NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1902979750 MD
Verify on CMS → Venelin Kounev, MD
Gastroenterology Physician in Cudahy, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,601 in Gastroenterology 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
936
Medicare Part D claims · 558 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Venelin Kounev, MD filed 936 Medicare Part D claims in 2023 as a Gastroenterology Physician in Cudahy, Wisconsin, prescribing 80% generic.
- 936
- Part D claims, 2023
- 80%
- 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.
Venelin Kounev, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
936 Top 25% higher than 75% of 1,370,886 prescribers
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)
Venelin Kounev, 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 Venelin Kounev, MD?
Quality data not reportedPrimary specialty
Gastroenterology Physician
Medicare Part D claims
936 12% vs specialty avg
Specialty distribution in Wisconsin
How Gastroenterology Physician compares to other specialties among Wisconsin providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Gastroenterology Physician. Verify directly:
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).
Venelin Kounev, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 3501 E RAMSEY AVE, Cudahy, WI, 53110, with a listed phone of (262) 243-2500. NPI 1902979750 was issued on 11/16/2006.
Medicare Part D records for calendar year 2023 show 936 prescription claims written by this provider, covering 558 Medicare beneficiaries and totaling roughly $168K in drug spend, split 20% brand-name and 80% generic by claim count.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,601 enrolled providers across 54 states and an average of 833 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 | 1902979750 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 11/16/2006 |
Hospital and facility affiliations
Facilities where Venelin Kounev, 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.
Madison Medical Affiliates Inc
Cudahy, WI
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Venelin Kounev, MD - brand share 20.0%
Gastroenterology Physician average
20% brand-name claims vs 80% generic, on 936 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.
936
Total Claims
$168K
Total Drug Cost
558
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,313
- Total Day Supply
- 25,050
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $118K
- Generic Drug Cost
- $51K
Patient Demographics
- Average Patient Age
- 70.3 years
- Avg HCC Risk Score
- 1.13
- Gender Split
- 56% female / 44% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Venelin Kounev, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
158 claims
- Pantoprazole Sodium
Pantoprazole Sodium
106 claims
- Peg 3350-Electrolyte 31
Peg 3350-Electrolyte
31 claims
- Mesalamine 26
Mesalamine
26 claims
- Sucralfate 26
Sucralfate
26 claims
- Mesalamine Er 16
Mesalamine Er
16 claims
- Azathioprine 15
Azathioprine
15 claims
- Budesonide Dr 15
Budesonide Dr
15 claims
| Drug | Claims |
|---|---|
| Omeprazole | 158 |
| Pantoprazole Sodium | 106 |
| Peg 3350-Electrolyte Sodium Chloride/Nahco3/Kcl/Peg | 31 |
| Mesalamine | 26 |
| Sucralfate | 26 |
| Mesalamine Er Mesalamine | 16 |
| Azathioprine | 15 |
| Budesonide Dr Budesonide | 15 |
| Linzess Linaclotide | 12 |
| Lubiprostone | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Venelin Kounev, MD fits within the Gastroenterology Physician landscape nationally.
16,601
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Venelin Kounev, MD's 936 claims are above the specialty average of 833.
Nearby Gastroenterology Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Kounev.
Dr. Frank Aberger
MD
La Crosse, WI
Dr. Aboud Affi
M.D.
Milwaukee, WI
Dr. Banke Agarwal
MD
La Crosse, WI
Dr. Parul Agarwal
M.D.
Madison, WI
Dr. Dilpesh Agrawal
M.D, MRCP
Milwaukee, WI
Compare Gastroenterology 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 Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology 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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Frequently Asked Questions
What is Venelin Kounev, MD's specialty? ▼
Venelin Kounev, MD specializes in Gastroenterology Physician and practices in Cudahy, Wisconsin. Credentials: MD.
How much does Venelin Kounev, MD prescribe under Medicare Part D? ▼
In 2023, Venelin Kounev, MD wrote 936 Medicare Part D claims totaling $168K in drug costs for 558 beneficiaries.
Where is Venelin Kounev, MD located? ▼
Venelin Kounev, MD is located at 3501 E RAMSEY AVE, Cudahy, WI, 53110. Phone: (262) 243-2500.
What is Venelin Kounev, MD's NPI number? ▼
Venelin Kounev, MD's National Provider Identifier (NPI) is 1902979750, issued on 11/16/2006.
Does Venelin Kounev, MD prescribe more brand-name or generic drugs? ▼
Venelin Kounev, MD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $118K in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,601 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Venelin Kounev, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Venelin Kounev, MD's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Peg 3350-Electrolyte. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Venelin Kounev, MD accept Medicare? ▼
Venelin Kounev, MD appears in CMS Medicare data with 936 Part D claims and 558 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Venelin Kounev, MD's credentials? ▼
Venelin Kounev, MD's NPI is 1902979750 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.
- 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.