NPI registry status
Active
2026 NPPES data Gynecology Physician NPI 1043877301 MD
Verify on CMS → Surbhi Jain, MD
Gynecology Physician in Saint Louis, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,906 in Gynecology 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
38
Medicare Part D claims · 22 beneficiaries · Gynecology Physician avg: 295
MIPS score
81.6/100
▼ 2 pts below national avg 83.1 · Above neutral
Industry payments
$42.4
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Surbhi Jain, MD reported a CMS MIPS final score of 81.6/100 - below the 83.1 national average - and filed 38 Medicare Part D claims in 2023.
- 81.6/100
- MIPS score · -2 vs avg
- 38
- 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.
Surbhi Jain, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
82 36th percentile higher than 36% 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 Surbhi Jain, MD sits
This provider among gynecology physician peers
Across the 551 gynecology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Surbhi Jain, MD writes more Part D claims than 9% of them and scores higher on MIPS quality than 35% - placing this provider in the lower-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 gynecology physician peer from a representative sample of 60; the gold marker is Surbhi Jain, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Surbhi Jain, MD 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).
What does the federal data show about Surbhi Jain, MD?
Near national averagePrimary specialty
Gynecology Physician
Medicare Part D claims
38 87% vs specialty avg
MIPS final score
81.6/100 1.5 pts vs avg
Specialty distribution in Missouri
How Gynecology Physician compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Surbhi Jain, MD's 2023 MIPS final score plotted against the Gynecology Physician national average
- MIPS Final Score
- 81.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gynecology Physician) - 81.6/100 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).
Surbhi Jain, MD appears in the CMS NPPES registry as a Gynecology Physician provider holding MD credentials at 1031 BELLEVUE AVE STE 400, Saint Louis, MO, 63117, with a listed phone of (314) 977-7455. NPI 1043877301 was issued on 05/22/2019.
Medicare Part D records for calendar year 2023 show 38 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $890 in drug spend, with an opioid prescribing rate of 34.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.6/100 for the 2023 performance year (Quality 76.1, Cost 54.3), compared with the national average of 83.1.
Gynecology Physician is a narrow specialty nationwide, with 3,906 enrolled providers across 53 states and an average of 295 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 | 1043877301 |
|---|---|
| Specialty | Gynecology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 05/22/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.5711
Final Score
Avg: 83.1
76.0913
Quality
54.2831
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Surbhi Jain, 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.
Betty Jean Kerr Peoples Health Centers
Saint Louis, MO
Ssm Health Care Group
Saint Louis, MO
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 Surbhi Jain, MD. Source: openpaymentsdata.cms.gov.
Total received
$42
Largest payer
Organon Llc
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.
38
Total Claims
$890
Total Drug Cost
22
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 45
- Total Day Supply
- 658
- Generic Drug Cost
- $873
- Opioid Claims
- 13 (34.2% rate)
Patient Demographics
- Average Patient Age
- 64.2 years
- Avg HCC Risk Score
- 1.21
- Gender Split
- 100% female / 0% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Ibuprofen | 13 |
| Tramadol Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gynecology Physician Overview
How Surbhi Jain, MD fits within the Gynecology Physician landscape nationally.
3,906
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider
Surbhi Jain, MD's 38 claims are below the specialty average of 295.
Nearby Gynecology Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Jain.
Dr. Jack Adcock
DO
Joplin, MO
Dr. George Ahlering
MD
Chesterfield, MO
Dr. Lillian Alderman
M.D.
Liberty, MO
Dr. Scott Biest
MD
Saint Louis, MO
Dr. Barbara Bohon
MD
Kansas City, MO
Compare Gynecology 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 Missouri medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gynecology 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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Medical Specialties Explained
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Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
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Explore Missouri
Frequently Asked Questions
What is Surbhi Jain, MD's specialty? ▼
Surbhi Jain, MD specializes in Gynecology Physician and practices in Saint Louis, Missouri. Credentials: MD.
How much does Surbhi Jain, MD prescribe under Medicare Part D? ▼
In 2023, Surbhi Jain, MD wrote 38 Medicare Part D claims totaling $890 in drug costs for 22 beneficiaries.
What is Surbhi Jain, MD's Medicare quality score? ▼
Surbhi Jain, MD has a CMS MIPS Final Score of 81.6/100 (Quality: 76.1, Cost: 54.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Surbhi Jain, MD located? ▼
Surbhi Jain, MD is located at 1031 BELLEVUE AVE STE 400, Saint Louis, MO, 63117. Phone: (314) 977-7455.
What is Surbhi Jain, MD's NPI number? ▼
Surbhi Jain, MD's National Provider Identifier (NPI) is 1043877301, issued on 05/22/2019.
Does Surbhi Jain, MD prescribe opioids? ▼
Yes, Surbhi Jain, MD had 13 opioid claims in 2023 with an opioid prescribing rate of 34.2%.
How many Gynecology Physician providers are there in the US? ▼
There are 3,906 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does Surbhi Jain, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Surbhi Jain, MD's most frequently prescribed drugs include Ibuprofen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Surbhi Jain, MD accept Medicare? ▼
Surbhi Jain, MD appears in CMS Medicare data with 38 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Surbhi Jain, MD's credentials? ▼
Surbhi Jain, MD's NPI is 1043877301 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
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.