NPI registry status
Active
2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1093160202 M.D.
Verify on CMS → Aditya Joshi, M.D.
Advanced Heart Failure and Transplant Cardiology Physician in Rochester, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 520 in Advanced Heart Failure and Transplant Cardiology 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
76
Medicare Part D claims · 19 beneficiaries · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
MIPS score
90.2/100
▲ 7 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Aditya Joshi, M.D. reported a CMS MIPS final score of 90.2/100 - above the 83.1 national average - and filed 76 Medicare Part D claims in 2023.
- 90.2/100
- MIPS score · +7 vs avg
- 76
- 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.
Aditya Joshi, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 40% higher than 60% 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 Aditya Joshi, M.D. sits
This provider among advanced heart failure and transplant cardiology physician peers
Across the 212 advanced heart failure and transplant cardiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Aditya Joshi, M.D. writes more Part D claims than 4% of them and scores higher on MIPS quality than 52% - placing this provider in the lower-volume, high-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 advanced heart failure and transplant cardiology physician peer from a representative sample of 60; the gold marker is Aditya Joshi, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Aditya Joshi, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Aditya Joshi, M.D.?
High performer (top quartile)Primary specialty
Advanced Heart Failure and Transplant Cardiology Physician
Medicare Part D claims
76 96% vs specialty avg
MIPS final score
90.2/100 7.1 pts vs avg
Specialty distribution in New York
How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Aditya Joshi, M.D.'s 2023 MIPS final score plotted against the Advanced Heart Failure and Transplant Cardiology Physician national average
- MIPS Final Score
- 90.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) - 90.2/100 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).
Aditya Joshi, M.D. appears in the CMS NPPES registry as an Advanced Heart Failure and Transplant Cardiology Physician provider holding M.D. credentials at 601 ELMWOOD AVE, Rochester, NY, 14642, with a listed phone of (585) 275-4751. NPI 1093160202 was issued on 04/26/2016.
Medicare Part D records for calendar year 2023 show 76 prescription claims written by this provider, covering 19 Medicare beneficiaries and totaling roughly $9K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.2/100 for the 2023 performance year (Quality 74.7, Cost 70.3), compared with the national average of 83.1.
Advanced Heart Failure and Transplant Cardiology Physician is a narrow specialty nationwide, with 520 enrolled providers across 48 states and an average of 1,762 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 | 1093160202 |
|---|---|
| Specialty | Advanced Heart Failure and Transplant Cardiology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/26/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.2334
Final Score
Avg: 83.1
74.688
Quality
70.2532
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Aditya Joshi, M.D. 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.
Cardiology Clinical Group
Rochester, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Aditya Joshi, M.D.. To verify Aditya Joshi, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York 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.
76
Total Claims
$9K
Total Drug Cost
19
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 178
- Total Day Supply
- 5,350
- Generic Drug Cost
- $2K
Patient Demographics
- Average Patient Age
- 67.4 years
- Avg HCC Risk Score
- 2.50
More Advanced Heart Failure and Transplant Cardiology Physician in NY →
All providers in New York →
Compare specialties →
Advanced Heart Failure and Transplant Cardiology Physician Overview
How Aditya Joshi, M.D. fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.
520
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,762
Avg Claims per Provider
Aditya Joshi, M.D.'s 76 claims are below the specialty average of 1,762.
Nearby Advanced Heart Failure and Transplant Cardiology Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Joshi.
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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Advanced Heart Failure and Transplant Cardiology 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 Aditya Joshi, M.D.'s specialty? ▼
Aditya Joshi, M.D. specializes in Advanced Heart Failure and Transplant Cardiology Physician and practices in Rochester, New York. Credentials: M.D..
How much does Aditya Joshi, M.D. prescribe under Medicare Part D? ▼
In 2023, Aditya Joshi, M.D. wrote 76 Medicare Part D claims totaling $9K in drug costs for 19 beneficiaries.
What is Aditya Joshi, M.D.'s Medicare quality score? ▼
Aditya Joshi, M.D. has a CMS MIPS Final Score of 90.2/100 (Quality: 74.7, Cost: 70.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Aditya Joshi, M.D. located? ▼
Aditya Joshi, M.D. is located at 601 ELMWOOD AVE, Rochester, NY, 14642. Phone: (585) 275-4751.
What is Aditya Joshi, M.D.'s NPI number? ▼
Aditya Joshi, M.D.'s National Provider Identifier (NPI) is 1093160202, issued on 04/26/2016.
How many Advanced Heart Failure and Transplant Cardiology Physician providers are there in the US? ▼
There are 520 Advanced Heart Failure and Transplant Cardiology Physician providers across 48 states in the US. The average Advanced Heart Failure and Transplant Cardiology Physician provider writes 1,762 Medicare Part D claims per year.
Does Aditya Joshi, M.D. accept Medicare? ▼
Aditya Joshi, M.D. appears in CMS Medicare data with 76 Part D claims and 19 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Aditya Joshi, M.D.'s credentials? ▼
Aditya Joshi, M.D.'s NPI is 1093160202 with credentials M.D.. 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.