2026 NPPES data Internal Medicine Physician NPI 1891281820 MD
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SIMHACHALAM GURUGUBELLI, MD

Internal Medicine Physician in FORT WAYNE, Indiana. 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
4K
Medicare Part D claims · 365 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$214.61
12 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SIMHACHALAM GURUGUBELLI, MD filed 4,079 Medicare Part D claims in 2023 as a Internal Medicine Physician in FORT WAYNE, Indiana, prescribing 84% generic.

4K
Part D claims, 2023
84%
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.

SIMHACHALAM GURUGUBELLI, MD's Medicare Part D volume vs every U.S. prescriber

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

4,079 Top 8% higher than 92% of 1,370,886 prescribers

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. 2,000–2,200: 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

SIMHACHALAM GURUGUBELLI, MD 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 SIMHACHALAM GURUGUBELLI, MD?

Quality data not reported

NPI registry status

Active

Issued 07/02/2018

NPI 1891281820

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

4,079 50% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Indiana

How Internal Medicine Physician compares to other specialties among Indiana providers

Indiana providers

Internal Medicine Physician share within Indiana

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

Specialty board-certification context

Estimated specialty board-certified rate — Internal Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Internal Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

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).

SIMHACHALAM GURUGUBELLI, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 11109 PARKVIEW PLAZA DR, FORT WAYNE, IN, 46845, with a listed phone of (260) 672-6620. NPI 1891281820 was issued on 07/02/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GURUGUBELLI 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 4,079 prescription claims written by this provider, covering 365 Medicare beneficiaries and totaling roughly $551K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 3.3%. 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

Provider Details

NPI 1891281820
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/02/2018

Hospital and facility affiliations

Facilities where SIMHACHALAM GURUGUBELLI, 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.

PARKVIEW HEALTH SYSTEM INC
FORT WAYNE, IN

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 SIMHACHALAM GURUGUBELLI, MD. Source: openpaymentsdata.cms.gov.

Total received

$215

Largest payer

Novartis Pharmaceuticals 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.

Brand vs generic prescribing mix · Typical

SIMHACHALAM GURUGUBELLI, MD — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 4,079 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.

4,079
Total Claims
$551K
Total Drug Cost
365
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,396
Total Day Supply
243,993
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$497K
Generic Drug Cost
$53K
Opioid Claims
136 (3.3% rate)
Antibiotic Claims
102

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.49
Gender Split
55% female / 45% male
Age Distribution
<65: 89, 65-74: 153, 75-84: 91, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

What SIMHACHALAM GURUGUBELLI, 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
Atorvastatin Calcium
228
Levothyroxine Sodium
127
Gabapentin
115
Amlodipine Besylate
107
Omeprazole
88
Lisinopril
87
Losartan Potassium
87
Zolpidem Tartrate
79
Mounjaro
Tirzepatide
77
Metformin Hcl
74

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

Internal Medicine Physician Overview

How SIMHACHALAM GURUGUBELLI, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

SIMHACHALAM GURUGUBELLI, MD's 4,079 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Indiana

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SIMHACHALAM GURUGUBELLI, MD's specialty?
SIMHACHALAM GURUGUBELLI, MD specializes in Internal Medicine Physician and practices in FORT WAYNE, Indiana. Credentials: MD.
How much does SIMHACHALAM GURUGUBELLI, MD prescribe under Medicare Part D?
In 2023, SIMHACHALAM GURUGUBELLI, MD wrote 4,079 Medicare Part D claims totaling $551K in drug costs for 365 beneficiaries.
Where is SIMHACHALAM GURUGUBELLI, MD located?
SIMHACHALAM GURUGUBELLI, MD is located at 11109 PARKVIEW PLAZA DR, FORT WAYNE, IN, 46845. Phone: (260) 672-6620.
What is SIMHACHALAM GURUGUBELLI, MD's NPI number?
SIMHACHALAM GURUGUBELLI, MD's National Provider Identifier (NPI) is 1891281820, issued on 07/02/2018.
Does SIMHACHALAM GURUGUBELLI, MD prescribe more brand-name or generic drugs?
SIMHACHALAM GURUGUBELLI, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $497K in brand drug costs.
Does SIMHACHALAM GURUGUBELLI, MD prescribe opioids?
Yes, SIMHACHALAM GURUGUBELLI, MD had 136 opioid claims in 2023 with an opioid prescribing rate of 3.3%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does SIMHACHALAM GURUGUBELLI, MD prescribe most often?
Based on 2023 Medicare Part D data, SIMHACHALAM GURUGUBELLI, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SIMHACHALAM GURUGUBELLI, MD accept Medicare?
SIMHACHALAM GURUGUBELLI, MD appears in CMS Medicare data with 4,079 Part D claims and 365 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SIMHACHALAM GURUGUBELLI, MD's credentials?
SIMHACHALAM GURUGUBELLI, MD's NPI is 1891281820 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.
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