2026 NPPES data Adolescent Medicine (Internal Medicine) Physician NPI 1811077969 MD
Verify on CMS →

SUDHIR GUPTA, MD

Adolescent Medicine (Internal Medicine) Physician in IRVINE, California. 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
130
Medicare Part D claims · 17 beneficiaries · Adolescent Medicine (Internal Medicine) Physician avg: 3K
Generic prescribing
8%
generic claims · 92% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$3.5K
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SUDHIR GUPTA, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 130 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
130
Part D claims, 2023
8%
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.

SUDHIR GUPTA, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

SUDHIR GUPTA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 SUDHIR GUPTA, MD?

High performer (top quartile)

NPI registry status

Active

Issued 10/16/2006

NPI 1811077969

Primary specialty

Adolescent Medicine (Internal Medicine) Physician

Rare

377 US NPIs in this specialty

Medicare Part D claims

130 96% vs specialty avg

2023 prescription claims

Specialty avg: 3,242

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Adolescent Medicine (Internal Medicine) Physician compares to other specialties among California providers

California providers

Adolescent Medicine (Internal Medicine) Physician share within California

1. Adolescent Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adolescent Medicine (Internal Medicine) Physician share within California

Medicare quality performance — MIPS

SUDHIR GUPTA, MD's 2023 MIPS final score plotted against the Adolescent Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adolescent Medicine (Internal Medicine) Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Adolescent Medicine (Internal Medicine) Physician) — 100/100 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).

SUDHIR GUPTA, MD appears in the CMS NPPES registry as a Adolescent Medicine (Internal Medicine) Physician provider holding MD credentials at 1 MEDICAL PLAZA DRIVE, IRVINE, CA, 92697, with a listed phone of (949) 824-8600. NPI 1811077969 was issued on 10/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUPTA 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 130 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $259K in drug spend, split 92% brand-name and 8% generic by claim count. 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 100/100 for the 2023 performance year (Quality 82.4039), compared with the national average of 83.1.

Adolescent Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 377 enrolled providers across 46 states and an average of 3,242 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

1 MEDICAL PLAZA DRIVE
IRVINE, CA 92697

Provider Details

NPI 1811077969
Specialty Adolescent Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 10/16/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
82.4039
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 SUDHIR GUPTA, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.5K

Largest payer

Takeda Pharmaceuticals U.S.A., 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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to SUDHIR GUPTA, MD. To verify SUDHIR GUPTA, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

SUDHIR GUPTA, MD — brand share 92.0%
Specialty average (est.)

92% brand-name claims vs 8% generic, on 130 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.

130
Total Claims
$259K
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
135
Total Day Supply
3,336
Brand vs Generic
92% brand / 8% generic
Brand Drug Cost
$258K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
69.0 years
Avg HCC Risk Score
1.81

Top Prescribed Drugs (Medicare Part D)

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

What SUDHIR GUPTA, 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
Gamunex-C
Immune Globul G/Gly/Iga Avg 46
55
Gammagard Liquid
Immun Glob G(Igg)/Gly/Iga Ov50
26
Sodium Chloride
0.9 % Sodium Chloride
20
Hizentra
Immun Glob G(Igg)/Pro/Iga 0-50
12

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

Adolescent Medicine (Internal Medicine) Physician Overview

How SUDHIR GUPTA, MD fits within the Adolescent Medicine (Internal Medicine) Physician landscape nationally.

377
Adolescent Medicine (Internal Medicine) Physician Providers in US
46
States with Adolescent Medicine (Internal Medicine) Physician
3,242
Avg Claims per Provider

SUDHIR GUPTA, MD's 130 claims are below the specialty average of 3,242.

Nearby Adolescent Medicine (Internal Medicine) Physician Providers in California

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

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

Frequently Asked Questions

What is SUDHIR GUPTA, MD's specialty?
SUDHIR GUPTA, MD specializes in Adolescent Medicine (Internal Medicine) Physician and practices in IRVINE, California. Credentials: MD.
How much does SUDHIR GUPTA, MD prescribe under Medicare Part D?
In 2023, SUDHIR GUPTA, MD wrote 130 Medicare Part D claims totaling $259K in drug costs for 17 beneficiaries.
What is SUDHIR GUPTA, MD's Medicare quality score?
SUDHIR GUPTA, MD has a CMS MIPS Final Score of 100/100 (Quality: 82.4039). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SUDHIR GUPTA, MD located?
SUDHIR GUPTA, MD is located at 1 MEDICAL PLAZA DRIVE, IRVINE, CA, 92697. Phone: (949) 824-8600.
What is SUDHIR GUPTA, MD's NPI number?
SUDHIR GUPTA, MD's National Provider Identifier (NPI) is 1811077969, issued on 10/16/2006.
Does SUDHIR GUPTA, MD prescribe more brand-name or generic drugs?
SUDHIR GUPTA, MD's prescribing is 92% brand-name and 8% generic drugs by claim count, with $258K in brand drug costs.
How many Adolescent Medicine (Internal Medicine) Physician providers are there in the US?
There are 377 Adolescent Medicine (Internal Medicine) Physician providers across 46 states in the US. The average Adolescent Medicine (Internal Medicine) Physician provider writes 3,242 Medicare Part D claims per year.
What drugs does SUDHIR GUPTA, MD prescribe most often?
Based on 2023 Medicare Part D data, SUDHIR GUPTA, MD's most frequently prescribed drugs include Gamunex-C, Gammagard Liquid, Sodium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUDHIR GUPTA, MD accept Medicare?
SUDHIR GUPTA, MD appears in CMS Medicare data with 130 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUDHIR GUPTA, MD's credentials?
SUDHIR GUPTA, MD's NPI is 1811077969 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.
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