2026 NPPES data Nephrology Physician NPI 1124129580 M.D
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SUKHPAL GILL, M.D

Nephrology Physician in ARCADIA, 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
3K
Medicare Part D claims · 266 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
40.1923/100
▼ 43 pts below national avg 83.1 · [object Object]
Industry payments
$229.12
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SUKHPAL GILL, M.D is a Nephrology Physician ([object Object]) practicing in ARCADIA, California with a Medicare Part D prescribing footprint of 3K claims across 266 beneficiaries — 19% brand-name prescribing . Their CMS MIPS Final Score of 40.1923/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $229.12 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SUKHPAL GILL, M.D reported a CMS MIPS final score of 40.1923 out of 100, below the 83.1 national average, and filed 2,622 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)

SUKHPAL GILL, M.D 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).

SUKHPAL GILL, M.D at a glance

Below national average

NPI registry status

Active

Issued 09/26/2006

NPI 1124129580

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

2,622 80% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

40.1923/100 42.90769999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in California

How Nephrology Physician compares to other specialties among California providers

California providers

Nephrology Physician share within California

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

Medicare quality performance — MIPS

SUKHPAL GILL, M.D's 2023 MIPS final score plotted against the Nephrology Physician national average

Below national average
MIPS Final Score
40.1923/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 40.1923/100 vs national avg 83.1

0%100%National avg83%40.2%
MIPS final score (Nephrology Physician) — 40.1923/100 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).

SUKHPAL GILL, M.D is a Nephrology Physician provider practicing in ARCADIA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D. NPI: 1124129580. 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.

SUKHPAL GILL, M.D appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D credentials at 550 W DUARTE RD STE 4, ARCADIA, CA, 91007, with a listed phone of (626) 445-7500. NPI 1124129580 was issued on 09/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILL 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 2,622 prescription claims written by this provider, covering 266 Medicare beneficiaries and totaling roughly $552K in drug spend, split 19% brand-name and 81% generic by claim count, with an opioid prescribing rate of 0.5%. 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 40.1923/100 for the 2023 performance year (Quality 15, Cost 80.641), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

550 W DUARTE RD STE 4
ARCADIA, CA 91007

Provider Details

NPI 1124129580
Specialty Nephrology Physician
Credentials M.D
Gender Female
NPI Issued 09/26/2006

CMS Quality Score (MIPS)

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

40.1923
Final Score
Avg: 83.1
15
Quality
80.641
Cost

Reporting: Individual

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 SUKHPAL GILL, M.D. Source: openpaymentsdata.cms.gov.

Total received

$229

Largest payer

Bayer Healthcare 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.

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 SUKHPAL GILL, M.D. To verify SUKHPAL GILL, M.D'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 · Typical

SUKHPAL GILL, M.D — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 2,622 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.

2,622
Total Claims
$552K
Total Drug Cost
266
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,545
Total Day Supply
158,874
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$416K
Generic Drug Cost
$133K
Opioid Claims
14 (0.5% rate)
Antibiotic Claims
109

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
4.18
Gender Split
55% female / 45% male
Age Distribution
<65: 30, 65-74: 94, 75-84: 87, 85+: 55

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amlodipine Besylate
136
Furosemide
135
Prosol
Parenteral Amino Acid 20% No.1
108
Lisinopril
103
Atorvastatin Calcium
88
Carvedilol
85
Losartan Potassium
82
Hydralazine Hcl
77
Sevelamer Carbonate
64
Farxiga
Dapagliflozin Propanediol
63

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

Nephrology Physician Overview

How SUKHPAL GILL, M.D fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

SUKHPAL GILL, M.D's 2,622 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in California

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

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

Frequently Asked Questions

What is SUKHPAL GILL, M.D's specialty?
SUKHPAL GILL, M.D specializes in Nephrology Physician and practices in ARCADIA, California. Credentials: M.D.
How much does SUKHPAL GILL, M.D prescribe under Medicare Part D?
In 2023, SUKHPAL GILL, M.D wrote 2,622 Medicare Part D claims totaling $552K in drug costs for 266 beneficiaries.
What is SUKHPAL GILL, M.D's Medicare quality score?
SUKHPAL GILL, M.D has a CMS MIPS Final Score of 40.1923/100 (Quality: 15, Cost: 80.641). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SUKHPAL GILL, M.D located?
SUKHPAL GILL, M.D is located at 550 W DUARTE RD STE 4, ARCADIA, CA, 91007. Phone: (626) 445-7500.
What is SUKHPAL GILL, M.D's NPI number?
SUKHPAL GILL, M.D's National Provider Identifier (NPI) is 1124129580, issued on 09/26/2006.
Does SUKHPAL GILL, M.D prescribe more brand-name or generic drugs?
SUKHPAL GILL, M.D's prescribing is 19% brand-name and 81% generic drugs by claim count, with $416K in brand drug costs.
Does SUKHPAL GILL, M.D prescribe opioids?
Yes, SUKHPAL GILL, M.D had 14 opioid claims in 2023 with an opioid prescribing rate of 0.5%.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does SUKHPAL GILL, M.D prescribe most often?
Based on 2023 Medicare Part D data, SUKHPAL GILL, M.D's most frequently prescribed drugs include Amlodipine Besylate, Furosemide, Prosol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUKHPAL GILL, M.D accept Medicare?
SUKHPAL GILL, M.D appears in CMS Medicare data with 2,622 Part D claims and 266 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUKHPAL GILL, M.D's credentials?
SUKHPAL GILL, M.D's NPI is 1124129580 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