2026 NPPES data Hospitalist Physician NPI 1942863436 M.D.
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SUBARNA GAUTAM, M.D.

Hospitalist Physician in KERNERSVILLE, North Carolina. 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
250
Medicare Part D claims · 123 beneficiaries · Hospitalist Physician avg: 888
MIPS score
77.5068/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$105.45
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SUBARNA GAUTAM, M.D. is a Hospitalist Physician ([object Object]) practicing in KERNERSVILLE, North Carolina with a Medicare Part D prescribing footprint of 250 claims across 123 beneficiaries . Their CMS MIPS Final Score of 77.5068/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $105.45 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SUBARNA GAUTAM, M.D. reported a CMS MIPS final score of 77.5068 out of 100, below the 83.1 national average, and filed 250 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SUBARNA GAUTAM, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SUBARNA GAUTAM, M.D. at a glance

Below national average

NPI registry status

Active

Issued 04/19/2019

NPI 1942863436

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

250 72% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

77.5068/100 5.593199999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Hospitalist Physician compares to other specialties among North Carolina providers

North Carolina providers

Hospitalist Physician share within North Carolina

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within North Carolina

Medicare quality performance — MIPS

SUBARNA GAUTAM, M.D.'s 2023 MIPS final score plotted against the Hospitalist Physician national average

Below national average
MIPS Final Score
77.5068/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 77.5068/100 vs national avg 83.1

0%100%National avg83%77.5%
MIPS final score (Hospitalist Physician) — 77.5068/100 vs national avg 83.1

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).

SUBARNA GAUTAM, M.D. is a Hospitalist Physician provider practicing in KERNERSVILLE, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1942863436. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SUBARNA GAUTAM, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 1750 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC, 27284, with a listed phone of (336) 564-4866. NPI 1942863436 was issued on 04/19/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAUTAM 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 250 prescription claims written by this provider, covering 123 Medicare beneficiaries and totaling roughly $20K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.5068/100 for the 2023 performance year (Quality 68.6144, Cost 56.4081), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 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

1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284

Provider Details

NPI 1942863436
Specialty Hospitalist Physician
Credentials M.D.
Gender Male
NPI Issued 04/19/2019

CMS Quality Score (MIPS)

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

77.5068
Final Score
Avg: 83.1
68.6144
Quality
56.4081
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SUBARNA GAUTAM, 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.

NOVANT HEALTH MEDICAL GROUP, LLC
WINSTON SALEM, NC
UNIVERSITY OF PITTSBURGH PHYSICIANS
NEW CASTLE, 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).

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 SUBARNA GAUTAM, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$105

Largest payer

Janssen Pharmaceuticals, Inc

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

250
Total Claims
$20K
Total Drug Cost
123
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
265
Total Day Supply
5,416
Generic Drug Cost
$2K
Antibiotic Claims
40

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
2.42
Gender Split
50% female / 50% male
Age Distribution
<65: 18, 65-74: 44, 75-84: 39, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
17
Furosemide
16
Pantoprazole Sodium
15

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

Hospitalist Physician Overview

How SUBARNA GAUTAM, M.D. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

SUBARNA GAUTAM, M.D.'s 250 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as GAUTAM.

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUBARNA GAUTAM, M.D.'s specialty?
SUBARNA GAUTAM, M.D. specializes in Hospitalist Physician and practices in KERNERSVILLE, North Carolina. Credentials: M.D..
How much does SUBARNA GAUTAM, M.D. prescribe under Medicare Part D?
In 2023, SUBARNA GAUTAM, M.D. wrote 250 Medicare Part D claims totaling $20K in drug costs for 123 beneficiaries.
What is SUBARNA GAUTAM, M.D.'s Medicare quality score?
SUBARNA GAUTAM, M.D. has a CMS MIPS Final Score of 77.5068/100 (Quality: 68.6144, Cost: 56.4081). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SUBARNA GAUTAM, M.D. located?
SUBARNA GAUTAM, M.D. is located at 1750 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC, 27284. Phone: (336) 564-4866.
What is SUBARNA GAUTAM, M.D.'s NPI number?
SUBARNA GAUTAM, M.D.'s National Provider Identifier (NPI) is 1942863436, issued on 04/19/2019.
How many Hospitalist Physician providers are there in the US?
There are 16,825 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 SUBARNA GAUTAM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SUBARNA GAUTAM, M.D.'s most frequently prescribed drugs include Prednisone, Furosemide, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUBARNA GAUTAM, M.D. accept Medicare?
SUBARNA GAUTAM, M.D. appears in CMS Medicare data with 250 Part D claims and 123 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUBARNA GAUTAM, M.D.'s credentials?
SUBARNA GAUTAM, M.D.'s NPI is 1942863436 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

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