2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1699861013 MD
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RAJENDRA GOGIA, MD

Pain Medicine (Physical Medicine & Rehabilitation) Physician in PARK RIDGE, Illinois. 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
2K
Medicare Part D claims · 521 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
73%
generic claims · 27% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

RAJENDRA GOGIA, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 1,935 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
2K
Part D claims, 2023
73%
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.

RAJENDRA GOGIA, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

RAJENDRA GOGIA, MD 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 RAJENDRA GOGIA, MD?

Below national average

NPI registry status

Active

Issued 10/04/2006

NPI 1699861013

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

1,935 38% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Illinois providers

Illinois providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Illinois

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Illinois

Medicare quality performance — MIPS

RAJENDRA GOGIA, MD's 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 75/100 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).

RAJENDRA GOGIA, MD appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at 1420 RENAISSANCE DR, PARK RIDGE, IL, 60068, with a listed phone of (847) 296-6161. NPI 1699861013 was issued on 10/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOGIA 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 1,935 prescription claims written by this provider, covering 521 Medicare beneficiaries and totaling roughly $189K in drug spend, split 27% brand-name and 73% generic by claim count. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

1420 RENAISSANCE DR
PARK RIDGE, IL 60068

Provider Details

NPI 1699861013
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials MD
Gender Male
NPI Issued 10/04/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAJENDRA GOGIA, MD 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.

NOVA MEDICO SC
PLYMOUTH, IN

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 RAJENDRA GOGIA, MD. To verify RAJENDRA GOGIA, MD'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 · Above average

RAJENDRA GOGIA, MD — brand share 27.0%
Specialty average (est.)

27% brand-name claims vs 73% generic, on 1,935 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.

1,935
Total Claims
$189K
Total Drug Cost
521
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,953
Total Day Supply
22,638
Brand vs Generic
27% brand / 73% generic
Brand Drug Cost
$128K
Generic Drug Cost
$61K
Antibiotic Claims
228

Patient Demographics

Average Patient Age
76.2 years
Avg HCC Risk Score
3.97
Gender Split
53% female / 47% male
Age Distribution
<65: 59, 65-74: 167, 75-84: 158, 85+: 137

Top Prescribed Drugs (Medicare Part D)

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

What RAJENDRA GOGIA, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Gentamicin Sulfate
335
Metronidazole
304
Santyl
Collagenase Clostridium Hist.
215
Triamcinolone Acetonide
131
Nystatin-Triamcinolone
Nystatin/Triamcinolone Acet
93
Doxycycline Hyclate
73
Doxycycline Monohydrate
59
Mupirocin
53
Silver Sulfadiazine
45
Nystatin
41

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How RAJENDRA GOGIA, MD fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

RAJENDRA GOGIA, MD's 1,935 claims are above the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Illinois

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

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAJENDRA GOGIA, MD's specialty?
RAJENDRA GOGIA, MD specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in PARK RIDGE, Illinois. Credentials: MD.
How much does RAJENDRA GOGIA, MD prescribe under Medicare Part D?
In 2023, RAJENDRA GOGIA, MD wrote 1,935 Medicare Part D claims totaling $189K in drug costs for 521 beneficiaries.
What is RAJENDRA GOGIA, MD's Medicare quality score?
RAJENDRA GOGIA, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAJENDRA GOGIA, MD located?
RAJENDRA GOGIA, MD is located at 1420 RENAISSANCE DR, PARK RIDGE, IL, 60068. Phone: (847) 296-6161.
What is RAJENDRA GOGIA, MD's NPI number?
RAJENDRA GOGIA, MD's National Provider Identifier (NPI) is 1699861013, issued on 10/04/2006.
Does RAJENDRA GOGIA, MD prescribe more brand-name or generic drugs?
RAJENDRA GOGIA, MD's prescribing is 27% brand-name and 73% generic drugs by claim count, with $128K in brand drug costs.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does RAJENDRA GOGIA, MD prescribe most often?
Based on 2023 Medicare Part D data, RAJENDRA GOGIA, MD's most frequently prescribed drugs include Gentamicin Sulfate, Metronidazole, Santyl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAJENDRA GOGIA, MD accept Medicare?
RAJENDRA GOGIA, MD appears in CMS Medicare data with 1,935 Part D claims and 521 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAJENDRA GOGIA, MD's credentials?
RAJENDRA GOGIA, MD's NPI is 1699861013 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

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