2026 NPPES data Radiation Oncology Physician NPI 1053686279 MD
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ADITYA HALTHORE, MD

Radiation Oncology Physician in WASHINGTON, District of Columbia. 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
90
Medicare Part D claims · 35 beneficiaries · Radiation Oncology Physician avg: 186
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.3962/100
▼ 9 pts below national avg 83.1 · [object Object]
What the federal data reveals: ADITYA HALTHORE, MD is a Radiation Oncology Physician ([object Object]) practicing in WASHINGTON, District of Columbia with a Medicare Part D prescribing footprint of 90 claims across 35 beneficiaries — 17% brand-name prescribing . Their CMS MIPS Final Score of 74.3962/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ADITYA HALTHORE, MD reported a CMS MIPS final score of 74.3962 out of 100, below the 83.1 national average, and filed 90 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)

ADITYA HALTHORE, 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).

ADITYA HALTHORE, MD at a glance

Below national average

NPI registry status

Active

Issued 03/21/2012

NPI 1053686279

Primary specialty

Radiation Oncology Physician

Mid-sized

6,018 US NPIs in this specialty

Medicare Part D claims

90 52% vs specialty avg

2023 prescription claims

Specialty avg: 186

MIPS final score

74.3962/100 8.703800000000001% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in District of Columbia

How Radiation Oncology Physician compares to other specialties among District of Columbia providers

District of Columbia providers

Radiation Oncology Physician share within District of Columbia

1. Radiation Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Radiation Oncology Physician share within District of Columbia

Medicare quality performance — MIPS

ADITYA HALTHORE, MD's 2023 MIPS final score plotted against the Radiation Oncology Physician national average

Below national average
MIPS Final Score
74.3962/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Radiation Oncology Physician) — 74.3962/100 vs national avg 83.1

0%100%National avg83%74.4%
MIPS final score (Radiation Oncology Physician) — 74.3962/100 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).

ADITYA HALTHORE, MD is a Radiation Oncology Physician provider practicing in WASHINGTON, District of Columbia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1053686279. 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.

ADITYA HALTHORE, MD appears in the CMS NPPES registry as a Radiation Oncology Physician provider holding MD credentials at 5255 LOUGHBORO RD NW, WASHINGTON, DC, 20016, with a listed phone of (202) 816-6254. NPI 1053686279 was issued on 03/21/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HALTHORE 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 90 prescription claims written by this provider, covering 35 Medicare beneficiaries and totaling roughly $25K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 12.2%. 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 74.3962/100 for the 2023 performance year (Quality 64.7185, Cost 52.4354), compared with the national average of 83.1.

Radiation Oncology Physician is a mid-sized specialty nationwide, with 6,018 enrolled providers across 52 states and an average of 186 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

5255 LOUGHBORO RD NW
WASHINGTON, DC 20016

Provider Details

NPI 1053686279
Specialty Radiation Oncology Physician
Credentials MD
Gender Male
NPI Issued 03/21/2012

CMS Quality Score (MIPS)

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

74.3962
Final Score
Avg: 83.1
64.7185
Quality
52.4354
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ADITYA HALTHORE, 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.

JOHNS HOPKINS UNIVERSITY
WASHINGTON, DC
JOHNS HOPKINS UNIVERSITY
BALTIMORE, MD

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

ADITYA HALTHORE, MD — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 90 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.

90
Total Claims
$25K
Total Drug Cost
35
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
110
Total Day Supply
2,467
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$24K
Generic Drug Cost
$2K
Opioid Claims
11 (12.2% rate)

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.71

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tamsulosin Hcl
26

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

Radiation Oncology Physician Overview

How ADITYA HALTHORE, MD fits within the Radiation Oncology Physician landscape nationally.

6,018
Radiation Oncology Physician Providers in US
52
States with Radiation Oncology Physician
186
Avg Claims per Provider

ADITYA HALTHORE, MD's 90 claims are below the specialty average of 186.

Nearby Radiation Oncology Physician Providers in District of Columbia

Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as HALTHORE.

Compare Radiation Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ADITYA HALTHORE, MD's specialty?
ADITYA HALTHORE, MD specializes in Radiation Oncology Physician and practices in WASHINGTON, District of Columbia. Credentials: MD.
How much does ADITYA HALTHORE, MD prescribe under Medicare Part D?
In 2023, ADITYA HALTHORE, MD wrote 90 Medicare Part D claims totaling $25K in drug costs for 35 beneficiaries.
What is ADITYA HALTHORE, MD's Medicare quality score?
ADITYA HALTHORE, MD has a CMS MIPS Final Score of 74.3962/100 (Quality: 64.7185, Cost: 52.4354). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ADITYA HALTHORE, MD located?
ADITYA HALTHORE, MD is located at 5255 LOUGHBORO RD NW, WASHINGTON, DC, 20016. Phone: (202) 816-6254.
What is ADITYA HALTHORE, MD's NPI number?
ADITYA HALTHORE, MD's National Provider Identifier (NPI) is 1053686279, issued on 03/21/2012.
Does ADITYA HALTHORE, MD prescribe more brand-name or generic drugs?
ADITYA HALTHORE, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $24K in brand drug costs.
Does ADITYA HALTHORE, MD prescribe opioids?
Yes, ADITYA HALTHORE, MD had 11 opioid claims in 2023 with an opioid prescribing rate of 12.2%.
How many Radiation Oncology Physician providers are there in the US?
There are 6,018 Radiation Oncology Physician providers across 52 states in the US. The average Radiation Oncology Physician provider writes 186 Medicare Part D claims per year.
What drugs does ADITYA HALTHORE, MD prescribe most often?
Based on 2023 Medicare Part D data, ADITYA HALTHORE, MD's most frequently prescribed drugs include Tamsulosin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ADITYA HALTHORE, MD accept Medicare?
ADITYA HALTHORE, MD appears in CMS Medicare data with 90 Part D claims and 35 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADITYA HALTHORE, MD's credentials?
ADITYA HALTHORE, MD's NPI is 1053686279 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