NPI registry status
Active
2026 NPPES data Pediatric Gastroenterology Physician NPI 1174624845 MD
Verify on CMS → Ajay Bhargava, MD
Pediatric Gastroenterology Physician in Lawton, Oklahoma.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,644 in Pediatric 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
1K
Medicare Part D claims · 168 beneficiaries · Pediatric Gastroenterology Physician avg: 67
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.3/100
▼ 9 pts below national avg 83.5 · Mid-tier
Industry payments
$129.01
7 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Ajay Bhargava, MD reported a CMS MIPS final score of 74.3/100 - below the 83.5 national average - and filed 1,152 Medicare Part D claims in 2024.
- 74.3/100
- MIPS score · -9 vs avg
- 1K
- Part D claims, 2024
- 90%
- 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.
Federal trust snapshot
What official records show about Ajay Bhargava, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1174624845), first enumerated 09/26/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,152 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 74.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Industry payment transparency
$129.01 in reported industry payments (7 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
Compare Bhargava with other Pediatric Gastroenterology Physician providers
Same primary specialty, same federal CMS NPPES roster.
Also enrolled in Oklahoma
- Dr. Muhammad Altaf, M.D. Oklahoma City, OK
- Dr. Issam El Halabi, M.D. Tulsa, OK
- Dr. Camilla Fraga-Lovejoy, MD Oklahoma City, OK
- Dr. John Grunow, MD Oklahoma City, OK
- Dr. Rohit Josyabhatla, MD Tulsa, OK
- Dr. Sindhura Kasturi, MD Tulsa, OK
Other specialties in Lawton: Case Manager/Care Coordinator (300) · Peer Specialist (224) · Mental Health Counselor (136) · Registered Nurse (114)
CMS NPPES provider registry desk
NPI 1174624845 · Pediatric Gastroenterology Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-BELOW · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1174624845
- ENUM-LEGACY 2006
- TAX-NARROW 1,644
- MIPS-BELOW 74.3/100
- RX-MID 1,152
- BOOK-THIN 12 in Oklahoma
- PHOTO-FINISH Wikrom Karnsakul, M.D. · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Bhargava · this …
Bhargava · this provider
74.3 MIPS pts
- Wikrom Karnsakul…
Wikrom Karnsakul, M.D.
74.4 MIPS pts
- Ann Scheimann, M…
Ann Scheimann, M.D.
74.4 MIPS pts
- Katherine Cheng,…
Katherine Cheng, M.D.
74.5 MIPS pts
- Bradley Barth, M…
Bradley Barth, MD
74.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Ajay Bhargava, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
74 ≥ 13th percentile 13% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Ajay Bhargava, MD sits
This provider among pediatric gastroenterology physician peers
Across the 36 pediatric gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ajay Bhargava, MD writes more Part D claims than 97% of them and scores higher on MIPS quality than 11% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one pediatric gastroenterology physician peer from a representative sample of 35; the gold marker is Ajay Bhargava, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ajay Bhargava, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Ajay Bhargava, MD?
Below national averagePrimary specialty
Pediatric Gastroenterology Physician
Medicare Part D claims
1,152 17× vs specialty avg
MIPS final score
74.3/100 9.2 pts vs avg
Specialty distribution in Oklahoma
How Pediatric Gastroenterology Physician compares to other specialties among Oklahoma providers
Medicare quality performance, MIPS
Ajay Bhargava, MD's 2023 MIPS final score plotted against the Pediatric Gastroenterology Physician national average
- MIPS Final Score
- 74.3/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1174624845 |
|---|---|
| Specialty | Pediatric Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/26/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
74.2592
Final Score
Measured-score avg: 83.5
70.5532
Quality
48.859
Cost
Reporting: Individual
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 Ajay Bhargava, MD. Source: openpaymentsdata.cms.gov.
Total received
$129
Largest payer
Gilead Sciences, Inc.
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.
Brand vs generic prescribing mix · Typical
Ajay Bhargava, MD - brand share 10.0%
Pediatric Gastroenterology Physician average
10% brand-name claims vs 90% generic, on 1,152 2024 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 2024.
