALS CORPORATION
OAK LAWN, IL

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 HETAL GANDHI, M.D,F.A.C.C.. Source: openpaymentsdata.cms.gov.

Total received

$369

Largest payer

Abbott Laboratories

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.

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to HETAL GANDHI, M.D,F.A.C.C.. To verify HETAL GANDHI, M.D,F.A.C.C.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

HETAL GANDHI, M.D,F.A.C.C. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 5,553 2023 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 2023.

5,553
Total Claims
$918K
Total Drug Cost
779
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,669
Total Day Supply
406,556
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$827K
Generic Drug Cost
$91K

Patient Demographics

Average Patient Age
75.7 years
Avg HCC Risk Score
1.65
Gender Split
48% female / 52% male
Age Distribution
<65: 29, 65-74: 342, 75-84: 285, 85+: 123

Top Prescribed Drugs (Medicare Part D)

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

What HETAL GANDHI, M.D,F.A.C.C. 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
Metoprolol Succinate
635
Eliquis
Apixaban
507
Atorvastatin Calcium
454
Metoprolol Tartrate
354
Furosemide
330
Losartan Potassium
252
Carvedilol
249
Lisinopril
236
Amlodipine Besylate
226
Hydrochlorothiazide
155

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

Cardiovascular Disease Physician Overview

How HETAL GANDHI, M.D,F.A.C.C. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

HETAL GANDHI, M.D,F.A.C.C.'s 5,553 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Illinois

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HETAL GANDHI, M.D,F.A.C.C.'s specialty?
HETAL GANDHI, M.D,F.A.C.C. specializes in Cardiovascular Disease Physician and practices in CRYSTAL LAKE, Illinois. Credentials: M.D,F.A.C.C..
How much does HETAL GANDHI, M.D,F.A.C.C. prescribe under Medicare Part D?
In 2023, HETAL GANDHI, M.D,F.A.C.C. wrote 5,553 Medicare Part D claims totaling $918K in drug costs for 779 beneficiaries.
Where is HETAL GANDHI, M.D,F.A.C.C. located?
HETAL GANDHI, M.D,F.A.C.C. is located at 525 E CONGRESS PKWY STE 120, CRYSTAL LAKE, IL, 60014. Phone: (815) 206-5700.
What is HETAL GANDHI, M.D,F.A.C.C.'s NPI number?
HETAL GANDHI, M.D,F.A.C.C.'s National Provider Identifier (NPI) is 1740446178, issued on 08/05/2008.
Does HETAL GANDHI, M.D,F.A.C.C. prescribe more brand-name or generic drugs?
HETAL GANDHI, M.D,F.A.C.C.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $827K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does HETAL GANDHI, M.D,F.A.C.C. prescribe most often?
Based on 2023 Medicare Part D data, HETAL GANDHI, M.D,F.A.C.C.'s most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HETAL GANDHI, M.D,F.A.C.C. accept Medicare?
HETAL GANDHI, M.D,F.A.C.C. appears in CMS Medicare data with 5,553 Part D claims and 779 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HETAL GANDHI, M.D,F.A.C.C.'s credentials?
HETAL GANDHI, M.D,F.A.C.C.'s NPI is 1740446178 with credentials M.D,F.A.C.C.. 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.
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