NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1770087231 DO
Verify on CMS → Pavan Gupta, DO
Hospitalist Physician in Palos Heights, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,938 in Hospitalist Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
423
Medicare Part D claims · 185 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
82%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1/100
▲ 11 pts above national avg 83.1 · Exceptional
Industry payments
$29.47
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Pavan Gupta, DO reported a CMS MIPS final score of 94.1/100 - above the 83.1 national average - and filed 423 Medicare Part D claims in 2023.
- 94.1/100
- MIPS score · +11 vs avg
- 423
- Part D claims, 2023
- 82%
- 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.
Pavan Gupta, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
94 Top 25% higher than 75% of 477,587 scored providers
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
Where Pavan Gupta, DO sits
This provider among hospitalist physician peers
Across the 4,437 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Pavan Gupta, DO writes more Part D claims than 72% of them and scores higher on MIPS quality than 68% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is Pavan Gupta, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Pavan Gupta, DO 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).
What does the federal data show about Pavan Gupta, DO?
High performer (top quartile)Primary specialty
Hospitalist Physician
Medicare Part D claims
423 52% vs specialty avg
MIPS final score
94.1/100 11 pts vs avg
Specialty distribution in Illinois
How Hospitalist Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Pavan Gupta, DO's 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 94.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospitalist Physician) - 94.1/100 vs national avg 83.1
How MIPS and board certification work
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).
Pavan Gupta, DO appears in the CMS NPPES registry as a Hospitalist Physician provider holding DO credentials at 12251 S 80TH AVE, Palos Heights, IL, 60463, with a listed phone of (708) 923-4000. NPI 1770087231 was issued on 03/20/2018.
Medicare Part D records for calendar year 2023 show 423 prescription claims written by this provider, covering 185 Medicare beneficiaries and totaling roughly $40K in drug spend, split 16% brand-name and 82% generic by claim count, with an opioid prescribing rate of 7.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1/100 for the 2023 performance year (Quality 82.6), compared with the national average of 83.1.
Hospitalist Physician is a mid-sized specialty nationwide, with 16,938 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
Provider Details
| NPI | 1770087231 |
|---|---|
| Specialty | Hospitalist Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 03/20/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.1036
Final Score
Avg: 83.1
82.5938
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Pavan Gupta, DO 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.
Central Dupage Physician Group
Palos Heights, IL
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 Pavan Gupta, DO. Source: openpaymentsdata.cms.gov.
Total received
$29
Largest payer
Edwards Lifesciences 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.
License & disciplinary context - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Pavan Gupta, DO. To verify Pavan Gupta, DO's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Pavan Gupta, DO - brand share 16.0%
Hospitalist Physician average
16% brand-name claims vs 82% generic, on 423 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.
423
Total Claims
$40K
Total Drug Cost
185
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 577
- Total Day Supply
- 13,565
- Brand vs Generic
- 16% brand / 82% generic
- Brand Drug Cost
- $34K
- Generic Drug Cost
- $5K
- Opioid Claims
- 31 (7.3% rate)
- Antibiotic Claims
- 55
Patient Demographics
- Average Patient Age
- 74.1 years
- Avg HCC Risk Score
- 2.00
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 23, 65-74: 66, 75-84: 67, 85+: 29
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Pavan Gupta, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Metoprolol Succinate
Metoprolol Succinate
32 claims
- Eliquis
Eliquis
31 claims
- Atorvastatin Calcium
Atorvastatin Calcium
29 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
23 claims
- Pantoprazole Sodium
Pantoprazole Sodium
21 claims
- Prednisone
Prednisone
17 claims
- Furosemide 12
Furosemide
12 claims
- Azithromycin 11
Azithromycin
11 claims
| Drug | Claims |
|---|---|
| Metoprolol Succinate | 32 |
| Eliquis Apixaban | 31 |
| Atorvastatin Calcium | 29 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 23 |
| Pantoprazole Sodium | 21 |
| Prednisone | 17 |
| Furosemide | 12 |
| Azithromycin | 11 |
| Ciprofloxacin Hcl | 11 |
| Doxycycline Hyclate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospitalist Physician Overview
How Pavan Gupta, DO fits within the Hospitalist Physician landscape nationally.
16,938
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider
Pavan Gupta, DO's 423 claims are below the specialty average of 888.
Nearby Hospitalist Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Gupta.
Dr. Osamah Abdallah
M.D.
Maywood, IL
Sufyan Abdulmujeeb
Niles, IL
Dr. Eyad Abdulrazzak
MD
Evanston, IL
Dr. Gina Abraham
MD
Franklin Park, IL
Dr. Rebecca Abraham
PA-C
Chicago, IL
Compare Hospitalist Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospitalist Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Pavan Gupta, DO's specialty? ▼
Pavan Gupta, DO specializes in Hospitalist Physician and practices in Palos Heights, Illinois. Credentials: DO.
How much does Pavan Gupta, DO prescribe under Medicare Part D? ▼
In 2023, Pavan Gupta, DO wrote 423 Medicare Part D claims totaling $40K in drug costs for 185 beneficiaries.
What is Pavan Gupta, DO's Medicare quality score? ▼
Pavan Gupta, DO has a CMS MIPS Final Score of 94.1/100 (Quality: 82.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Pavan Gupta, DO located? ▼
Pavan Gupta, DO is located at 12251 S 80TH AVE, Palos Heights, IL, 60463. Phone: (708) 923-4000.
What is Pavan Gupta, DO's NPI number? ▼
Pavan Gupta, DO's National Provider Identifier (NPI) is 1770087231, issued on 03/20/2018.
Does Pavan Gupta, DO prescribe more brand-name or generic drugs? ▼
Pavan Gupta, DO's prescribing is 16% brand-name and 82% generic drugs by claim count, with $34K in brand drug costs.
Does Pavan Gupta, DO prescribe opioids? ▼
Yes, Pavan Gupta, DO had 31 opioid claims in 2023 with an opioid prescribing rate of 7.3%.
How many Hospitalist Physician providers are there in the US? ▼
There are 16,938 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 Pavan Gupta, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Pavan Gupta, DO's most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Pavan Gupta, DO accept Medicare? ▼
Pavan Gupta, DO appears in CMS Medicare data with 423 Part D claims and 185 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pavan Gupta, DO's credentials? ▼
Pavan Gupta, DO's NPI is 1770087231 with credentials DO. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.