2026 NPPES data Specialist NPI 1073622072 M.D.
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MONIKA GUPTA, M.D.

Specialist in NEWARK, Delaware. 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
6K
Medicare Part D claims · 489 beneficiaries · Specialist avg: 1K
MIPS score
94.7126/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$34.31
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MONIKA GUPTA, M.D. reported a CMS MIPS final score of 94.7126/100 — above the 83.1 national average — and filed 5,902 Medicare Part D claims in 2023.

94.7126/100
MIPS score · +12 vs avg
6K
Part D claims, 2023
$34.31
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.

MONIKA GUPTA, 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

95 Top 25% higher than 75% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about MONIKA GUPTA, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/30/2006

NPI 1073622072

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

5,902 300% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

94.7126/100 11.6126% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Delaware

How Specialist compares to other specialties among Delaware providers

Delaware providers

Specialist share within Delaware

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

Medicare quality performance — MIPS

MONIKA GUPTA, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
94.7126/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 94.7126/100 vs national avg 83.1

0%100%National avg83%94.7%
MIPS final score (Specialist) — 94.7126/100 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).

MONIKA GUPTA, M.D. is a Specialist provider practicing in NEWARK, Delaware, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1073622072. 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.

MONIKA GUPTA, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 314 E MAIN ST, NEWARK, DE, 19711, with a listed phone of (302) 737-6041. NPI 1073622072 was issued on 08/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUPTA 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 5,902 prescription claims written by this provider, covering 489 Medicare beneficiaries and totaling roughly $262K in drug spend, with an opioid prescribing rate of 0.3%. 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 94.7126/100 for the 2023 performance year (Quality 100, Cost 90.7087), compared with the national average of 83.1.

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

314 E MAIN ST
NEWARK, DE 19711

Provider Details

NPI 1073622072
Specialty Specialist
Credentials M.D.
Gender Female
NPI Issued 08/30/2006

CMS Quality Score (MIPS)

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

94.7126
Final Score
Avg: 83.1
100
Quality
90.7087
Cost
90
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 MONIKA GUPTA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$34

Largest payer

Boehringer Ingelheim Pharmaceuticals, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

5,902
Total Claims
$262K
Total Drug Cost
489
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,421
Total Day Supply
456,837
Generic Drug Cost
$124K
Opioid Claims
19 (0.3% rate)
Antibiotic Claims
148

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
0.86
Gender Split
67% female / 33% male
Age Distribution
<65: 36, 65-74: 243, 75-84: 162, 85+: 48

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
781
Levothyroxine Sodium
592
Metformin Hcl
337
Simvastatin
300
Rosuvastatin Calcium
297
Lisinopril
256
Omeprazole
250
Alendronate Sodium
221
Amlodipine Besylate
180
Losartan Potassium
163

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

Specialist Overview

How MONIKA GUPTA, M.D. fits within the Specialist landscape nationally.

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

MONIKA GUPTA, M.D.'s 5,902 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Delaware

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

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

Frequently Asked Questions

What is MONIKA GUPTA, M.D.'s specialty?
MONIKA GUPTA, M.D. specializes in Specialist and practices in NEWARK, Delaware. Credentials: M.D..
How much does MONIKA GUPTA, M.D. prescribe under Medicare Part D?
In 2023, MONIKA GUPTA, M.D. wrote 5,902 Medicare Part D claims totaling $262K in drug costs for 489 beneficiaries.
What is MONIKA GUPTA, M.D.'s Medicare quality score?
MONIKA GUPTA, M.D. has a CMS MIPS Final Score of 94.7126/100 (Quality: 100, Cost: 90.7087). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MONIKA GUPTA, M.D. located?
MONIKA GUPTA, M.D. is located at 314 E MAIN ST, NEWARK, DE, 19711. Phone: (302) 737-6041.
What is MONIKA GUPTA, M.D.'s NPI number?
MONIKA GUPTA, M.D.'s National Provider Identifier (NPI) is 1073622072, issued on 08/30/2006.
Does MONIKA GUPTA, M.D. prescribe opioids?
Yes, MONIKA GUPTA, M.D. had 19 opioid claims in 2023 with an opioid prescribing rate of 0.3%.
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 MONIKA GUPTA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MONIKA GUPTA, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MONIKA GUPTA, M.D. accept Medicare?
MONIKA GUPTA, M.D. appears in CMS Medicare data with 5,902 Part D claims and 489 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MONIKA GUPTA, M.D.'s credentials?
MONIKA GUPTA, M.D.'s NPI is 1073622072 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.
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