2026 NPPES data Gastroenterology Physician NPI 1639497514 MD
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MITESH BHALALA, MD

Gastroenterology Physician in TAUNTON, Massachusetts. 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
1K
Medicare Part D claims · 284 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$224.27
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MITESH BHALALA, MD filed 1,144 Medicare Part D claims in 2023 as a Gastroenterology Physician in TAUNTON, Massachusetts, prescribing 85% generic.

1K
Part D claims, 2023
85%
generic prescribing
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.

MITESH BHALALA, MD's Medicare Part D volume vs every U.S. prescriber

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

1,144 Top 23% higher than 77% 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%). This entry sits in this band. 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)

MITESH BHALALA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 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 MITESH BHALALA, MD?

Quality data not reported

NPI registry status

Active

Issued 05/17/2010

NPI 1639497514

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

1,144 37% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in Massachusetts

How Gastroenterology Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Gastroenterology Physician share within Massachusetts

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within Massachusetts

Specialty board-certification context

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

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

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

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

MITESH BHALALA, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 35 SUMMER ST, TAUNTON, MA, 02780, with a listed phone of (508) 821-4100. NPI 1639497514 was issued on 05/17/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BHALALA 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 1,144 prescription claims written by this provider, covering 284 Medicare beneficiaries and totaling roughly $644K in drug spend, split 15% brand-name and 85% generic by claim count. 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.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

35 SUMMER ST
TAUNTON, MA 02780

Provider Details

NPI 1639497514
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 05/17/2010

Hospital and facility affiliations

Facilities where MITESH BHALALA, 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.

GASTROINTESTINAL SPECIALISTS, LLC
BROCKTON, MA
GIS SERVICES 2 LLC
BROCKTON, MA

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 MITESH BHALALA, MD. Source: openpaymentsdata.cms.gov.

Total received

$224

Largest payer

Novo Nordisk 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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to MITESH BHALALA, MD. To verify MITESH BHALALA, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MITESH BHALALA, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 1,144 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.

1,144
Total Claims
$644K
Total Drug Cost
284
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,041
Total Day Supply
58,308
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$580K
Generic Drug Cost
$64K
Antibiotic Claims
16

Patient Demographics

Average Patient Age
68.3 years
Avg HCC Risk Score
1.52
Gender Split
65% female / 35% male
Age Distribution
<65: 84, 65-74: 111, 75-84: 75, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

What MITESH BHALALA, MD 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
Omeprazole
248
Pantoprazole Sodium
229
Linzess
Linaclotide
85
Dicyclomine Hcl
75
Famotidine
43
Sucralfate
40
Ondansetron Odt
Ondansetron
34
Tenofovir Disoproxil Fumarate
25
Loperamide
Loperamide Hcl
23
Ondansetron Hcl
21

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

Gastroenterology Physician Overview

How MITESH BHALALA, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

MITESH BHALALA, MD's 1,144 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Massachusetts

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

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

Frequently Asked Questions

What is MITESH BHALALA, MD's specialty?
MITESH BHALALA, MD specializes in Gastroenterology Physician and practices in TAUNTON, Massachusetts. Credentials: MD.
How much does MITESH BHALALA, MD prescribe under Medicare Part D?
In 2023, MITESH BHALALA, MD wrote 1,144 Medicare Part D claims totaling $644K in drug costs for 284 beneficiaries.
Where is MITESH BHALALA, MD located?
MITESH BHALALA, MD is located at 35 SUMMER ST, TAUNTON, MA, 02780. Phone: (508) 821-4100.
What is MITESH BHALALA, MD's NPI number?
MITESH BHALALA, MD's National Provider Identifier (NPI) is 1639497514, issued on 05/17/2010.
Does MITESH BHALALA, MD prescribe more brand-name or generic drugs?
MITESH BHALALA, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $580K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does MITESH BHALALA, MD prescribe most often?
Based on 2023 Medicare Part D data, MITESH BHALALA, MD's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Linzess. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MITESH BHALALA, MD accept Medicare?
MITESH BHALALA, MD appears in CMS Medicare data with 1,144 Part D claims and 284 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MITESH BHALALA, MD's credentials?
MITESH BHALALA, MD's NPI is 1639497514 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.
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