2026 NPPES data Pediatric Gastroenterology Physician NPI 1174624845 MD
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AJAY BHARGAVA, MD

Pediatric Gastroenterology Physician in LAWTON, Oklahoma. 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
2K
Medicare Part D claims · 214 beneficiaries · Pediatric Gastroenterology Physician avg: 69
MIPS score
74.2592/100
▼ 9 pts below national avg 83.1 · [object Object]
Industry payments
$129.01
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

AJAY BHARGAVA, MD reported a CMS MIPS final score of 74.2592/100 — below the 83.1 national average — and filed 1,886 Medicare Part D claims in 2023.

74.2592/100
MIPS score · -9 vs avg
2K
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.

AJAY BHARGAVA, MD's MIPS score vs every scored U.S. clinician

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

74 12th percentile higher than 12% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

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 average

NPI registry status

Active

Issued 09/26/2006

NPI 1174624845

Primary specialty

Pediatric Gastroenterology Physician

Niche

1,587 US NPIs in this specialty

Medicare Part D claims

1,886 2633% vs specialty avg

2023 prescription claims

Specialty avg: 69

MIPS final score

74.2592/100 8.840799999999987% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Oklahoma

How Pediatric Gastroenterology Physician compares to other specialties among Oklahoma providers

Oklahoma providers

Pediatric Gastroenterology Physician share within Oklahoma

1. Pediatric Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Gastroenterology Physician share within Oklahoma

Medicare quality performance — MIPS

AJAY BHARGAVA, MD's 2023 MIPS final score plotted against the Pediatric Gastroenterology Physician national average

Below national average
MIPS Final Score
74.2592/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Gastroenterology Physician) — 74.2592/100 vs national avg 83.1

0%100%National avg83%74.3%
MIPS final score (Pediatric Gastroenterology Physician) — 74.2592/100 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).

AJAY BHARGAVA, MD appears in the CMS NPPES registry as a Pediatric Gastroenterology Physician provider holding MD credentials at 4302 SW LEE BLVD, LAWTON, OK, 73505, with a listed phone of (580) 357-0058. NPI 1174624845 was issued on 09/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BHARGAVA 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 1,886 prescription claims written by this provider, covering 214 Medicare beneficiaries and totaling roughly $201K in drug spend, with an opioid prescribing rate of 4.5%. 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 74.2592/100 for the 2023 performance year (Quality 70.5532, Cost 48.859), compared with the national average of 83.1.

Pediatric Gastroenterology Physician is a narrow specialty nationwide, with 1,587 enrolled providers across 50 states and an average of 69 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

4302 SW LEE BLVD
LAWTON, OK 73505

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
Avg: 83.1
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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,886
Total Claims
$201K
Total Drug Cost
214
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,726
Total Day Supply
73,559
Generic Drug Cost
$54K
Opioid Claims
85 (4.5% rate)
Antibiotic Claims
72

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
1.34
Gender Split
69% female / 31% male
Age Distribution
<65: 60, 65-74: 91, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What AJAY BHARGAVA, 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
Famotidine
105
Lansoprazole
70
Metoclopramide Hcl
57
Ondansetron Odt
Ondansetron
55
Constulose
Lactulose
52
Sucralfate
47
Tramadol Hcl
46
Levothyroxine Sodium
41
Colestipol Hcl
40
Omeprazole
40

* 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.

1,587
Pediatric Gastroenterology Physician Providers in US
50
States with Pediatric Gastroenterology Physician
69
Avg Claims per Provider

AJAY BHARGAVA, MD's 1,886 claims are above the specialty average of 69.

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.

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 2023, AJAY BHARGAVA, MD wrote 1,886 Medicare Part D claims totaling $201K in drug costs for 214 beneficiaries.
What is AJAY BHARGAVA, MD's Medicare quality score?
AJAY BHARGAVA, MD has a CMS MIPS Final Score of 74.2592/100 (Quality: 70.5532, Cost: 48.859). The national average MIPS Final Score is 83.1. 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 opioids?
Yes, AJAY BHARGAVA, MD had 85 opioid claims in 2023 with an opioid prescribing rate of 4.5%.
How many Pediatric Gastroenterology Physician providers are there in the US?
There are 1,587 Pediatric Gastroenterology Physician providers across 50 states in the US. The average Pediatric Gastroenterology Physician provider writes 69 Medicare Part D claims per year.
What drugs does AJAY BHARGAVA, MD prescribe most often?
Based on 2023 Medicare Part D data, AJAY BHARGAVA, MD's most frequently prescribed drugs include Famotidine, Lansoprazole, Metoclopramide Hcl. 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 1,886 Part D claims and 214 Medicare beneficiaries in 2023. 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

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