2026 NPPES data Dermatology Physician NPI 1467769760 MD
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SUMUL GANDHI, MD

Dermatology Physician in QUINCY, Illinois. 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
468
Medicare Part D claims · 279 beneficiaries · Dermatology Physician avg: 729

What the federal data shows

SUMUL GANDHI, MD filed 468 Medicare Part D claims in 2023 as a Dermatology Physician in QUINCY, Illinois.

468
Part D claims, 2023
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.

SUMUL GANDHI, MD's Medicare Part D volume vs every U.S. prescriber

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

468 Top 38% higher than 62% 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%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. 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)

SUMUL GANDHI, 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 SUMUL GANDHI, MD?

Quality data not reported

NPI registry status

Active

Issued 09/08/2010

NPI 1467769760

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

468 36% vs specialty avg

2023 prescription claims

Specialty avg: 729

Specialty distribution in Illinois

How Dermatology Physician compares to other specialties among Illinois providers

Illinois providers

Dermatology Physician share within Illinois

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Dermatology 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).

SUMUL GANDHI, MD appears in the CMS NPPES registry as a Dermatology Physician provider holding MD credentials at 1025 MAINE ST, QUINCY, IL, 62301, with a listed phone of (217) 222-6550. NPI 1467769760 was issued on 09/08/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GANDHI 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 468 prescription claims written by this provider, covering 279 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 29.7%. 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.

Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 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

1025 MAINE ST
QUINCY, IL 62301

Provider Details

NPI 1467769760
Specialty Dermatology Physician
Credentials MD
Gender Male
NPI Issued 09/08/2010

Hospital and facility affiliations

Facilities where SUMUL GANDHI, 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.

QUINCY PHYSICIANS AND SURGEONS CLINIC PLLC
QUINCY, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to SUMUL GANDHI, MD. To verify SUMUL GANDHI, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

468
Total Claims
$4K
Total Drug Cost
279
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
472
Total Day Supply
4,591
Generic Drug Cost
$4K
Opioid Claims
139 (29.7% rate)
Antibiotic Claims
290

Patient Demographics

Average Patient Age
75.8 years
Avg HCC Risk Score
1.12
Gender Split
45% female / 55% male

Top Prescribed Drugs (Medicare Part D)

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

What SUMUL GANDHI, 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
Cephalexin
219
Acetaminophen-Codeine
Acetaminophen With Codeine
132
Doxycycline Hyclate
35
Doxycycline Monohydrate
31
Valacyclovir
Valacyclovir Hcl
11

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

Dermatology Physician Overview

How SUMUL GANDHI, MD fits within the Dermatology Physician landscape nationally.

14,610
Dermatology Physician Providers in US
53
States with Dermatology Physician
729
Avg Claims per Provider

SUMUL GANDHI, MD's 468 claims are below the specialty average of 729.

Nearby Dermatology Physician Providers in Illinois

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

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

Frequently Asked Questions

What is SUMUL GANDHI, MD's specialty?
SUMUL GANDHI, MD specializes in Dermatology Physician and practices in QUINCY, Illinois. Credentials: MD.
How much does SUMUL GANDHI, MD prescribe under Medicare Part D?
In 2023, SUMUL GANDHI, MD wrote 468 Medicare Part D claims totaling $4K in drug costs for 279 beneficiaries.
Where is SUMUL GANDHI, MD located?
SUMUL GANDHI, MD is located at 1025 MAINE ST, QUINCY, IL, 62301. Phone: (217) 222-6550.
What is SUMUL GANDHI, MD's NPI number?
SUMUL GANDHI, MD's National Provider Identifier (NPI) is 1467769760, issued on 09/08/2010.
Does SUMUL GANDHI, MD prescribe opioids?
Yes, SUMUL GANDHI, MD had 139 opioid claims in 2023 with an opioid prescribing rate of 29.7%.
How many Dermatology Physician providers are there in the US?
There are 14,610 Dermatology Physician providers across 53 states in the US. The average Dermatology Physician provider writes 729 Medicare Part D claims per year.
What drugs does SUMUL GANDHI, MD prescribe most often?
Based on 2023 Medicare Part D data, SUMUL GANDHI, MD's most frequently prescribed drugs include Cephalexin, Acetaminophen-Codeine, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUMUL GANDHI, MD accept Medicare?
SUMUL GANDHI, MD appears in CMS Medicare data with 468 Part D claims and 279 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUMUL GANDHI, MD's credentials?
SUMUL GANDHI, MD's NPI is 1467769760 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