2026 NPPES data Hospitalist Physician NPI 1770727083 MD
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SANDIP GHUGE, MD

Hospitalist Physician in RHINELANDER, Wisconsin. 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
184
Medicare Part D claims · 33 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.5617/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

SANDIP GHUGE, MD reported a CMS MIPS final score of 84.5617/100 — above the 83.1 national average — and filed 184 Medicare Part D claims in 2023.

84.5617/100
MIPS score · +1 vs avg
184
Part D claims, 2023
87%
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.

SANDIP GHUGE, MD's MIPS score vs every scored U.S. clinician

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

85 45th percentile higher than 45% 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)

SANDIP GHUGE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 hospital affiliations — 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 SANDIP GHUGE, MD?

Near national average

NPI registry status

Active

Issued 04/30/2009

NPI 1770727083

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

184 79% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

84.5617/100 1.4617000000000075% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Hospitalist Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Hospitalist Physician share within Wisconsin

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

Medicare quality performance — MIPS

SANDIP GHUGE, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average

Near national average
MIPS Final Score
84.5617/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 84.5617/100 vs national avg 83.1

0%100%National avg83%84.6%
MIPS final score (Hospitalist Physician) — 84.5617/100 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).

SANDIP GHUGE, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 2251 N SHORE DR, RHINELANDER, WI, 54501, with a listed phone of (715) 361-4750. NPI 1770727083 was issued on 04/30/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GHUGE 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 184 prescription claims written by this provider, covering 33 Medicare beneficiaries and totaling roughly $10K in drug spend, split 13% brand-name and 87% 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 84.5617/100 for the 2023 performance year (Quality 89.8049, Cost 58.7342), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

2251 N SHORE DR
RHINELANDER, WI 54501

Provider Details

NPI 1770727083
Specialty Hospitalist Physician
Credentials MD
Gender Male
NPI Issued 04/30/2009

CMS Quality Score (MIPS)

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

84.5617
Final Score
Avg: 83.1
89.8049
Quality
58.7342
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SANDIP GHUGE, 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.

ASPIRUS EAGLE RIVER HOSPITAL AND CLINICS, INC
EAGLE RIVER, WI
ASPIRUS MERRILL HOSPITAL AND CLINICS INC
MERRILL, WI
ASPIRUS RHINELANDER AND TOMAHAWK HOSPITALS AND CLINICS, INC.
RHINELANDER, WI
ASPIRUS STANLEY HOSPITAL AND CLINICS INC
STANLEY, WI

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 · Typical

SANDIP GHUGE, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 184 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.

184
Total Claims
$10K
Total Drug Cost
33
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
194
Total Day Supply
4,505
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$7K
Generic Drug Cost
$3K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
2.60
Gender Split
48% female / 52% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Potassium Chloride
24
Jardiance
Empagliflozin
11

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

Hospitalist Physician Overview

How SANDIP GHUGE, MD fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

SANDIP GHUGE, MD's 184 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Wisconsin

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

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

Frequently Asked Questions

What is SANDIP GHUGE, MD's specialty?
SANDIP GHUGE, MD specializes in Hospitalist Physician and practices in RHINELANDER, Wisconsin. Credentials: MD.
How much does SANDIP GHUGE, MD prescribe under Medicare Part D?
In 2023, SANDIP GHUGE, MD wrote 184 Medicare Part D claims totaling $10K in drug costs for 33 beneficiaries.
What is SANDIP GHUGE, MD's Medicare quality score?
SANDIP GHUGE, MD has a CMS MIPS Final Score of 84.5617/100 (Quality: 89.8049, Cost: 58.7342). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANDIP GHUGE, MD located?
SANDIP GHUGE, MD is located at 2251 N SHORE DR, RHINELANDER, WI, 54501. Phone: (715) 361-4750.
What is SANDIP GHUGE, MD's NPI number?
SANDIP GHUGE, MD's National Provider Identifier (NPI) is 1770727083, issued on 04/30/2009.
Does SANDIP GHUGE, MD prescribe more brand-name or generic drugs?
SANDIP GHUGE, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $7K in brand drug costs.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does SANDIP GHUGE, MD prescribe most often?
Based on 2023 Medicare Part D data, SANDIP GHUGE, MD's most frequently prescribed drugs include Potassium Chloride, Jardiance. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANDIP GHUGE, MD accept Medicare?
SANDIP GHUGE, MD appears in CMS Medicare data with 184 Part D claims and 33 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANDIP GHUGE, MD's credentials?
SANDIP GHUGE, MD's NPI is 1770727083 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