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2026 NPPES data Colon & Rectal Surgery Physician NPI 1215283429 M.D.
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Amit Agarwal, M.D.

Colon & Rectal Surgery Physician in Sugar Land, 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 1,608 in Colon & Rectal Surgery 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
512
Medicare Part D claims · 215 beneficiaries · Colon & Rectal Surgery Physician avg: 196
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.4/100
▼ 1 pts below national avg 83.1 · Above neutral
Industry payments
$23.2K
34 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Amit Agarwal, M.D. reported a CMS MIPS final score of 82.4/100 - below the 83.1 national average - and filed 512 Medicare Part D claims in 2023.

82.4/100
MIPS score · -1 vs avg
512
Part D claims, 2023
76%
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.

Amit Agarwal, 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

82 39th percentile higher than 39% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 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

Where Amit Agarwal, M.D. sits

This provider among colon & rectal surgery physician peers

Across the 536 colon & rectal surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Amit Agarwal, M.D. writes more Part D claims than 93% of them and scores higher on MIPS quality than 38% - placing this provider in the high-volume, lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 63Amit Agarwal, M.D.-Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 38
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one colon & rectal surgery physician peer from a representative sample of 60; the gold marker is Amit Agarwal, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Amit Agarwal, 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 Amit Agarwal, M.D.?

Near national average

NPI registry status

Active

Issued 07/25/2012

NPI 1215283429

Primary specialty

Colon & Rectal Surgery Physician

Niche

1,608 US NPIs in this specialty

Medicare Part D claims

512 161% vs specialty avg

2023 prescription claims

Specialty avg: 196

MIPS final score

82.4/100 0.7 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Colon & Rectal Surgery Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Colon & Rectal Surgery Physician - 0%Colon & Rectal Surgery Physician0%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Amit Agarwal, M.D.'s 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average

Near national average
MIPS Final Score
82.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Colon & Rectal Surgery Physician) - 82.4/100 vs national avg 83.1

0%100%National avg83%82.4%
MIPS final score (Colon & Rectal Surgery Physician) - 82.4/100 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).

Amit Agarwal, M.D. appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding M.D. credentials at 17510 W GRAND PKWY S, Sugar Land, TX, 77479, with a listed phone of (713) 486-4742. NPI 1215283429 was issued on 07/25/2012.

Medicare Part D records for calendar year 2023 show 512 prescription claims written by this provider, covering 215 Medicare beneficiaries and totaling roughly $34K in drug spend, split 24% brand-name and 76% generic by claim count, with an opioid prescribing rate of 13.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 82.4/100 for the 2023 performance year (Quality 79.2, Cost 58.5), compared with the national average of 83.1.

Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 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

17510 W GRAND PKWY S
Sugar Land, TX 77479
(713) 486-4742

Provider Details

NPI 1215283429
Specialty Colon & Rectal Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 07/25/2012

CMS Quality Score (MIPS)

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

82.3883
Final Score
Avg: 83.1
79.2344
Quality
58.5062
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Amit Agarwal, 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.

UT Physicians
Houston, 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 Amit Agarwal, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$23.2K

Largest payer

Bolder Surgical, LLC

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 Amit Agarwal, M.D.. To verify Amit Agarwal, 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

Amit Agarwal, M.D. - brand share 24.0%
Colon & Rectal Surgery Physician average

24% brand-name claims vs 76% generic, on 512 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.

512
Total Claims
$34K
Total Drug Cost
215
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
551
Total Day Supply
4,382
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$22K
Generic Drug Cost
$12K
Opioid Claims
70 (13.7% rate)
Antibiotic Claims
178

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.60
Gender Split
61% female / 39% male
Age Distribution
<65: 25, 65-74: 130, 75-84: 49, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

What Amit Agarwal, M.D. 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
Metronidazole
 74
Neomycin Sulfate
 68
Tramadol Hcl
 50
Clenpiq
Sod Picosulf/Mag Ox/Citric Ac
25
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
24
Betamethasone Valerate
 17
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
14
Sod Sulf-Potass Sulf-Mag Sulf
"Sodium
N/A
Suprep
"Sodium
N/A

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

More Colon & Rectal Surgery Physician in TX → All providers in Texas → Compare specialties →

Colon & Rectal Surgery Physician Overview

How Amit Agarwal, M.D. fits within the Colon & Rectal Surgery Physician landscape nationally.

1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider

Amit Agarwal, M.D.'s 512 claims are above the specialty average of 196.

Nearby Colon & Rectal Surgery Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Agarwal.

Dr. Jason Allen
M.D.
Fort Worth, TX
Dr. Pastor Alvarado
MD
McAllen, TX
Dr. Marcus Aquino
MD
Seabrook, TX
Dr. Farshid Araghizadeh
MD
Fort Worth, TX
Dr. H Bailey
M.D.
Houston, TX

Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →

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 Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Colon & Rectal Surgery 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 Amit Agarwal, M.D.'s specialty? ▼
Amit Agarwal, M.D. specializes in Colon & Rectal Surgery Physician and practices in Sugar Land, Texas. Credentials: M.D..
How much does Amit Agarwal, M.D. prescribe under Medicare Part D? ▼
In 2023, Amit Agarwal, M.D. wrote 512 Medicare Part D claims totaling $34K in drug costs for 215 beneficiaries.
What is Amit Agarwal, M.D.'s Medicare quality score? ▼
Amit Agarwal, M.D. has a CMS MIPS Final Score of 82.4/100 (Quality: 79.2, Cost: 58.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Amit Agarwal, M.D. located? ▼
Amit Agarwal, M.D. is located at 17510 W GRAND PKWY S, Sugar Land, TX, 77479. Phone: (713) 486-4742.
What is Amit Agarwal, M.D.'s NPI number? ▼
Amit Agarwal, M.D.'s National Provider Identifier (NPI) is 1215283429, issued on 07/25/2012.
Does Amit Agarwal, M.D. prescribe more brand-name or generic drugs? ▼
Amit Agarwal, M.D.'s prescribing is 24% brand-name and 76% generic drugs by claim count, with $22K in brand drug costs.
Does Amit Agarwal, M.D. prescribe opioids? ▼
Yes, Amit Agarwal, M.D. had 70 opioid claims in 2023 with an opioid prescribing rate of 13.7%.
How many Colon & Rectal Surgery Physician providers are there in the US? ▼
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does Amit Agarwal, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Amit Agarwal, M.D.'s most frequently prescribed drugs include Metronidazole, Neomycin Sulfate, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Amit Agarwal, M.D. accept Medicare? ▼
Amit Agarwal, M.D. appears in CMS Medicare data with 512 Part D claims and 215 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Amit Agarwal, M.D.'s credentials? ▼
Amit Agarwal, M.D.'s NPI is 1215283429 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.