NPI registry status
Active
2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1467864389 DO
Verify on CMS → Shivani Gupta, DO
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Oak Lawn, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,661 in Pain Medicine (Physical Medicine & Rehabilitation) 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
232
Medicare Part D claims · 59 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Industry payments
$66.0K
58 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Shivani Gupta, DO filed 232 Medicare Part D claims in 2024 as a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Oak Lawn, Illinois.
- 232
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥48th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Shivani Gupta, DO
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1467864389), first enumerated 05/27/2014.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 232 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$66.0K in reported industry payments (58 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Shivani Gupta, DO's individual license status. Verify directly with the state medical board.
Source: IDFPR annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1467864389 · Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI-10 · ENUM-MID · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1467864389
- ENUM-MID 2014
- TAX-NARROW 1,661
- RX-LIGHT 232
- BOOK-THIN 45 in Illinois
- PHOTO-ENUM Diya Sandhu · 2014
Shivani Gupta, DO's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
232 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
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 · 2024
✓
Board certification likely (heuristic, not verified)
Shivani Gupta, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Shivani Gupta, DO?
Quality data not reportedPrimary specialty
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
232 83% vs specialty avg
Specialty distribution in Illinois
How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Illinois providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pain Medicine (Physical Medicine & Rehabilitation) Physician. Verify directly:
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
Provider Details
| NPI | 1467864389 |
|---|---|
| Specialty | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 05/27/2014 |
Hospital and facility affiliations
Facilities where Shivani Gupta, DO 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.
Advocate Health And Hospitals Corporation
Oak Lawn, IL
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 Shivani Gupta, DO. Source: openpaymentsdata.cms.gov.
Total received
$66.0K
Largest payer
Ipsen Biopharmaceuticals, Inc
Most common payment type
Travel and Lodging
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 - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Shivani Gupta, DO. To verify Shivani Gupta, DO's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR 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 Illinois 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 2024.
232
Total Claims
$7K
Total Drug Cost
59
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 287.433
- Total Day Supply
- 7,851
- Generic Drug Cost
- $5K
- Opioid Claims
- 11 (4.7% rate)
Patient Demographics
- Average Patient Age
- 59.0 years
- Avg HCC Risk Score
- 2.04
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 35, 65-74: 18, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Shivani Gupta, DO prescribes most
Top Medicare Part D drugs by claim count, 2024
- Baclofen
Baclofen
78 claims
- Gabapentin
Gabapentin
38 claims
- Tizanidine Hcl 26
Tizanidine Hcl
26 claims
- Pregabalin 15
Pregabalin
15 claims
- Celecoxib 11
Celecoxib
11 claims
| Drug | Claims |
|---|---|
| Baclofen | 78 |
| Gabapentin | 38 |
| Tizanidine Hcl | 26 |
| Pregabalin | 15 |
| Celecoxib | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Physical Medicine & Rehabilitation) Physician in IL →
All providers in Illinois →
Compare specialties →
Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Shivani Gupta, DO fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,661
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
51
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,399
Avg Claims per Provider
Shivani Gupta, DO's 232 claims are below the specialty average of 1,399.
Nationwide Pain Medicine (Physical Medicine & Rehabilitation) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Gupta, both outside Illinois so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2014)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Gupta.
One of 45 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers enrolled in Illinois, 5 are shown here.
Frequently Asked Questions
What is Shivani Gupta, DO's specialty? ▼
Shivani Gupta, DO specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in Oak Lawn, Illinois. Credentials: DO.
How much does Shivani Gupta, DO prescribe under Medicare Part D? ▼
In 2024, Shivani Gupta, DO wrote 232 Medicare Part D claims totaling $7K in drug costs for 59 beneficiaries.
Where is Shivani Gupta, DO located? ▼
Shivani Gupta, DO is located at 4400 W 95TH ST STE 306, Oak Lawn, IL, 60453. Phone: (708) 684-5428.
What is Shivani Gupta, DO's NPI number? ▼
Shivani Gupta, DO's National Provider Identifier (NPI) is 1467864389, issued on 05/27/2014.
Does Shivani Gupta, DO prescribe opioids? ▼
Yes, Shivani Gupta, DO had 11 opioid claims in 2024 with an opioid prescribing rate of 4.7%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,661 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 51 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,399 Medicare Part D claims per year.
What drugs does Shivani Gupta, DO prescribe most often? ▼
Based on 2024 Medicare Part D data, Shivani Gupta, DO's most frequently prescribed drugs include Baclofen, Gabapentin, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Shivani Gupta, DO accept Medicare? ▼
Shivani Gupta, DO appears in CMS Medicare data with 232 Part D claims and 59 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Shivani Gupta, DO's credentials? ▼
Shivani Gupta, DO's NPI is 1467864389 with credentials DO. 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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 August 2026.