2026 NPPES data Gynecology Physician NPI 1043877301 MD
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SURBHI JAIN, MD

Gynecology Physician in SAINT LOUIS, Missouri. 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
38
Medicare Part D claims · 22 beneficiaries · Gynecology Physician avg: 295
MIPS score
81.5711/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$42.4
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SURBHI JAIN, MD is a Gynecology Physician ([object Object]) practicing in SAINT LOUIS, Missouri with a Medicare Part D prescribing footprint of 38 claims across 22 beneficiaries . Their CMS MIPS Final Score of 81.5711/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $42.4 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SURBHI JAIN, MD reported a CMS MIPS final score of 81.5711 out of 100, below the 83.1 national average, and filed 38 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)

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).

SURBHI JAIN, MD at a glance

Near national average

NPI registry status

Active

Issued 05/22/2019

NPI 1043877301

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

38 87% vs specialty avg

2023 prescription claims

Specialty avg: 295

MIPS final score

81.5711/100 1.528899999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Gynecology Physician compares to other specialties among Missouri providers

Missouri providers

Gynecology Physician share within Missouri

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

Medicare quality performance — MIPS

SURBHI JAIN, MD's 2023 MIPS final score plotted against the Gynecology Physician national average

Near national average
MIPS Final Score
81.5711/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecology Physician) — 81.5711/100 vs national avg 83.1

0%100%National avg83%81.6%
MIPS final score (Gynecology Physician) — 81.5711/100 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).

SURBHI JAIN, MD is a Gynecology Physician provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1043877301. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JAIN 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 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%. 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 81.5711/100 for the 2023 performance year (Quality 76.0913, Cost 54.2831), compared with the national average of 83.1.

Gynecology Physician is a narrow specialty nationwide, with 3,902 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

1031 BELLEVUE AVE STE 400
SAINT LOUIS, MO 63117

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.

3,902
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.

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

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 81.5711/100 (Quality: 76.0913, Cost: 54.2831). 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 3,902 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

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