2026 NPPES data General Practice Physician NPI 1295915395 M.D.
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PRASHANT GUPTA, M.D.

General Practice Physician in KAPLAN, Louisiana. 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
352
Medicare Part D claims · 242 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: PRASHANT GUPTA, M.D. is a General Practice Physician ([object Object]) practicing in KAPLAN, Louisiana with a Medicare Part D prescribing footprint of 352 claims across 242 beneficiaries — 6% brand-name prescribing .

What stands out: PRASHANT GUPTA, M.D. filed 352 Medicare Part D claims in 2023 across KAPLAN, Louisiana. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PRASHANT GUPTA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PRASHANT GUPTA, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 11/06/2007

NPI 1295915395

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

352 88% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in Louisiana

How General Practice Physician compares to other specialties among Louisiana providers

Louisiana providers

General Practice Physician share within Louisiana

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Louisiana

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
General Practice Physician ABMS/AOA estimate

Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

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).

PRASHANT GUPTA, M.D. is a General Practice Physician provider practicing in KAPLAN, Louisiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1295915395. 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.

PRASHANT GUPTA, M.D. appears in the CMS NPPES registry as a General Practice Physician provider holding M.D. credentials at 801 N MONTGOMERY AVE, KAPLAN, LA, 70548, with a listed phone of (337) 643-8400. NPI 1295915395 was issued on 11/06/2007. 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 352 prescription claims written by this provider, covering 242 Medicare beneficiaries and totaling roughly $3K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 9.9%. 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.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

801 N MONTGOMERY AVE
KAPLAN, LA 70548

Provider Details

NPI 1295915395
Specialty General Practice Physician
Credentials M.D.
Gender Male
NPI Issued 11/06/2007

Hospital and facility affiliations

Facilities where PRASHANT 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.

EMERGENCY GROUP OF ST LANDRY LLC
VILLE PLATTE, LA
HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LA
BUNKIE, LA
VERMILION EMERGENCY GROUP LLC
KAPLAN, LA

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 · Generic-heavy

PRASHANT GUPTA, M.D. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 352 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.

352
Total Claims
$3K
Total Drug Cost
242
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
353
Total Day Supply
4,278
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$520
Generic Drug Cost
$3K
Opioid Claims
35 (9.9% rate)
Antibiotic Claims
82

Patient Demographics

Average Patient Age
66.6 years
Avg HCC Risk Score
1.59
Gender Split
60% female / 40% male
Age Distribution
<65: 79, 65-74: 96, 75-84: 51, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Nabumetone
69
Tramadol Hcl
30
Naproxen
28
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
22
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
19
Ondansetron Hcl
16
Fluticasone Propionate
15

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

General Practice Physician Overview

How PRASHANT GUPTA, M.D. fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

PRASHANT GUPTA, M.D.'s 352 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Louisiana

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

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRASHANT GUPTA, M.D.'s specialty?
PRASHANT GUPTA, M.D. specializes in General Practice Physician and practices in KAPLAN, Louisiana. Credentials: M.D..
How much does PRASHANT GUPTA, M.D. prescribe under Medicare Part D?
In 2023, PRASHANT GUPTA, M.D. wrote 352 Medicare Part D claims totaling $3K in drug costs for 242 beneficiaries.
Where is PRASHANT GUPTA, M.D. located?
PRASHANT GUPTA, M.D. is located at 801 N MONTGOMERY AVE, KAPLAN, LA, 70548. Phone: (337) 643-8400.
What is PRASHANT GUPTA, M.D.'s NPI number?
PRASHANT GUPTA, M.D.'s National Provider Identifier (NPI) is 1295915395, issued on 11/06/2007.
Does PRASHANT GUPTA, M.D. prescribe more brand-name or generic drugs?
PRASHANT GUPTA, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $520 in brand drug costs.
Does PRASHANT GUPTA, M.D. prescribe opioids?
Yes, PRASHANT GUPTA, M.D. had 35 opioid claims in 2023 with an opioid prescribing rate of 9.9%.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does PRASHANT GUPTA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PRASHANT GUPTA, M.D.'s most frequently prescribed drugs include Nabumetone, Tramadol Hcl, Naproxen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRASHANT GUPTA, M.D. accept Medicare?
PRASHANT GUPTA, M.D. appears in CMS Medicare data with 352 Part D claims and 242 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRASHANT GUPTA, M.D.'s credentials?
PRASHANT GUPTA, M.D.'s NPI is 1295915395 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.
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