1,152
Total Claims
$152K
Total Drug Cost
168
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,821.767
- Total Day Supply
- 49,555
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $123K
- Generic Drug Cost
- $28K
- Opioid Claims
- 36 (3.1% rate)
- Antibiotic Claims
- 74
Patient Demographics
- Average Patient Age
- 67.0 years
- Avg HCC Risk Score
- 1.34
- Gender Split
- 71% female / 29% male
- Age Distribution
- <65: 57, 65-74: 67, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Ajay Bhargava, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Lansoprazole
Lansoprazole
56 claims
- Famotidine
Famotidine
48 claims
- Constulose
Constulose
37 claims
- Esomeprazole Magne…
Esomeprazole Magnesium
36 claims
- Omeprazole
Omeprazole
36 claims
- Lactulose
Lactulose
35 claims
- Sucralfate
Sucralfate
32 claims
- Linzess
Linzess
27 claims
| Drug | Claims |
|---|---|
| Lansoprazole | 56 |
| Famotidine | 48 |
| Constulose Lactulose | 37 |
| Esomeprazole Magnesium | 36 |
| Omeprazole | 36 |
| Lactulose | 35 |
| Sucralfate | 32 |
| Linzess Linaclotide | 27 |
| Misoprostol | 27 |
| Metoclopramide Hcl | 26 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Gastroenterology Physician Overview
How Ajay Bhargava, MD fits within the Pediatric Gastroenterology Physician landscape nationally.
1,644
Pediatric Gastroenterology Physician Providers in US
51
States with Pediatric Gastroenterology Physician
67
Avg Claims per Provider
Ajay Bhargava, MD's 1,152 claims are above the specialty average of 67.
Nationwide Pediatric Gastroenterology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Bhargava, both outside Oklahoma so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (74.3 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pediatric Gastroenterology Physician Providers in Oklahoma
Other clinicians with the same primary specialty enrolled in Oklahoma, drawn from the same CMS NPPES roster as Bhargava.
One of 12 Pediatric Gastroenterology Physician providers enrolled in Oklahoma, 11 are shown on this page.
Dr. Candaca Marshall
MD
Oklahoma City, OK
Dr. Michael Morris
MD
Oklahoma City, OK
Dr. Prakash Poudel Jaishi
MD
Oklahoma City, OK
Dr. Marilyn Steele
MD
Oklahoma City, OK
Dr. Abhishek Watts
M.D.
Oklahoma City, OK
Compare Pediatric Gastroenterology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Ajay Bhargava, MD's specialty? ▼
Ajay Bhargava, MD specializes in Pediatric Gastroenterology Physician and practices in Lawton, Oklahoma. Credentials: MD.
How much does Ajay Bhargava, MD prescribe under Medicare Part D? ▼
In 2024, Ajay Bhargava, MD wrote 1,152 Medicare Part D claims totaling $152K in drug costs for 168 beneficiaries.
What is Ajay Bhargava, MD's Medicare quality score? ▼
Ajay Bhargava, MD has a CMS MIPS Final Score of 74.3/100 (Quality: 70.6, Cost: 48.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ajay Bhargava, MD located? ▼
Ajay Bhargava, MD is located at 4302 SW LEE BLVD, Lawton, OK, 73505. Phone: (580) 357-0058.
What is Ajay Bhargava, MD's NPI number? ▼
Ajay Bhargava, MD's National Provider Identifier (NPI) is 1174624845, issued on 09/26/2006.
Does Ajay Bhargava, MD prescribe more brand-name or generic drugs? ▼
Ajay Bhargava, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $123K in brand drug costs.
Does Ajay Bhargava, MD prescribe opioids? ▼
Yes, Ajay Bhargava, MD had 36 opioid claims in 2024 with an opioid prescribing rate of 3.1%.
How many Pediatric Gastroenterology Physician providers are there in the US? ▼
There are 1,644 Pediatric Gastroenterology Physician providers across 51 states in the US. The average Pediatric Gastroenterology Physician provider writes 67 Medicare Part D claims per year.
What drugs does Ajay Bhargava, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Ajay Bhargava, MD's most frequently prescribed drugs include Lansoprazole, Famotidine, Constulose. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ajay Bhargava, MD accept Medicare? ▼
Ajay Bhargava, MD appears in CMS Medicare data with 1,152 Part D claims and 168 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ajay Bhargava, MD's credentials? ▼
Ajay Bhargava, MD's NPI is 1174624845 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.