NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1477566248 M.D.
Verify on CMS → Ajay Pachika, M.D.
Internal Medicine Physician in Tyler, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine 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
6K
Medicare Part D claims · 818 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.6/100
▲ 14 pts above national avg 83.5 · Exceptional
Industry payments
$1.2K
55 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Ajay Pachika, M.D. reported a CMS MIPS final score of 97.6/100 - above the 83.5 national average - and filed 6,154 Medicare Part D claims in 2023.
- 97.6/100
- MIPS score · +14 vs avg
- 6K
- Part D claims, 2023
- 85%
- 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.
CMS NPPES provider registry desk
NPI 1477566248 · Internal Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ELITE · RX-MID · BOOK-MID · PHOTO-FINISH
- NPI-10 1477566248
- ENUM-LEGACY 2006
- TAX-MEGA 173K Internal Medicine
- MIPS-ELITE 97.6/100
- RX-MID 6,154
- BOOK-MID 10,926 in Texas
- PHOTO-FINISH Alexander Abramowicz · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Pachika · this p…
Pachika · this provider
97.6 MIPS pts
- Mohamed Ahmed · …
Mohamed Ahmed
97.6 MIPS pts
- Alexander Abramo…
Alexander Abramowicz
97.6 MIPS pts
- Raazia Aftab · n…
Raazia Aftab
97.6 MIPS pts
- Anika Ajaykumar …
Anika Ajaykumar Agarwal
97.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Ajay Pachika, M.D.'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.
98 ≥ 84th percentile 84% 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 Pachika, M.D. sits
This provider among internal medicine physician peers
Across the 34,612 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ajay Pachika, M.D. writes more Part D claims than 85% of them and scores higher on MIPS quality than 86% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Ajay Pachika, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ajay Pachika, M.D. 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 Ajay Pachika, M.D.?
High performer (top quartile)Primary specialty
Internal Medicine Physician
Medicare Part D claims
6,154 127% vs specialty avg
MIPS final score
97.6/100 14.1 pts vs avg
Specialty distribution in Texas
How Internal Medicine Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Ajay Pachika, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 97.6/100
- 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 | 1477566248 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 08/14/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.5814
Final Score
Measured-score avg: 83.5
86.5348
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Ajay Pachika, 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.
Etmc Physician Group, Inc.
Tyler, TX
Pittsburg Hospital LLC
Pittsburg, TX
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 Ajay Pachika, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.2K
Largest payer
Novartis Pharmaceuticals 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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Ajay Pachika, M.D.. To verify Ajay Pachika, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Ajay Pachika, M.D. - brand share 15.0%
Internal Medicine Physician average
15% brand-name claims vs 85% generic, on 6,154 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.
6,154
Total Claims
$877K
Total Drug Cost
818
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 14,122
- Total Day Supply
- 421,589
- Brand vs Generic
- 15% brand / 85% generic
- Brand Drug Cost
- $779K
- Generic Drug Cost
- $98K
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 1.84
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 109, 65-74: 404, 75-84: 231, 85+: 74
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Ajay Pachika, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Metoprolol Succinate
Metoprolol Succinate
642 claims
- Atorvastatin Calcium
Atorvastatin Calcium
492 claims
- Furosemide
Furosemide
385 claims
- Carvedilol
Carvedilol
354 claims
- Amlodipine Besylate
Amlodipine Besylate
338 claims
- Losartan Potassium
Losartan Potassium
321 claims
- Clopidogrel
Clopidogrel
309 claims
- Eliquis
Eliquis
270 claims
| Drug | Claims |
|---|---|
| Metoprolol Succinate | 642 |
| Atorvastatin Calcium | 492 |
| Furosemide | 385 |
| Carvedilol | 354 |
| Amlodipine Besylate | 338 |
| Losartan Potassium | 321 |
| Clopidogrel Clopidogrel Bisulfate | 309 |
| Eliquis Apixaban | 270 |
| Potassium Chloride | 245 |
| Hydrochlorothiazide | 231 |
* 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 Ajay Pachika, M.D. fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Ajay Pachika, M.D.'s 6,154 claims are above the specialty average of 2,716.
Nationwide Internal Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Pachika, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.6 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Internal Medicine Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Pachika.
One of 10,926 Internal Medicine Physician providers enrolled in Texas, 5 are shown here.
Dr. Muhammad A. Sattar
MD
Dallas, TX
Anunaya Aashish
Denton, TX
Dr. Queenie Ann Abad
M.D.
San Antonio, TX
Dr. Fuad Abaleka
M.D
Lubbock, TX
Dr. Carol Abalihi
M.D.
El Paso, TX
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Ajay Pachika, M.D.'s specialty? ▼
Ajay Pachika, M.D. specializes in Internal Medicine Physician and practices in Tyler, Texas. Credentials: M.D..
How much does Ajay Pachika, M.D. prescribe under Medicare Part D? ▼
In 2023, Ajay Pachika, M.D. wrote 6,154 Medicare Part D claims totaling $877K in drug costs for 818 beneficiaries.
What is Ajay Pachika, M.D.'s Medicare quality score? ▼
Ajay Pachika, M.D. has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). 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 Pachika, M.D. located? ▼
Ajay Pachika, M.D. is located at 2608 MCDONALD RD, Tyler, TX, 75701. Phone: (903) 595-5514.
What is Ajay Pachika, M.D.'s NPI number? ▼
Ajay Pachika, M.D.'s National Provider Identifier (NPI) is 1477566248, issued on 08/14/2006.
Does Ajay Pachika, M.D. prescribe more brand-name or generic drugs? ▼
Ajay Pachika, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $779K in brand drug costs.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 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 Ajay Pachika, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Ajay Pachika, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ajay Pachika, M.D. accept Medicare? ▼
Ajay Pachika, M.D. appears in CMS Medicare data with 6,154 Part D claims and 818 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ajay Pachika, M.D.'s credentials? ▼
Ajay Pachika, M.D.'s NPI is 1477566248 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
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.