2026 NPPES data Interventional Pain Medicine Physician NPI 1689036824
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JAIMISH GWALANI

Interventional Pain Medicine Physician in FREMONT, California. 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
235
Medicare Part D claims · 72 beneficiaries · Interventional Pain Medicine Physician avg: 2K
Industry payments
$20.43
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAIMISH GWALANI filed 235 Medicare Part D claims in 2023 as a Interventional Pain Medicine Physician in FREMONT, California.

235
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.

JAIMISH GWALANI's Medicare Part D volume vs every U.S. prescriber

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

235 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. 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)

JAIMISH GWALANI 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 JAIMISH GWALANI?

Quality data not reported

NPI registry status

Active

Issued 03/27/2016

NPI 1689036824

Primary specialty

Interventional Pain Medicine Physician

Niche

1,528 US NPIs in this specialty

Medicare Part D claims

235 89% vs specialty avg

2023 prescription claims

Specialty avg: 2,197

Specialty distribution in California

How Interventional Pain Medicine Physician compares to other specialties among California providers

California providers

Interventional Pain Medicine Physician share within California

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

Specialty board-certification context

Estimated specialty board-certified rate — Interventional Pain Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Interventional Pain Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Interventional Pain Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Interventional Pain Medicine 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).

JAIMISH GWALANI appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider at 38437 MISSION BLVD STE 101, FREMONT, CA, 94536, with a listed phone of (510) 806-1425. NPI 1689036824 was issued on 03/27/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GWALANI 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 235 prescription claims written by this provider, covering 72 Medicare beneficiaries and totaling roughly $7K in drug spend, with an opioid prescribing rate of 25.1%. 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.

Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 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

38437 MISSION BLVD STE 101
FREMONT, CA 94536

Provider Details

NPI 1689036824
Specialty Interventional Pain Medicine Physician
Gender Male
NPI Issued 03/27/2016

Hospital and facility affiliations

Facilities where JAIMISH GWALANI 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.

FREMONT PAIN TREAMTMENT CENTER
FREMONT, CA

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 JAIMISH GWALANI. Source: openpaymentsdata.cms.gov.

Total received

$20

Largest payer

Masimo Corporation

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to JAIMISH GWALANI. To verify JAIMISH GWALANI's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

235
Total Claims
$7K
Total Drug Cost
72
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
279
Total Day Supply
6,897
Generic Drug Cost
$5K
Opioid Claims
59 (25.1% rate)

Patient Demographics

Average Patient Age
68.3 years
Avg HCC Risk Score
1.28
Gender Split
64% female / 36% male
Age Distribution
<65: 19, 65-74: 32, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What JAIMISH GWALANI 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
Gabapentin
36
Acetaminophen-Codeine
Acetaminophen With Codeine
28
Celecoxib
21
Pregabalin
20
Diclofenac Sodium
19
Cyclobenzaprine Hcl
18
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
17
Tramadol Hcl
14

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

Interventional Pain Medicine Physician Overview

How JAIMISH GWALANI fits within the Interventional Pain Medicine Physician landscape nationally.

1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider

JAIMISH GWALANI's 235 claims are below the specialty average of 2,197.

Nearby Interventional Pain Medicine Physician Providers in California

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

Compare Interventional Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAIMISH GWALANI's specialty?
JAIMISH GWALANI specializes in Interventional Pain Medicine Physician and practices in FREMONT, California.
How much does JAIMISH GWALANI prescribe under Medicare Part D?
In 2023, JAIMISH GWALANI wrote 235 Medicare Part D claims totaling $7K in drug costs for 72 beneficiaries.
Where is JAIMISH GWALANI located?
JAIMISH GWALANI is located at 38437 MISSION BLVD STE 101, FREMONT, CA, 94536. Phone: (510) 806-1425.
What is JAIMISH GWALANI's NPI number?
JAIMISH GWALANI's National Provider Identifier (NPI) is 1689036824, issued on 03/27/2016.
Does JAIMISH GWALANI prescribe opioids?
Yes, JAIMISH GWALANI had 59 opioid claims in 2023 with an opioid prescribing rate of 25.1%.
How many Interventional Pain Medicine Physician providers are there in the US?
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
What drugs does JAIMISH GWALANI prescribe most often?
Based on 2023 Medicare Part D data, JAIMISH GWALANI's most frequently prescribed drugs include Gabapentin, Acetaminophen-Codeine, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAIMISH GWALANI accept Medicare?
JAIMISH GWALANI appears in CMS Medicare data with 235 Part D claims and 72 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAIMISH GWALANI's credentials?
JAIMISH GWALANI's NPI is 1689036824. 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