NPI registry status
Active
2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1326140435 M.D.
Verify on CMS → Rahul Gokhale, M.D.
Sports Medicine (Orthopaedic Surgery) Physician in Lombard, 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 2,681 in Sports Medicine (Orthopaedic Surgery) 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
863
Medicare Part D claims · 318 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
Generic prescribing
99%
generic claims · 1% 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
Rahul Gokhale, M.D. filed 863 Medicare Part D claims in 2023 as a Sports Medicine (Orthopaedic Surgery) Physician in Lombard, Illinois, prescribing 99% generic.
- 863
- Part D claims, 2023
- 99%
- 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.
Rahul Gokhale, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
863 Top 27% higher than 73% 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
✓
Board certification likely (heuristic, not verified)
Rahul Gokhale, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Rahul Gokhale, M.D.?
Quality data not reportedPrimary specialty
Sports Medicine (Orthopaedic Surgery) Physician
Medicare Part D claims
863 210% vs specialty avg
Specialty distribution in Illinois
How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Illinois 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 Sports Medicine (Orthopaedic Surgery) 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).
Rahul Gokhale, M.D. appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D. credentials at 1801 S HIGHLAND AVE STE 220, Lombard, IL, 60148, with a listed phone of (630) 790-1872. NPI 1326140435 was issued on 09/01/2006.
Medicare Part D records for calendar year 2023 show 863 prescription claims written by this provider, covering 318 Medicare beneficiaries and totaling roughly $13K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 29.9%.
Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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 | 1326140435 |
|---|---|
| Specialty | Sports Medicine (Orthopaedic Surgery) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 09/01/2006 |
Hospital and facility affiliations
Facilities where Rahul Gokhale, 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.
Dupage Medical Group Ltd
Downers Grove, 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).
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 Rahul Gokhale, M.D.. To verify Rahul Gokhale, M.D.'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 · Generic-heavy
Rahul Gokhale, M.D. - brand share 1.0%
Sports Medicine (Orthopaedic Surgery) Physician average
1% brand-name claims vs 99% generic, on 863 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.
863
Total Claims
$13K
Total Drug Cost
318
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 993
- Total Day Supply
- 20,613
- Brand vs Generic
- 1% brand / 99% generic
- Brand Drug Cost
- $6K
- Generic Drug Cost
- $7K
- Opioid Claims
- 258 (29.9% rate)
- Antibiotic Claims
- 33
Patient Demographics
- Average Patient Age
- 73.3 years
- Avg HCC Risk Score
- 1.04
- Gender Split
- 72% female / 28% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Rahul Gokhale, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Meloxicam
Meloxicam
274 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
144 claims
- Tramadol Hcl 71
Tramadol Hcl
71 claims
- Prednisone 68
Prednisone
68 claims
- Celecoxib 63
Celecoxib
63 claims
- Diclofenac Sodium 48
Diclofenac Sodium
48 claims
- Gabapentin 30
Gabapentin
30 claims
- Amoxicillin 27
Amoxicillin
27 claims
| Drug | Claims |
|---|---|
| Meloxicam | 274 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 144 |
| Tramadol Hcl | 71 |
| Prednisone | 68 |
| Celecoxib | 63 |
| Diclofenac Sodium | 48 |
| Gabapentin | 30 |
| Amoxicillin | 27 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 22 |
| Cyclobenzaprine Hcl | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Orthopaedic Surgery) Physician in IL →
All providers in Illinois →
Compare specialties →
Sports Medicine (Orthopaedic Surgery) Physician Overview
How Rahul Gokhale, M.D. fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.
2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider
Rahul Gokhale, M.D.'s 863 claims are above the specialty average of 278.
Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Gokhale.
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 Sports Medicine (Orthopaedic Surgery) 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Illinois
Frequently Asked Questions
What is Rahul Gokhale, M.D.'s specialty? ▼
Rahul Gokhale, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Lombard, Illinois. Credentials: M.D..
How much does Rahul Gokhale, M.D. prescribe under Medicare Part D? ▼
In 2023, Rahul Gokhale, M.D. wrote 863 Medicare Part D claims totaling $13K in drug costs for 318 beneficiaries.
Where is Rahul Gokhale, M.D. located? ▼
Rahul Gokhale, M.D. is located at 1801 S HIGHLAND AVE STE 220, Lombard, IL, 60148. Phone: (630) 790-1872.
What is Rahul Gokhale, M.D.'s NPI number? ▼
Rahul Gokhale, M.D.'s National Provider Identifier (NPI) is 1326140435, issued on 09/01/2006.
Does Rahul Gokhale, M.D. prescribe more brand-name or generic drugs? ▼
Rahul Gokhale, M.D.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $6K in brand drug costs.
Does Rahul Gokhale, M.D. prescribe opioids? ▼
Yes, Rahul Gokhale, M.D. had 258 opioid claims in 2023 with an opioid prescribing rate of 29.9%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does Rahul Gokhale, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Rahul Gokhale, M.D.'s most frequently prescribed drugs include Meloxicam, Hydrocodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rahul Gokhale, M.D. accept Medicare? ▼
Rahul Gokhale, M.D. appears in CMS Medicare data with 863 Part D claims and 318 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rahul Gokhale, M.D.'s credentials? ▼
Rahul Gokhale, M.D.'s NPI is 1326140435 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
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.