2026 NPPES data Interventional Cardiology Physician NPI 1972554020 M.D.
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RAKESH GUPTA, M.D.

Interventional Cardiology Physician in TOMS RIVER, New Jersey. 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
6K
Medicare Part D claims · 736 beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
21.2058/100
▼ 62 pts below national avg 83.1 · [object Object]
Industry payments
$630.92
37 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAKESH GUPTA, M.D. is a Interventional Cardiology Physician ([object Object]) practicing in TOMS RIVER, New Jersey with a Medicare Part D prescribing footprint of 6K claims across 736 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 21.2058/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $630.92 across 37 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAKESH GUPTA, M.D. reported a CMS MIPS final score of 21.2058 out of 100, below the 83.1 national average, and filed 6,068 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RAKESH GUPTA, M.D. 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).

RAKESH GUPTA, M.D. at a glance

Below national average

NPI registry status

Active

Issued 05/13/2006

NPI 1972554020

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

6,068 103% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

MIPS final score

21.2058/100 61.8942% pts

Below average band

vs 83.1 national avg

Specialty distribution in New Jersey

How Interventional Cardiology Physician compares to other specialties among New Jersey providers

New Jersey providers

Interventional Cardiology Physician share within New Jersey

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within New Jersey

Medicare quality performance — MIPS

RAKESH GUPTA, M.D.'s 2023 MIPS final score plotted against the Interventional Cardiology Physician national average

Below national average
MIPS Final Score
21.2058/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Cardiology Physician) — 21.2058/100 vs national avg 83.1

0%100%National avg83%21.2%
MIPS final score (Interventional Cardiology Physician) — 21.2058/100 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).

RAKESH GUPTA, M.D. is a Interventional Cardiology Physician provider practicing in TOMS RIVER, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1972554020. 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.

RAKESH GUPTA, M.D. appears in the CMS NPPES registry as a Interventional Cardiology Physician provider holding M.D. credentials at 20 HOSPITAL DR, TOMS RIVER, NJ, 08755, with a listed phone of (732) 240-7777. NPI 1972554020 was issued on 05/13/2006. 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 6,068 prescription claims written by this provider, covering 736 Medicare beneficiaries and totaling roughly $828K in drug spend, split 11% brand-name and 89% 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 21.2058/100 for the 2023 performance year (Quality 0, Cost 70.6859), compared with the national average of 83.1.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 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

20 HOSPITAL DR
TOMS RIVER, NJ 08755

Provider Details

NPI 1972554020
Specialty Interventional Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 05/13/2006

CMS Quality Score (MIPS)

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

21.2058
Final Score
Avg: 83.1
0
Quality
70.6859
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where RAKESH 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.

NJ HEART INSTITUTE, PA
TOMS RIVER, NJ

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 RAKESH GUPTA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$631

Largest payer

Novartis Pharmaceuticals 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.

Brand vs generic prescribing mix · Typical

RAKESH GUPTA, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 6,068 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.

6,068
Total Claims
$828K
Total Drug Cost
736
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,771
Total Day Supply
471,054
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$682K
Generic Drug Cost
$146K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
1.75
Gender Split
57% female / 43% male
Age Distribution
<65: 59, 65-74: 294, 75-84: 287, 85+: 96

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metoprolol Succinate
1,131
Atorvastatin Calcium
508
Clopidogrel
Clopidogrel Bisulfate
413
Furosemide
353
Eliquis
Apixaban
336
Losartan Potassium
245
Hydralazine Hcl
234
Isosorbide Mononitrate Er
Isosorbide Mononitrate
212
Lisinopril
203
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
195

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

Interventional Cardiology Physician Overview

How RAKESH GUPTA, M.D. fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

RAKESH GUPTA, M.D.'s 6,068 claims are above the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in New Jersey

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

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAKESH GUPTA, M.D.'s specialty?
RAKESH GUPTA, M.D. specializes in Interventional Cardiology Physician and practices in TOMS RIVER, New Jersey. Credentials: M.D..
How much does RAKESH GUPTA, M.D. prescribe under Medicare Part D?
In 2023, RAKESH GUPTA, M.D. wrote 6,068 Medicare Part D claims totaling $828K in drug costs for 736 beneficiaries.
What is RAKESH GUPTA, M.D.'s Medicare quality score?
RAKESH GUPTA, M.D. has a CMS MIPS Final Score of 21.2058/100 (Quality: 0, Cost: 70.6859). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAKESH GUPTA, M.D. located?
RAKESH GUPTA, M.D. is located at 20 HOSPITAL DR, TOMS RIVER, NJ, 08755. Phone: (732) 240-7777.
What is RAKESH GUPTA, M.D.'s NPI number?
RAKESH GUPTA, M.D.'s National Provider Identifier (NPI) is 1972554020, issued on 05/13/2006.
Does RAKESH GUPTA, M.D. prescribe more brand-name or generic drugs?
RAKESH GUPTA, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $682K in brand drug costs.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does RAKESH GUPTA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAKESH GUPTA, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Clopidogrel. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAKESH GUPTA, M.D. accept Medicare?
RAKESH GUPTA, M.D. appears in CMS Medicare data with 6,068 Part D claims and 736 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAKESH GUPTA, M.D.'s credentials?
RAKESH GUPTA, M.D.'s NPI is 1972554020 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.
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