2026 NPPES data Interventional Pain Medicine Physician NPI 1043503824 M.D.
Verify on CMS →

PALLAVI GUPTA, M.D.

Interventional Pain Medicine Physician in AUSTELL, Georgia. 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
3K
Medicare Part D claims · 379 beneficiaries · Interventional Pain Medicine Physician avg: 2K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.0243/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$1.5K
32 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PALLAVI GUPTA, M.D. is a Interventional Pain Medicine Physician ([object Object]) practicing in AUSTELL, Georgia with a Medicare Part D prescribing footprint of 3K claims across 379 beneficiaries — 7% brand-name prescribing . Their CMS MIPS Final Score of 85.0243/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.5K across 32 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PALLAVI GUPTA, M.D. reported a CMS MIPS final score of 85.0243 out of 100, above the 83.1 national average, and filed 3,488 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)

PALLAVI GUPTA, M.D. 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).

PALLAVI GUPTA, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/26/2011

NPI 1043503824

Primary specialty

Interventional Pain Medicine Physician

Niche

1,528 US NPIs in this specialty

Medicare Part D claims

3,488 59% vs specialty avg

2023 prescription claims

Specialty avg: 2,197

MIPS final score

85.0243/100 1.9243000000000023% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Interventional Pain Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Interventional Pain Medicine Physician share within Georgia

1. Interventional Pain Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Pain Medicine Physician share within Georgia

Medicare quality performance — MIPS

PALLAVI GUPTA, M.D.'s 2023 MIPS final score plotted against the Interventional Pain Medicine Physician national average

High performer (top quartile)
MIPS Final Score
85.0243/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Pain Medicine Physician) — 85.0243/100 vs national avg 83.1

0%100%National avg83%85%
MIPS final score (Interventional Pain Medicine Physician) — 85.0243/100 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).

PALLAVI GUPTA, M.D. is a Interventional Pain Medicine Physician provider practicing in AUSTELL, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1043503824. 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.

PALLAVI GUPTA, M.D. appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider holding M.D. credentials at 3870 MEDICAL PARK DR STE 110, AUSTELL, GA, 30106, with a listed phone of (404) 920-4972. NPI 1043503824 was issued on 05/26/2011. 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 3,488 prescription claims written by this provider, covering 379 Medicare beneficiaries and totaling roughly $215K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 79.6%. 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 85.0243/100 for the 2023 performance year (Quality 89.4304, Cost 60.6507), compared with the national average of 83.1.

Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 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

3870 MEDICAL PARK DR STE 110
AUSTELL, GA 30106

Provider Details

NPI 1043503824
Specialty Interventional Pain Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 05/26/2011

CMS Quality Score (MIPS)

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

85.0243
Final Score
Avg: 83.1
89.4304
Quality
60.6507
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PALLAVI GUPTA, M.D. 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 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC
DALLAS, GA

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 PALLAVI GUPTA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.5K

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.

Brand vs generic prescribing mix · Generic-heavy

PALLAVI GUPTA, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 3,488 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.

3,488
Total Claims
$215K
Total Drug Cost
379
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,535
Total Day Supply
99,196
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$123K
Generic Drug Cost
$91K
Opioid Claims
2,775 (79.6% rate)
Antibiotic Claims
19

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.89
Gender Split
79% female / 21% male
Age Distribution
<65: 77, 65-74: 163, 75-84: 117, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
1,002
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
649
Oxycodone Hcl
310
Morphine Sulfate Er
Morphine Sulfate
214
Gabapentin
185
Pregabalin
162
Tramadol Hcl
160
Buprenorphine
96
Tizanidine Hcl
95
Belbuca
Buprenorphine Hcl
89

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

Interventional Pain Medicine Physician Overview

How PALLAVI GUPTA, M.D. fits within the Interventional Pain Medicine Physician landscape nationally.

1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider

PALLAVI GUPTA, M.D.'s 3,488 claims are above the specialty average of 2,197.

Nearby Interventional Pain Medicine Physician Providers in Georgia

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

Compare Interventional Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PALLAVI GUPTA, M.D.'s specialty?
PALLAVI GUPTA, M.D. specializes in Interventional Pain Medicine Physician and practices in AUSTELL, Georgia. Credentials: M.D..
How much does PALLAVI GUPTA, M.D. prescribe under Medicare Part D?
In 2023, PALLAVI GUPTA, M.D. wrote 3,488 Medicare Part D claims totaling $215K in drug costs for 379 beneficiaries.
What is PALLAVI GUPTA, M.D.'s Medicare quality score?
PALLAVI GUPTA, M.D. has a CMS MIPS Final Score of 85.0243/100 (Quality: 89.4304, Cost: 60.6507). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PALLAVI GUPTA, M.D. located?
PALLAVI GUPTA, M.D. is located at 3870 MEDICAL PARK DR STE 110, AUSTELL, GA, 30106. Phone: (404) 920-4972.
What is PALLAVI GUPTA, M.D.'s NPI number?
PALLAVI GUPTA, M.D.'s National Provider Identifier (NPI) is 1043503824, issued on 05/26/2011.
Does PALLAVI GUPTA, M.D. prescribe more brand-name or generic drugs?
PALLAVI GUPTA, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $123K in brand drug costs.
Does PALLAVI GUPTA, M.D. prescribe opioids?
Yes, PALLAVI GUPTA, M.D. had 2,775 opioid claims in 2023 with an opioid prescribing rate of 79.6%.
How many Interventional Pain Medicine Physician providers are there in the US?
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
What drugs does PALLAVI GUPTA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PALLAVI GUPTA, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PALLAVI GUPTA, M.D. accept Medicare?
PALLAVI GUPTA, M.D. appears in CMS Medicare data with 3,488 Part D claims and 379 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PALLAVI GUPTA, M.D.'s credentials?
PALLAVI GUPTA, M.D.'s NPI is 1043503824 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