NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1013043520 M.D
Verify on CMS → Sivakoti Guda, M.D
Hospitalist Physician in Camden, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,938 in Hospitalist 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
4K
Medicare Part D claims · 285 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
84%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
66.7/100
▼ 16 pts below national avg 83.1 · Mid-tier
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
Sivakoti Guda, M.D reported a CMS MIPS final score of 66.7/100 - below the 83.1 national average - and filed 4,118 Medicare Part D claims in 2023.
- 66.7/100
- MIPS score · -16 vs avg
- 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.
Sivakoti Guda, 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
67 7th percentile higher than 7% 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 Sivakoti Guda, M.D sits
This provider among hospitalist physician peers
Across the 4,437 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sivakoti Guda, M.D writes more Part D claims than 96% of them and scores higher on MIPS quality than 4% - placing this provider in the high-volume, lower-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 hospitalist physician peer from a representative sample of 60; the gold marker is Sivakoti Guda, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sivakoti Guda, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 5 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 Sivakoti Guda, M.D?
Below national averagePrimary specialty
Hospitalist Physician
Medicare Part D claims
4,118 364% vs specialty avg
MIPS final score
66.7/100 16.4 pts vs avg
Specialty distribution in New Jersey
How Hospitalist Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Sivakoti Guda, M.D's 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 66.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospitalist Physician) - 66.7/100 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).
Sivakoti Guda, M.D appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D credentials at 1600 HADDON AVE FL 6, Camden, NJ, 08103, with a listed phone of (856) 757-3500. NPI 1013043520 was issued on 02/26/2007.
Medicare Part D records for calendar year 2023 show 4,118 prescription claims written by this provider, covering 285 Medicare beneficiaries and totaling roughly $273K in drug spend, split 15% brand-name and 84% generic by claim count, with an opioid prescribing rate of 2.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 66.7/100 for the 2023 performance year (Quality 88.9, Cost 70.3), compared with the national average of 83.1.
Hospitalist Physician is a mid-sized specialty nationwide, with 16,938 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
Provider Details
| NPI | 1013043520 |
|---|---|
| Specialty | Hospitalist Physician |
| Credentials | M.D |
| Gender | Male |
| NPI Issued | 02/26/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
66.6661
Final Score
Avg: 83.1
88.9058
Quality
70.3458
Cost
Reporting: Individual
Hospital and facility affiliations
Facilities where Sivakoti Guda, 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.
According to CMS billing records, Sivakoti Guda, M.D is affiliated with 5 Medicare-billing facilities across 3 states.
Calcasieu Cameron Hospital Medicine Group LLC
Alexandria, LA
Inhospital Physicians Corp
East Norriton, PA
Inhospital Physicians Michigan PLLC
Port Huron, MI
Temple Faculty Practice Plan Inc
Philadelphia, PA
Temple Physicians Inc
Philadelphia, PA
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
Sivakoti Guda, M.D - brand share 15.0%
Hospitalist Physician average
15% brand-name claims vs 84% generic, on 4,118 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.
4,118
Total Claims
$273K
Total Drug Cost
285
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,155
- Total Day Supply
- 98,848
- Brand vs Generic
- 15% brand / 84% generic
- Brand Drug Cost
- $177K
- Generic Drug Cost
- $93K
- Opioid Claims
- 81 (2.0% rate)
- Antibiotic Claims
- 89
Patient Demographics
- Average Patient Age
- 78.3 years
- Avg HCC Risk Score
- 2.96
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 32, 65-74: 74, 75-84: 84, 85+: 95
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sivakoti Guda, M.D prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
238 claims
- Metoprolol Succinate
Metoprolol Succinate
161 claims
- Levothyroxine Sodium
Levothyroxine Sodium
147 claims
- Amlodipine Besylate
Amlodipine Besylate
134 claims
- Tamsulosin Hcl
Tamsulosin Hcl
115 claims
- Furosemide
Furosemide
105 claims
- Pantoprazole Sodium 84
Pantoprazole Sodium
84 claims
- Eliquis 83
Eliquis
83 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 238 |
| Metoprolol Succinate | 161 |
| Levothyroxine Sodium | 147 |
| Amlodipine Besylate | 134 |
| Tamsulosin Hcl | 115 |
| Furosemide | 105 |
| Pantoprazole Sodium | 84 |
| Eliquis Apixaban | 83 |
| Simvastatin | 81 |
| Gabapentin | 79 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospitalist Physician Overview
How Sivakoti Guda, M.D fits within the Hospitalist Physician landscape nationally.
16,938
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider
Sivakoti Guda, M.D's 4,118 claims are above the specialty average of 888.
Nearby Hospitalist Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Guda.
Dr. Ahmed Abdelhalim
MD
Morristown, NJ
Dr. Mohammad Abdeljawad
MD
Voorhees, NJ
Dr. Aryan Abrahimi
DO
Camden, NJ
Dr. Devina Adalja
MD
Newton, NJ
Dr. Adedoyin Aderinto
DO
Pennington, NJ
Compare Hospitalist 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 Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospitalist 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 Sivakoti Guda, M.D's specialty? ▼
Sivakoti Guda, M.D specializes in Hospitalist Physician and practices in Camden, New Jersey. Credentials: M.D.
How much does Sivakoti Guda, M.D prescribe under Medicare Part D? ▼
In 2023, Sivakoti Guda, M.D wrote 4,118 Medicare Part D claims totaling $273K in drug costs for 285 beneficiaries.
What is Sivakoti Guda, M.D's Medicare quality score? ▼
Sivakoti Guda, M.D has a CMS MIPS Final Score of 66.7/100 (Quality: 88.9, Cost: 70.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sivakoti Guda, M.D located? ▼
Sivakoti Guda, M.D is located at 1600 HADDON AVE FL 6, Camden, NJ, 08103. Phone: (856) 757-3500.
What is Sivakoti Guda, M.D's NPI number? ▼
Sivakoti Guda, M.D's National Provider Identifier (NPI) is 1013043520, issued on 02/26/2007.
Does Sivakoti Guda, M.D prescribe more brand-name or generic drugs? ▼
Sivakoti Guda, M.D's prescribing is 15% brand-name and 84% generic drugs by claim count, with $177K in brand drug costs.
Does Sivakoti Guda, M.D prescribe opioids? ▼
Yes, Sivakoti Guda, M.D had 81 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Hospitalist Physician providers are there in the US? ▼
There are 16,938 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 Sivakoti Guda, M.D prescribe most often? ▼
Based on 2023 Medicare Part D data, Sivakoti Guda, M.D's most frequently prescribed drugs include Atorvastatin Calcium, Metoprolol Succinate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sivakoti Guda, M.D accept Medicare? ▼
Sivakoti Guda, M.D appears in CMS Medicare data with 4,118 Part D claims and 285 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sivakoti Guda, M.D's credentials? ▼
Sivakoti Guda, M.D's NPI is 1013043520 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.
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.