2026 NPPES data Specialist NPI 1255457081 M.D.
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KAPIL GULATI, M.D.

Specialist in WARRENSVILLE HEIGHTS, Ohio. 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
13K
Medicare Part D claims · 662 beneficiaries · Specialist avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.1K
42 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KAPIL GULATI, M.D. filed 12,655 Medicare Part D claims in 2023 as a Specialist in WARRENSVILLE HEIGHTS, Ohio, prescribing 88% generic.

13K
Part D claims, 2023
88%
generic prescribing
$1.1K
industry payments (Sunshine Act)

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.

KAPIL GULATI, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

12,655 Top 2% higher than 98% 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

What does the federal data show about KAPIL GULATI, M.D.?

Quality data not reported

NPI registry status

Active

Issued 03/22/2007

NPI 1255457081

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

12,655 759% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in Ohio

How Specialist compares to other specialties among Ohio providers

Ohio providers

Specialist share within Ohio

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Ohio

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

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

Est. board-certified rate (Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Specialist) — 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).

KAPIL GULATI, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 20050 HARVARD AVE, WARRENSVILLE HEIGHTS, OH, 44122, with a listed phone of (216) 283-0750. NPI 1255457081 was issued on 03/22/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GULATI 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 12,655 prescription claims written by this provider, covering 662 Medicare beneficiaries and totaling roughly $990K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 3.4%. 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

20050 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122

Provider Details

NPI 1255457081
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 03/22/2007

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 KAPIL GULATI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

ABBVIE INC.

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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to KAPIL GULATI, M.D.. To verify KAPIL GULATI, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

KAPIL GULATI, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 12,655 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.

12,655
Total Claims
$990K
Total Drug Cost
662
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21,110
Total Day Supply
592,785
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$782K
Generic Drug Cost
$203K
Opioid Claims
430 (3.4% rate)
Antibiotic Claims
319

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.99
Gender Split
57% female / 43% male
Age Distribution
<65: 87, 65-74: 279, 75-84: 195, 85+: 101

Top Prescribed Drugs (Medicare Part D)

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

What KAPIL GULATI, M.D. 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
Atorvastatin Calcium
725
Amlodipine Besylate
633
Gabapentin
413
Omeprazole
374
Furosemide
336
Eliquis
Apixaban
303
Metformin Hcl
293
Metoprolol Tartrate
276
Levothyroxine Sodium
272
Losartan Potassium
263

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

Specialist Overview

How KAPIL GULATI, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

KAPIL GULATI, M.D.'s 12,655 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Ohio

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAPIL GULATI, M.D.'s specialty?
KAPIL GULATI, M.D. specializes in Specialist and practices in WARRENSVILLE HEIGHTS, Ohio. Credentials: M.D..
How much does KAPIL GULATI, M.D. prescribe under Medicare Part D?
In 2023, KAPIL GULATI, M.D. wrote 12,655 Medicare Part D claims totaling $990K in drug costs for 662 beneficiaries.
Where is KAPIL GULATI, M.D. located?
KAPIL GULATI, M.D. is located at 20050 HARVARD AVE, WARRENSVILLE HEIGHTS, OH, 44122. Phone: (216) 283-0750.
What is KAPIL GULATI, M.D.'s NPI number?
KAPIL GULATI, M.D.'s National Provider Identifier (NPI) is 1255457081, issued on 03/22/2007.
Does KAPIL GULATI, M.D. prescribe more brand-name or generic drugs?
KAPIL GULATI, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $782K in brand drug costs.
Does KAPIL GULATI, M.D. prescribe opioids?
Yes, KAPIL GULATI, M.D. had 430 opioid claims in 2023 with an opioid prescribing rate of 3.4%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does KAPIL GULATI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KAPIL GULATI, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAPIL GULATI, M.D. accept Medicare?
KAPIL GULATI, M.D. appears in CMS Medicare data with 12,655 Part D claims and 662 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAPIL GULATI, M.D.'s credentials?
KAPIL GULATI, M.D.'s NPI is 1255457081 with credentials M.D.. 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