2026 NPPES data Internal Medicine Physician NPI 1235649948 MD
Verify on CMS →

VIPUL GIDWANI, MD

Internal Medicine Physician in DANVILLE, Pennsylvania. 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
626
Medicare Part D claims · 322 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
87.9895/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$147.82
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

VIPUL GIDWANI, MD reported a CMS MIPS final score of 87.9895/100 — above the 83.1 national average — and filed 626 Medicare Part D claims in 2023.

87.9895/100
MIPS score · +5 vs avg
626
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.

VIPUL GIDWANI, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

88 Top 46% higher than 54% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

VIPUL GIDWANI, 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 VIPUL GIDWANI, MD?

High performer (top quartile)

NPI registry status

Active

Issued 10/07/2017

NPI 1235649948

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

626 77% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

87.9895/100 4.889500000000012% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Internal Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Internal Medicine Physician share within Pennsylvania

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

Medicare quality performance — MIPS

VIPUL GIDWANI, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
87.9895/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 87.9895/100 vs national avg 83.1

0%100%National avg83%88%
MIPS final score (Internal Medicine Physician) — 87.9895/100 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).

VIPUL GIDWANI, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 100 N ACADEMY AVE, DANVILLE, PA, 17822, with a listed phone of (570) 214-9585. NPI 1235649948 was issued on 10/07/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GIDWANI 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 626 prescription claims written by this provider, covering 322 Medicare beneficiaries and totaling roughly $31K in drug spend. 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 87.9895/100 for the 2023 performance year (Quality 78.9229, Cost 67.7704), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

100 N ACADEMY AVE
DANVILLE, PA 17822

Provider Details

NPI 1235649948
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 10/07/2017

CMS Quality Score (MIPS)

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

87.9895
Final Score
Avg: 83.1
78.9229
Quality
67.7704
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where VIPUL GIDWANI, 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.

GEISINGER CLINIC
DANVILLE, PA
GEISINGER-HM JOINT VENTURE LLC
MUNCY, PA

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 VIPUL GIDWANI, MD. Source: openpaymentsdata.cms.gov.

Total received

$148

Largest payer

United Therapeutics Corporation

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to VIPUL GIDWANI, MD. To verify VIPUL GIDWANI, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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.

626
Total Claims
$31K
Total Drug Cost
322
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
640
Total Day Supply
9,993
Generic Drug Cost
$5K
Antibiotic Claims
227

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.92
Gender Split
62% female / 38% male
Age Distribution
<65: 48, 65-74: 125, 75-84: 105, 85+: 44

Top Prescribed Drugs (Medicare Part D)

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

What VIPUL GIDWANI, 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
Prednisone
92
Doxycycline Hyclate
71
Cefdinir
58
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
29
Cephalexin
27
Amlodipine Besylate
23
Eliquis
Apixaban
21
Furosemide
21
Atorvastatin Calcium
17
Metoprolol Succinate
17

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

Internal Medicine Physician Overview

How VIPUL GIDWANI, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

VIPUL GIDWANI, MD's 626 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Pennsylvania

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is VIPUL GIDWANI, MD's specialty?
VIPUL GIDWANI, MD specializes in Internal Medicine Physician and practices in DANVILLE, Pennsylvania. Credentials: MD.
How much does VIPUL GIDWANI, MD prescribe under Medicare Part D?
In 2023, VIPUL GIDWANI, MD wrote 626 Medicare Part D claims totaling $31K in drug costs for 322 beneficiaries.
What is VIPUL GIDWANI, MD's Medicare quality score?
VIPUL GIDWANI, MD has a CMS MIPS Final Score of 87.9895/100 (Quality: 78.9229, Cost: 67.7704). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VIPUL GIDWANI, MD located?
VIPUL GIDWANI, MD is located at 100 N ACADEMY AVE, DANVILLE, PA, 17822. Phone: (570) 214-9585.
What is VIPUL GIDWANI, MD's NPI number?
VIPUL GIDWANI, MD's National Provider Identifier (NPI) is 1235649948, issued on 10/07/2017.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does VIPUL GIDWANI, MD prescribe most often?
Based on 2023 Medicare Part D data, VIPUL GIDWANI, MD's most frequently prescribed drugs include Prednisone, Doxycycline Hyclate, Cefdinir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VIPUL GIDWANI, MD accept Medicare?
VIPUL GIDWANI, MD appears in CMS Medicare data with 626 Part D claims and 322 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VIPUL GIDWANI, MD's credentials?
VIPUL GIDWANI, MD's NPI is 1235649948 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