2026 NPPES data Otolaryngology Physician NPI 1154598696 MD
Verify on CMS →

SACHIN GUPTA, MD

Otolaryngology Physician in SEATTLE, Washington. 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
325
Medicare Part D claims · 138 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
82.8417/100
▼ 0 pts below national avg 83.1 · [object Object]
Industry payments
$1.8K
11 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SACHIN GUPTA, MD reported a CMS MIPS final score of 82.8417/100 — below the 83.1 national average — and filed 325 Medicare Part D claims in 2023.

82.8417/100
MIPS score · 0 vs avg
325
Part D claims, 2023
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.

SACHIN GUPTA, MD's MIPS score vs every scored U.S. clinician

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

83 39th percentile higher than 39% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

SACHIN GUPTA, 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 SACHIN GUPTA, MD?

Near national average

NPI registry status

Active

Issued 05/14/2008

NPI 1154598696

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

325 36% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

82.8417/100 0.2582999999999913% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Otolaryngology Physician compares to other specialties among Washington providers

Washington providers

Otolaryngology Physician share within Washington

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within Washington

Medicare quality performance — MIPS

SACHIN GUPTA, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average

Near national average
MIPS Final Score
82.8417/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 82.8417/100 vs national avg 83.1

0%100%National avg83%82.8%
MIPS final score (Otolaryngology Physician) — 82.8417/100 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).

SACHIN GUPTA, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 600 BROADWAY STE 200, SEATTLE, WA, 98122, with a listed phone of (206) 215-1770. NPI 1154598696 was issued on 05/14/2008. 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 325 prescription claims written by this provider, covering 138 Medicare beneficiaries and totaling roughly $6K in drug spend, with an opioid prescribing rate of 5.5%. 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 82.8417/100 for the 2023 performance year (Quality 82.1476, Cost 60.658), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

600 BROADWAY STE 200
SEATTLE, WA 98122

Provider Details

NPI 1154598696
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 05/14/2008

CMS Quality Score (MIPS)

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

82.8417
Final Score
Avg: 83.1
82.1476
Quality
60.658
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SACHIN GUPTA, 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.

SWEDISH HEALTH SERVICES
SEATTLE, WA

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 SACHIN GUPTA, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.8K

Largest payer

MED-EL 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.

License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to SACHIN GUPTA, MD. To verify SACHIN GUPTA, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

325
Total Claims
$6K
Total Drug Cost
138
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
372
Total Day Supply
8,444
Generic Drug Cost
$6K
Opioid Claims
18 (5.5% rate)

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.10
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

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

What SACHIN GUPTA, 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
Nortriptyline Hcl
85
Triamterene-Hydrochlorothiazid
Triamterene/Hydrochlorothiazid
52
Ofloxacin
41
Dexamethasone Sodium Phosphate
30
Sertraline Hcl
26
Oxycodone Hcl
17
Ciprofloxacin Hcl
12

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

Otolaryngology Physician Overview

How SACHIN GUPTA, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

SACHIN GUPTA, MD's 325 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Washington

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SACHIN GUPTA, MD's specialty?
SACHIN GUPTA, MD specializes in Otolaryngology Physician and practices in SEATTLE, Washington. Credentials: MD.
How much does SACHIN GUPTA, MD prescribe under Medicare Part D?
In 2023, SACHIN GUPTA, MD wrote 325 Medicare Part D claims totaling $6K in drug costs for 138 beneficiaries.
What is SACHIN GUPTA, MD's Medicare quality score?
SACHIN GUPTA, MD has a CMS MIPS Final Score of 82.8417/100 (Quality: 82.1476, Cost: 60.658). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SACHIN GUPTA, MD located?
SACHIN GUPTA, MD is located at 600 BROADWAY STE 200, SEATTLE, WA, 98122. Phone: (206) 215-1770.
What is SACHIN GUPTA, MD's NPI number?
SACHIN GUPTA, MD's National Provider Identifier (NPI) is 1154598696, issued on 05/14/2008.
Does SACHIN GUPTA, MD prescribe opioids?
Yes, SACHIN GUPTA, MD had 18 opioid claims in 2023 with an opioid prescribing rate of 5.5%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does SACHIN GUPTA, MD prescribe most often?
Based on 2023 Medicare Part D data, SACHIN GUPTA, MD's most frequently prescribed drugs include Nortriptyline Hcl, Triamterene-Hydrochlorothiazid, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SACHIN GUPTA, MD accept Medicare?
SACHIN GUPTA, MD appears in CMS Medicare data with 325 Part D claims and 138 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SACHIN GUPTA, MD's credentials?
SACHIN GUPTA, MD's NPI is 1154598696 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