NPI registry status
Active
2026 NPPES data Pain Medicine Physician NPI 1033104534 M.D.
Verify on CMS → Semih Gungor, M.D.
Pain Medicine Physician in New York, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 951 in Pain Medicine 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
288
Medicare Part D claims · 48 beneficiaries · Pain Medicine Physician avg: 2K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$60.69
1 payments · CMS Open Payments (Sunshine Act)
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
Semih Gungor, M.D. reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 288 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 288
- Part D claims, 2023
- 93%
- 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.
Semih Gungor, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
100 Top 7% higher than 93% of 477,587 scored providers
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
Where Semih Gungor, M.D. sits
This provider among pain medicine physician peers
Across the 286 pain medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Semih Gungor, M.D. writes more Part D claims than 17% of them and scores higher on MIPS quality than 95% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pain medicine physician peer from a representative sample of 60; the gold marker is Semih Gungor, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Semih Gungor, 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).
What does the federal data show about Semih Gungor, M.D.?
High performer (top quartile)Primary specialty
Pain Medicine Physician
Medicare Part D claims
288 86% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in New York
How Pain Medicine Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Semih Gungor, M.D.'s 2023 MIPS final score plotted against the Pain Medicine Physician national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pain Medicine Physician) - 100/100 vs national avg 83.1
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).
Semih Gungor, M.D. appears in the CMS NPPES registry as a Pain Medicine Physician provider holding M.D. credentials at 535 E 70TH ST, New York, NY, 10021, with a listed phone of (212) 774-2176. NPI 1033104534 was issued on 09/12/2005.
Medicare Part D records for calendar year 2023 show 288 prescription claims written by this provider, covering 48 Medicare beneficiaries and totaling roughly $10K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 41.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 100, Cost 100), compared with the national average of 83.1.
Pain Medicine Physician is a narrow specialty nationwide, with 951 enrolled providers across 49 states and an average of 2,078 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 | 1033104534 |
|---|---|
| Specialty | Pain Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 09/12/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
100
Quality
100
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Semih Gungor, 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.
East River Medical Associates PC
New York, NY
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 Semih Gungor, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$61
Largest payer
Curonix LLC
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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Semih Gungor, M.D.. To verify Semih Gungor, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Semih Gungor, M.D. - brand share 7.0%
Pain Medicine Physician average
7% brand-name claims vs 93% generic, on 288 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.
288
Total Claims
$10K
Total Drug Cost
48
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 405
- Total Day Supply
- 11,586
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $8K
- Opioid Claims
- 119 (41.3% rate)
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.12
- Gender Split
- 73% female / 27% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Semih Gungor, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
48 claims
- Oxycodone Hcl
Oxycodone Hcl
24 claims
- Hydromorphone Hcl
Hydromorphone Hcl
23 claims
- Tramadol Hcl
Tramadol Hcl
23 claims
- Cyclobenzaprine Hcl 18
Cyclobenzaprine Hcl
18 claims
- Tizanidine Hcl 18
Tizanidine Hcl
18 claims
- Hydrocodone-Acetam… 17
Hydrocodone-Acetaminophen
17 claims
- Morphine Sulfate Er 17
Morphine Sulfate Er
17 claims
| Drug | Claims |
|---|---|
| Gabapentin | 48 |
| Oxycodone Hcl | 24 |
| Hydromorphone Hcl | 23 |
| Tramadol Hcl | 23 |
| Cyclobenzaprine Hcl | 18 |
| Tizanidine Hcl | 18 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 17 |
| Morphine Sulfate Er Morphine Sulfate | 17 |
| Meloxicam | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pain Medicine Physician Overview
How Semih Gungor, M.D. fits within the Pain Medicine Physician landscape nationally.
951
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,078
Avg Claims per Provider
Semih Gungor, M.D.'s 288 claims are below the specialty average of 2,078.
Nearby Pain Medicine Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Gungor.
Dr. Bok Ahn
MD
Chappaqua, NY
Kachikwulu Ajulu
Syracuse, NY
Dr. Uel Alexis
M.D.
Staten Island, NY
Dr. Christopher Amen
DO
Smithtown, NY
Dr. Antigone Argyriou
M.D.
Islip, NY
Compare Pain Medicine Physician nationally: see state-by-state distribution →
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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine 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.
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Frequently Asked Questions
What is Semih Gungor, M.D.'s specialty? ▼
Semih Gungor, M.D. specializes in Pain Medicine Physician and practices in New York, New York. Credentials: M.D..
How much does Semih Gungor, M.D. prescribe under Medicare Part D? ▼
In 2023, Semih Gungor, M.D. wrote 288 Medicare Part D claims totaling $10K in drug costs for 48 beneficiaries.
What is Semih Gungor, M.D.'s Medicare quality score? ▼
Semih Gungor, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 100, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Semih Gungor, M.D. located? ▼
Semih Gungor, M.D. is located at 535 E 70TH ST, New York, NY, 10021. Phone: (212) 774-2176.
What is Semih Gungor, M.D.'s NPI number? ▼
Semih Gungor, M.D.'s National Provider Identifier (NPI) is 1033104534, issued on 09/12/2005.
Does Semih Gungor, M.D. prescribe more brand-name or generic drugs? ▼
Semih Gungor, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $2K in brand drug costs.
Does Semih Gungor, M.D. prescribe opioids? ▼
Yes, Semih Gungor, M.D. had 119 opioid claims in 2023 with an opioid prescribing rate of 41.3%.
How many Pain Medicine Physician providers are there in the US? ▼
There are 951 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,078 Medicare Part D claims per year.
What drugs does Semih Gungor, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Semih Gungor, M.D.'s most frequently prescribed drugs include Gabapentin, Oxycodone Hcl, Hydromorphone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Semih Gungor, M.D. accept Medicare? ▼
Semih Gungor, M.D. appears in CMS Medicare data with 288 Part D claims and 48 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Semih Gungor, M.D.'s credentials? ▼
Semih Gungor, M.D.'s NPI is 1033104534 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.