NPI registry status
Active
2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1801879911 MD
Verify on CMS → Prag Gupta, MD
Critical Care Medicine (Internal Medicine) Physician in Denver, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,646 in Critical Care Medicine (Internal Medicine) 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
1K
Medicare Part D claims · 304 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
38%
generic claims · 62% brand-name · higher generic rates reduce patient out-of-pocket costs
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
Prag Gupta, MD filed 1,324 Medicare Part D claims in 2023 as a Critical Care Medicine (Internal Medicine) Physician in Denver, North Carolina, prescribing 38% generic.
- 1K
- Part D claims, 2023
- 38%
- generic prescribing
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.
Prag Gupta, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,324 Top 21% higher than 79% of 1,370,886 prescribers
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
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Board-eligible specialty (heuristic, not verified)
Prag Gupta, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Prag Gupta, MD?
Quality data not reportedPrimary specialty
Critical Care Medicine (Internal Medicine) Physician
Medicare Part D claims
1,324 24% vs specialty avg
Specialty distribution in North Carolina
How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among North Carolina providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Critical Care Medicine (Internal Medicine) Physician. Verify directly:
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).
Prag Gupta, MD appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding MD credentials at 1585 FORNEY CREEK PKWY STE 2200, Denver, NC, 28037, with a listed phone of (704) 951-8444. NPI 1801879911 was issued on 11/22/2005.
Medicare Part D records for calendar year 2023 show 1,324 prescription claims written by this provider, covering 304 Medicare beneficiaries and totaling roughly $565K in drug spend, split 62% brand-name and 38% generic by claim count.
Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,646 enrolled providers across 53 states and an average of 1,069 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 | 1801879911 |
|---|---|
| Specialty | Critical Care Medicine (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 11/22/2005 |
Brand vs generic prescribing mix · Brand-heavy
Prag Gupta, MD - brand share 62.0%
Critical Care Medicine (Internal Medicine) Physician average
62% brand-name claims vs 38% generic, on 1,324 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.
1,324
Total Claims
$565K
Total Drug Cost
304
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,787
- Total Day Supply
- 50,958
- Brand vs Generic
- 62% brand / 38% generic
- Brand Drug Cost
- $552K
- Generic Drug Cost
- $13K
- Antibiotic Claims
- 69
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 2.07
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 53, 65-74: 130, 75-84: 100, 85+: 21
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Prag Gupta, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
204 claims
- Breztri Aerosphere
Breztri Aerosphere
196 claims
- Trelegy Ellipta
Trelegy Ellipta
188 claims
- Symbicort
Symbicort
103 claims
- Fluticasone Propio… 71
Fluticasone Propionate
71 claims
- Famotidine 59
Famotidine
59 claims
- Azithromycin 51
Azithromycin
51 claims
- Breo Ellipta 50
Breo Ellipta
50 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 204 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 196 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 188 |
| Symbicort Budesonide/Formoterol Fumarate | 103 |
| Fluticasone Propionate | 71 |
| Famotidine | 59 |
| Azithromycin | 51 |
| Breo Ellipta Fluticasone/Vilanterol | 50 |
| Montelukast Sodium | 42 |
| Prednisone | 38 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Critical Care Medicine (Internal Medicine) Physician in NC →
All providers in North Carolina →
Compare specialties →
Critical Care Medicine (Internal Medicine) Physician Overview
How Prag Gupta, MD fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.
6,646
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider
Prag Gupta, MD's 1,324 claims are above the specialty average of 1,069.
Nearby Critical Care Medicine (Internal Medicine) Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Gupta.
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 North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Critical Care Medicine (Internal Medicine) 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 Prag Gupta, MD's specialty? ▼
Prag Gupta, MD specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Denver, North Carolina. Credentials: MD.
How much does Prag Gupta, MD prescribe under Medicare Part D? ▼
In 2023, Prag Gupta, MD wrote 1,324 Medicare Part D claims totaling $565K in drug costs for 304 beneficiaries.
Where is Prag Gupta, MD located? ▼
Prag Gupta, MD is located at 1585 FORNEY CREEK PKWY STE 2200, Denver, NC, 28037. Phone: (704) 951-8444.
What is Prag Gupta, MD's NPI number? ▼
Prag Gupta, MD's National Provider Identifier (NPI) is 1801879911, issued on 11/22/2005.
Does Prag Gupta, MD prescribe more brand-name or generic drugs? ▼
Prag Gupta, MD's prescribing is 62% brand-name and 38% generic drugs by claim count, with $552K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 6,646 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does Prag Gupta, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Prag Gupta, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Breztri Aerosphere, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Prag Gupta, MD accept Medicare? ▼
Prag Gupta, MD appears in CMS Medicare data with 1,324 Part D claims and 304 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Prag Gupta, MD's credentials? ▼
Prag Gupta, MD's NPI is 1801879911 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
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.
- 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.