2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1487668463
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Sheila Gupta

Endocrinology, Diabetes & Metabolism Physician in Ormond Beach, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 7,871 in Endocrinology, Diabetes & Metabolism 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
5K
Medicare Part D claims · 462 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
43%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published

What the federal data shows

Sheila Gupta carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 4,601 Medicare Part D claims in 2023.

75/100
CMS neutral score · not measured
5K
Part D claims, 2023
43%
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.

CMS NPPES provider registry desk

NPI 1487668463 · Endocrinology, Diabetes & Metabolism Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-NEUTRAL · RX-MID · BOOK-LIGHT · PHOTO-ENUM

  • NPI-10 1487668463
  • ENUM-LEGACY 2006
  • TAX-MID 8K Endocrinology, Diabetes
  • MIPS-NEUTRAL 75/100
  • RX-MID 4,601
  • BOOK-LIGHT 519 in Florida
  • PHOTO-ENUM Jose Ortiz · 2006

Sheila Gupta's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

4,601 ≥ 93rd percentile 93% of 1,370,886 prescribers are in lower value bands

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

Sheila Gupta 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 Sheila Gupta?

CMS neutral score, not measured

NPI registry status

Active

Issued 07/28/2006

NPI 1487668463

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,871 US NPIs in this specialty

Medicare Part D claims

4,601 74% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

MIPS final score

75/100

CMS neutral score, not measured

No category scores published; CMS assigned the performance threshold

Specialty distribution in Florida

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Florida providers

Florida providers
Behavior Technician16.1%Mental Health Counselor4.8%Family Nurse Practitioner4.5%Pharmacist4.2%Student in an Organized Heal…3.8%Physical Therapist3.1%Endocrinology, Diabetes & Me…0.1%
Largest specialties in Florida (% of in-state providers)

MIPS score not measured

CMS assigned a neutral 75/100 threshold

CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.

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).

Practice Address

345 CLYDE MORRIS BLVD
Ormond Beach, FL 32174

Provider Details

NPI 1487668463
Specialty Endocrinology, Diabetes & Metabolism Physician
Gender Female
NPI Issued 07/28/2006

CMS Quality Score (MIPS)

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

75
Final Score
CMS neutral threshold · not measured

Reporting: Individual

Hospital and facility affiliations

Facilities where Sheila Gupta 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.

Amol K Gupta MD Corporation
Ormond Beach, FL

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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Sheila Gupta. To verify Sheila Gupta's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Sheila Gupta - brand share 51.0%
Endocrinology, Diabetes & Metabolism Physician average

51% brand-name claims vs 43% generic, on 4,601 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.

4,601
Total Claims
$2.1M
Total Drug Cost
462
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,844
Total Day Supply
321,604
Brand vs Generic
51% brand / 43% generic
Brand Drug Cost
$1.9M
Generic Drug Cost
$51K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.69
Gender Split
69% female / 31% male
Age Distribution
<65: 36, 65-74: 215, 75-84: 169, 85+: 42

Top Prescribed Drugs (Medicare Part D)

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

What Sheila Gupta 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
Levothyroxine Sodium
420
Ozempic
Semaglutide
285
Synthroid
Levothyroxine Sodium
280
Rosuvastatin Calcium
210
Metformin Hcl
186
Metformin Hcl Er
Metformin Hcl
162
Atorvastatin Calcium
117
Tresiba Flextouch U-200
Insulin Degludec
103
Farxiga
Dapagliflozin Propanediol
102
Novolog Flexpen
Insulin Aspart
99

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

Endocrinology, Diabetes & Metabolism Physician Overview

How Sheila Gupta fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,871
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

Sheila Gupta's 4,601 claims are above the specialty average of 2,639.

Nationwide Endocrinology, Diabetes & Metabolism Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Gupta, both outside Florida so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (75 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Florida

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

One of 519 Endocrinology, Diabetes & Metabolism Physician providers enrolled in Florida, 5 are shown here.

Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Sheila Gupta's specialty?
Sheila Gupta specializes in Endocrinology, Diabetes & Metabolism Physician and practices in Ormond Beach, Florida.
How much does Sheila Gupta prescribe under Medicare Part D?
In 2023, Sheila Gupta wrote 4,601 Medicare Part D claims totaling $2.1M in drug costs for 462 beneficiaries.
What is Sheila Gupta's Medicare quality score?
Sheila Gupta has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sheila Gupta located?
Sheila Gupta is located at 345 CLYDE MORRIS BLVD, Ormond Beach, FL, 32174. Phone: (386) 673-0075.
What is Sheila Gupta's NPI number?
Sheila Gupta's National Provider Identifier (NPI) is 1487668463, issued on 07/28/2006.
Does Sheila Gupta prescribe more brand-name or generic drugs?
Sheila Gupta's prescribing is 51% brand-name and 43% generic drugs by claim count, with $1.9M in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US?
There are 7,871 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does Sheila Gupta prescribe most often?
Based on 2023 Medicare Part D data, Sheila Gupta's most frequently prescribed drugs include Levothyroxine Sodium, Ozempic, Synthroid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sheila Gupta accept Medicare?
Sheila Gupta appears in CMS Medicare data with 4,601 Part D claims and 462 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sheila Gupta's credentials?
Sheila Gupta's NPI is 1487668463. 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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.