NPI registry status
Active
2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1932381035 M.D.
Verify on CMS → Ketan Gala, M.D.
Advanced Heart Failure and Transplant Cardiology Physician in Cherry Hill, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 510 in Advanced Heart Failure and Transplant Cardiology 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
824
Medicare Part D claims · 118 beneficiaries · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
MIPS score
81.7/100
▼ 1 pts below national avg 83.1 · Above neutral
Industry payments
$4.0K
54 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Ketan Gala, M.D. reported a CMS MIPS final score of 81.7/100 - below the 83.1 national average - and filed 824 Medicare Part D claims in 2023.
- 81.7/100
- MIPS score · -1 vs avg
- 824
- 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.
Ketan Gala, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
82 36th percentile higher than 36% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023
Where Ketan Gala, M.D. sits
This provider among advanced heart failure and transplant cardiology physician peers
Across the 212 advanced heart failure and transplant cardiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ketan Gala, M.D. writes more Part D claims than 34% of them and scores higher on MIPS quality than 38% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one advanced heart failure and transplant cardiology physician peer from a representative sample of 60; the gold marker is Ketan Gala, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ketan Gala, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 5 hospital affiliations - 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 Ketan Gala, M.D.?
Near national averagePrimary specialty
Advanced Heart Failure and Transplant Cardiology Physician
Medicare Part D claims
824 53% vs specialty avg
MIPS final score
81.7/100 1.4 pts vs avg
Specialty distribution in New Jersey
How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Ketan Gala, M.D.'s 2023 MIPS final score plotted against the Advanced Heart Failure and Transplant Cardiology Physician national average
- MIPS Final Score
- 81.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) - 81.7/100 vs national avg 83.1
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).
Ketan Gala, M.D. appears in the CMS NPPES registry as a Advanced Heart Failure and Transplant Cardiology Physician provider holding M.D. credentials at 2339 ROUTE 70 W, Cherry Hill, NJ, 08002, with a listed phone of (856) 325-6700. NPI 1932381035 was issued on 11/29/2007.
Medicare Part D records for calendar year 2023 show 824 prescription claims written by this provider, covering 118 Medicare beneficiaries and totaling roughly $407K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.7/100 for the 2023 performance year (Quality 73.1, Cost 55.4), compared with the national average of 83.1.
Advanced Heart Failure and Transplant Cardiology Physician is a narrow specialty nationwide, with 510 enrolled providers across 48 states and an average of 1,762 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
Provider Details
| NPI | 1932381035 |
|---|---|
| Specialty | Advanced Heart Failure and Transplant Cardiology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 11/29/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.7116
Final Score
Avg: 83.1
73.0773
Quality
55.3945
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Ketan Gala, M.D. 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.
According to CMS billing records, Ketan Gala, M.D. is affiliated with 5 Medicare-billing facilities across 3 states.
Cmc Department OF Medicine Group PA
Camden, NJ
Romtherapy California Medical PC
Mount Laurel, NJ
Romtherapy Connecticut Medical PC
Pittsburgh, PA
Romtherapy Inc
Norcross, GA
Romtherapy New Jersey Medical PA
Mount Laurel, NJ
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 Ketan Gala, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$4.0K
Largest payer
AstraZeneca Pharmaceuticals LP
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
824
Total Claims
$407K
Total Drug Cost
118
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,748
- Total Day Supply
- 51,644
- Generic Drug Cost
- $74K
Patient Demographics
- Average Patient Age
- 70.3 years
- Avg HCC Risk Score
- 2.70
- Gender Split
- 46% female / 54% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Ketan Gala, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Farxiga
Farxiga
105 claims
- Torsemide
Torsemide
93 claims
- Atorvastatin Calcium
Atorvastatin Calcium
63 claims
- Entresto
Entresto
50 claims
- Metoprolol Succinate
Metoprolol Succinate
48 claims
- Furosemide 39
Furosemide
39 claims
- Eliquis 34
Eliquis
34 claims
- Carvedilol 33
Carvedilol
33 claims
| Drug | Claims |
|---|---|
| Farxiga Dapagliflozin Propanediol | 105 |
| Torsemide | 93 |
| Atorvastatin Calcium | 63 |
| Entresto Sacubitril/Valsartan | 50 |
| Metoprolol Succinate | 48 |
| Furosemide | 39 |
| Eliquis Apixaban | 34 |
| Carvedilol | 33 |
| Spironolactone | 30 |
| Rosuvastatin Calcium | 28 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Advanced Heart Failure and Transplant Cardiology Physician in NJ →
All providers in New Jersey →
Compare specialties →
Advanced Heart Failure and Transplant Cardiology Physician Overview
How Ketan Gala, M.D. fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.
510
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,762
Avg Claims per Provider
Ketan Gala, M.D.'s 824 claims are below the specialty average of 1,762.
Nearby Advanced Heart Failure and Transplant Cardiology Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Gala.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Advanced Heart Failure and Transplant Cardiology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Ketan Gala, M.D.'s specialty? ▼
Ketan Gala, M.D. specializes in Advanced Heart Failure and Transplant Cardiology Physician and practices in Cherry Hill, New Jersey. Credentials: M.D..
How much does Ketan Gala, M.D. prescribe under Medicare Part D? ▼
In 2023, Ketan Gala, M.D. wrote 824 Medicare Part D claims totaling $407K in drug costs for 118 beneficiaries.
What is Ketan Gala, M.D.'s Medicare quality score? ▼
Ketan Gala, M.D. has a CMS MIPS Final Score of 81.7/100 (Quality: 73.1, Cost: 55.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ketan Gala, M.D. located? ▼
Ketan Gala, M.D. is located at 2339 ROUTE 70 W, Cherry Hill, NJ, 08002. Phone: (856) 325-6700.
What is Ketan Gala, M.D.'s NPI number? ▼
Ketan Gala, M.D.'s National Provider Identifier (NPI) is 1932381035, issued on 11/29/2007.
How many Advanced Heart Failure and Transplant Cardiology Physician providers are there in the US? ▼
There are 510 Advanced Heart Failure and Transplant Cardiology Physician providers across 48 states in the US. The average Advanced Heart Failure and Transplant Cardiology Physician provider writes 1,762 Medicare Part D claims per year.
What drugs does Ketan Gala, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Ketan Gala, M.D.'s most frequently prescribed drugs include Farxiga, Torsemide, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ketan Gala, M.D. accept Medicare? ▼
Ketan Gala, M.D. appears in CMS Medicare data with 824 Part D claims and 118 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ketan Gala, M.D.'s credentials? ▼
Ketan Gala, M.D.'s NPI is 1932381035 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
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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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
Compiled from official public sources by the PlainDoctor editorial team.