2026 NPPES data Gynecology Physician NPI 1205981230 MD
Verify on CMS →

MANISH GOPAL, MD

Gynecology Physician in SOMERSET, New Jersey. 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
4K
Medicare Part D claims · 693 beneficiaries · Gynecology Physician avg: 295
MIPS score
94.8055/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$1.1K
22 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MANISH GOPAL, MD is a Gynecology Physician ([object Object]) practicing in SOMERSET, New Jersey with a Medicare Part D prescribing footprint of 4K claims across 693 beneficiaries . Their CMS MIPS Final Score of 94.8055/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.1K across 22 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MANISH GOPAL, MD reported a CMS MIPS final score of 94.8055 out of 100, above the 83.1 national average, and filed 4,328 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MANISH GOPAL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MANISH GOPAL, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/23/2007

NPI 1205981230

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

4,328 1367% vs specialty avg

2023 prescription claims

Specialty avg: 295

MIPS final score

94.8055/100 11.7055% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Gynecology Physician compares to other specialties among New Jersey providers

New Jersey providers

Gynecology Physician share within New Jersey

1. Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gynecology Physician share within New Jersey

Medicare quality performance — MIPS

MANISH GOPAL, MD's 2023 MIPS final score plotted against the Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
94.8055/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecology Physician) — 94.8055/100 vs national avg 83.1

0%100%National avg83%94.8%
MIPS final score (Gynecology Physician) — 94.8055/100 vs national avg 83.1

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).

MANISH GOPAL, MD is a Gynecology Physician provider practicing in SOMERSET, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1205981230. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MANISH GOPAL, MD appears in the CMS NPPES registry as a Gynecology Physician provider holding MD credentials at 49 VERONICA AVE, SOMERSET, NJ, 08873, with a listed phone of (877) 987-6496. NPI 1205981230 was issued on 01/23/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOPAL 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 4,328 prescription claims written by this provider, covering 693 Medicare beneficiaries and totaling roughly $1.0 million in drug spend, with an opioid prescribing rate of 1.5%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.8055/100 for the 2023 performance year (Quality 97.6463), compared with the national average of 83.1.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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

49 VERONICA AVE
SOMERSET, NJ 08873

Provider Details

NPI 1205981230
Specialty Gynecology Physician
Credentials MD
Gender Male
NPI Issued 01/23/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.8055
Final Score
Avg: 83.1
97.6463
Quality
87
Promoting Interoperability

Reporting: Individual

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 MANISH GOPAL, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

BLUEWIND MEDICAL

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.

4,328
Total Claims
$1.0M
Total Drug Cost
693
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,441
Total Day Supply
203,726
Generic Drug Cost
$186K
Opioid Claims
65 (1.5% rate)
Antibiotic Claims
400

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.15
Gender Split
100% female / 0% male
Age Distribution
<65: 55, 65-74: 289, 75-84: 274, 85+: 75

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Myrbetriq
Mirabegron
990
Estradiol
859
Methenamine Hippurate
476
Oxybutynin Chloride Er
Oxybutynin Chloride
414
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
191
Gemtesa
Vibegron
130
Tolterodine Tartrate Er
Tolterodine Tartrate
113
Fluconazole
110
Amitriptyline Hcl
95
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
76

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

Gynecology Physician Overview

How MANISH GOPAL, MD fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

MANISH GOPAL, MD's 4,328 claims are above the specialty average of 295.

Nearby Gynecology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as GOPAL.

Compare Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MANISH GOPAL, MD's specialty?
MANISH GOPAL, MD specializes in Gynecology Physician and practices in SOMERSET, New Jersey. Credentials: MD.
How much does MANISH GOPAL, MD prescribe under Medicare Part D?
In 2023, MANISH GOPAL, MD wrote 4,328 Medicare Part D claims totaling $1.0M in drug costs for 693 beneficiaries.
What is MANISH GOPAL, MD's Medicare quality score?
MANISH GOPAL, MD has a CMS MIPS Final Score of 94.8055/100 (Quality: 97.6463). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MANISH GOPAL, MD located?
MANISH GOPAL, MD is located at 49 VERONICA AVE, SOMERSET, NJ, 08873. Phone: (877) 987-6496.
What is MANISH GOPAL, MD's NPI number?
MANISH GOPAL, MD's National Provider Identifier (NPI) is 1205981230, issued on 01/23/2007.
Does MANISH GOPAL, MD prescribe opioids?
Yes, MANISH GOPAL, MD had 65 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does MANISH GOPAL, MD prescribe most often?
Based on 2023 Medicare Part D data, MANISH GOPAL, MD's most frequently prescribed drugs include Myrbetriq, Estradiol, Methenamine Hippurate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MANISH GOPAL, MD accept Medicare?
MANISH GOPAL, MD appears in CMS Medicare data with 4,328 Part D claims and 693 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MANISH GOPAL, MD's credentials?
MANISH GOPAL, MD's NPI is 1205981230 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

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