NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1215988290 MD
Verify on CMS → Kulwinder Dua, MD
Gastroenterology Physician in Milwaukee, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 17,061 in Gastroenterology 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
27
Medicare Part D claims · 16 beneficiaries · Gastroenterology Physician avg: 848
MIPS score
80.5/100
▼ 3 pts below national avg 83.5 · Above neutral
Industry payments
$7.7K
21 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Kulwinder Dua, MD reported a CMS MIPS final score of 80.5/100 - below the 83.5 national average - and filed 27 Medicare Part D claims in 2024.
- 80.5/100
- MIPS score · -3 vs avg
- 27
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥30th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Kulwinder Dua, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1215988290), first enumerated 05/13/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 27 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 80.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$7.7K in reported industry payments (21 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1215988290 · Gastroenterology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-INLINE · RX-TRACE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1215988290
- ENUM-LEGACY 2006
- TAX-MID 17K Gastroenterology Physician
- MIPS-INLINE 80.5/100
- RX-TRACE 27
- BOOK-THIN 271 in Wisconsin
- PHOTO-FINISH Preetika Sinh · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Dua · this provi…
Dua · this provider
80.5 MIPS pts
- Fitsum Woldesell…
Fitsum Woldesellassie
80.5 MIPS pts
- Preetika Sinh · …
Preetika Sinh
80.5 MIPS pts
- Achuthan Sourian…
Achuthan Sourianarayanane
80.5 MIPS pts
- Juan Trivella · …
Juan Trivella
80.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Kulwinder Dua, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
81 ≥ 30th percentile 30% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Kulwinder Dua, MD sits
This provider among gastroenterology physician peers
Across the 5,560 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kulwinder Dua, MD writes more Part D claims than 2% of them and scores higher on MIPS quality than 34% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Kulwinder Dua, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Kulwinder Dua, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Kulwinder Dua, MD?
Near national averagePrimary specialty
Gastroenterology Physician
Medicare Part D claims
27 97% vs specialty avg
MIPS final score
80.5/100 3 pts vs avg
Specialty distribution in Wisconsin
How Gastroenterology Physician compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
Kulwinder Dua, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 80.5/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1215988290 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/13/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.4671
Final Score
Measured-score avg: 83.5
66.2426
Quality
68.6477
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Kulwinder Dua, MD 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.
The Medical College OF Wisconsin Inc
Milwaukee, WI
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 Kulwinder Dua, MD. Source: openpaymentsdata.cms.gov.
Total received
$7.7K
Largest payer
Boston Scientific 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
27
Total Claims
$4K
Total Drug Cost
16
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 53
- Total Day Supply
- 1,272
- Generic Drug Cost
- $310
Patient Demographics
- Average Patient Age
- 68.6 years
- Avg HCC Risk Score
- 2.12
Gastroenterology Physician Overview
How Kulwinder Dua, MD fits within the Gastroenterology Physician landscape nationally.
17,061
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
848
Avg Claims per Provider
Kulwinder Dua, MD's 27 claims are below the specialty average of 848.
Nationwide Gastroenterology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Dua, both outside Wisconsin so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (80.5 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Gastroenterology Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Dua.
One of 271 Gastroenterology Physician providers enrolled in Wisconsin, 5 are shown here.
Dr. Frank Aberger
MD
La Crosse, WI
Dr. Mohammad Abuassi
M.D.
Milwaukee, WI
Dr. Aboud Affi
M.D.
Milwaukee, WI
Dr. Parul Agarwal
M.D.
Madison, WI
Dr. Dilpesh Agrawal
M.D, MRCP
Milwaukee, WI
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Kulwinder Dua, MD's specialty? ▼
Kulwinder Dua, MD specializes in Gastroenterology Physician and practices in Milwaukee, Wisconsin. Credentials: MD.
How much does Kulwinder Dua, MD prescribe under Medicare Part D? ▼
In 2024, Kulwinder Dua, MD wrote 27 Medicare Part D claims totaling $4K in drug costs for 16 beneficiaries.
What is Kulwinder Dua, MD's Medicare quality score? ▼
Kulwinder Dua, MD has a CMS MIPS Final Score of 80.5/100 (Quality: 66.2, Cost: 68.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kulwinder Dua, MD located? ▼
Kulwinder Dua, MD is located at 9200 W WISCONSIN AVE, Milwaukee, WI, 53226. Phone: (414) 805-3666.
What is Kulwinder Dua, MD's NPI number? ▼
Kulwinder Dua, MD's National Provider Identifier (NPI) is 1215988290, issued on 05/13/2006.
How many Gastroenterology Physician providers are there in the US? ▼
There are 17,061 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 848 Medicare Part D claims per year.
Does Kulwinder Dua, MD accept Medicare? ▼
Kulwinder Dua, MD appears in CMS Medicare data with 27 Part D claims and 16 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kulwinder Dua, MD's credentials? ▼
Kulwinder Dua, MD's NPI is 1215988290 with credentials MD. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.