2026 NPPES data Hospitalist Physician NPI 1609163039 MD
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NEHA GUPTA, MD

Hospitalist Physician in NORFOLK, Virginia. 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
895
Medicare Part D claims · 158 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.1126/100
▲ 12 pts above national avg 83.1 · [object Object]
What the federal data reveals: NEHA GUPTA, MD is a Hospitalist Physician ([object Object]) practicing in NORFOLK, Virginia with a Medicare Part D prescribing footprint of 895 claims across 158 beneficiaries — 16% brand-name prescribing . Their CMS MIPS Final Score of 95.1126/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: NEHA GUPTA, MD reported a CMS MIPS final score of 95.1126 out of 100, above the 83.1 national average, and filed 895 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)

NEHA GUPTA, 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).

NEHA GUPTA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/06/2011

NPI 1609163039

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

895 1% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

95.1126/100 12.012600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Hospitalist Physician compares to other specialties among Virginia providers

Virginia providers

Hospitalist Physician share within Virginia

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

Medicare quality performance — MIPS

NEHA GUPTA, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average

High performer (top quartile)
MIPS Final Score
95.1126/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 95.1126/100 vs national avg 83.1

0%100%National avg83%95.1%
MIPS final score (Hospitalist Physician) — 95.1126/100 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).

NEHA GUPTA, MD is a Hospitalist Physician provider practicing in NORFOLK, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1609163039. 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.

NEHA GUPTA, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 6330 N CENTER DR STE 206, NORFOLK, VA, 23502, with a listed phone of (757) 821-6310. NPI 1609163039 was issued on 07/06/2011. 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 895 prescription claims written by this provider, covering 158 Medicare beneficiaries and totaling roughly $78K in drug spend, split 16% brand-name and 84% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.1126/100 for the 2023 performance year (Quality 86.3184), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

6330 N CENTER DR STE 206
NORFOLK, VA 23502

Provider Details

NPI 1609163039
Specialty Hospitalist Physician
Credentials MD
Gender Female
NPI Issued 07/06/2011

CMS Quality Score (MIPS)

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

95.1126
Final Score
Avg: 83.1
86.3184
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where NEHA GUPTA, 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.

SENTARA MEDICAL GROUP
VIRGINIA BEACH, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

NEHA GUPTA, MD — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 895 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.

895
Total Claims
$78K
Total Drug Cost
158
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
904
Total Day Supply
18,745
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$59K
Generic Drug Cost
$20K
Antibiotic Claims
96

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
2.55
Gender Split
61% female / 39% male
Age Distribution
<65: 30, 65-74: 45, 75-84: 56, 85+: 27

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
44
Amlodipine Besylate
37
Levothyroxine Sodium
36
Furosemide
30
Tamsulosin Hcl
29
Vancomycin Hcl
21
Sertraline Hcl
20
Metoprolol Tartrate
19
Trazodone Hcl
19
Metoprolol Succinate
17

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

Hospitalist Physician Overview

How NEHA GUPTA, MD fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

NEHA GUPTA, MD's 895 claims are above the specialty average of 888.

Nearby Hospitalist Physician Providers in Virginia

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

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

Frequently Asked Questions

What is NEHA GUPTA, MD's specialty?
NEHA GUPTA, MD specializes in Hospitalist Physician and practices in NORFOLK, Virginia. Credentials: MD.
How much does NEHA GUPTA, MD prescribe under Medicare Part D?
In 2023, NEHA GUPTA, MD wrote 895 Medicare Part D claims totaling $78K in drug costs for 158 beneficiaries.
What is NEHA GUPTA, MD's Medicare quality score?
NEHA GUPTA, MD has a CMS MIPS Final Score of 95.1126/100 (Quality: 86.3184). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NEHA GUPTA, MD located?
NEHA GUPTA, MD is located at 6330 N CENTER DR STE 206, NORFOLK, VA, 23502. Phone: (757) 821-6310.
What is NEHA GUPTA, MD's NPI number?
NEHA GUPTA, MD's National Provider Identifier (NPI) is 1609163039, issued on 07/06/2011.
Does NEHA GUPTA, MD prescribe more brand-name or generic drugs?
NEHA GUPTA, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $59K in brand drug costs.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does NEHA GUPTA, MD prescribe most often?
Based on 2023 Medicare Part D data, NEHA GUPTA, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NEHA GUPTA, MD accept Medicare?
NEHA GUPTA, MD appears in CMS Medicare data with 895 Part D claims and 158 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NEHA GUPTA, MD's credentials?
NEHA GUPTA, MD's NPI is 1609163039 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