NPI registry status
Active
2026 NPPES data Orthopaedic Surgery Physician NPI 1154383131 MD
Verify on CMS → Amit Agarwala, MD
Orthopaedic Surgery Physician in Golden, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 26,109 in Orthopaedic 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
109
Medicare Part D claims · 58 beneficiaries · Orthopaedic Surgery Physician avg: 344
MIPS score
82.9/100
▼ 1 pts below national avg 83.5 · Above neutral
Industry payments
$306.38
4 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Amit Agarwala, MD reported a CMS MIPS final score of 82.9/100 - below the 83.5 national average - and filed 109 Medicare Part D claims in 2024.
- 82.9/100
- MIPS score · -1 vs avg
- 109
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥36th
- pct among measured MIPS (lower-bound band)
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 Amit Agarwala, 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 1154383131), first enumerated 04/05/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 109 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 82.9/100 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
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$306.38 in reported industry payments (4 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.
CMS NPPES provider registry desk
NPI 1154383131 · Orthopaedic Surgery Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1154383131
- ENUM-LEGACY 2006
- TAX-MID 26K Orthopaedic Surgery
- MIPS-INLINE 82.9/100
- RX-LIGHT 109
- BOOK-LIGHT 568 in Colorado
- PHOTO-FINISH George Aitken · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Agarwala · this …
Agarwala · this provider
82.9 MIPS pts
- George Aitken · …
George Aitken
82.9 MIPS pts
- Steven Carawan ·…
Steven Carawan
82.9 MIPS pts
- Brock Johnson · …
Brock Johnson
82.9 MIPS pts
- Leonard Brody · …
Leonard Brody
83 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Amit Agarwala, 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.
83 ≥ 36th percentile 36% 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 Amit Agarwala, MD sits
This provider among orthopaedic surgery physician peers
Across the 7,229 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Amit Agarwala, MD writes more Part D claims than 29% of them and scores higher on MIPS quality than 49% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Amit Agarwala, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Amit Agarwala, MD 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 Amit Agarwala, MD?
Near national averagePrimary specialty
Orthopaedic Surgery Physician
Medicare Part D claims
109 68% vs specialty avg
MIPS final score
82.9/100 0.6 pts vs avg
Specialty distribution in Colorado
How Orthopaedic Surgery Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Amit Agarwala, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average
- MIPS Final Score
- 82.9/100
- 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 | 1154383131 |
|---|---|
| Specialty | Orthopaedic Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/05/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.9468
Final Score
Measured-score avg: 83.5
85.0693
Quality
66.4199
Cost
90
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Amit Agarwala, MD 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.
Panorama Orthopedics And Spine Center PC
Golden, CO
Select Physical Therapy OF West Denver Limited Partnership
Golden, CO
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 Agarwala, MD. Source: openpaymentsdata.cms.gov.
Total received
$306
Largest payer
Stryker 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
109
Total Claims
$1K
Total Drug Cost
58
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 118
- Total Day Supply
- 1,779
- Generic Drug Cost
- $1K
- Opioid Claims
- 42 (38.5% rate)
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 1.06
- Gender Split
- 57% female / 43% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Amit Agarwala, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Methocarbamol
Methocarbamol
28 claims
- Oxycodone Hcl
Oxycodone Hcl
12 claims
- Hydromorphone Hcl 11
Hydromorphone Hcl
11 claims
| Drug | Claims |
|---|---|
| Methocarbamol | 28 |
| Oxycodone Hcl | 12 |
| Hydromorphone Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Surgery Physician Overview
How Amit Agarwala, MD fits within the Orthopaedic Surgery Physician landscape nationally.
26,109
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
344
Avg Claims per Provider
Amit Agarwala, MD's 109 claims are below the specialty average of 344.
Nationwide Orthopaedic Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Agarwala, both outside Colorado so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (82.9 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Orthopaedic Surgery Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Agarwala.
One of 568 Orthopaedic Surgery Physician providers enrolled in Colorado, 5 are shown here.
Dr. Robert Adams
M.D.
Glenwood Spgs, CO
Dr. Arnold Ahnfeldt
M.D.
Colorado Springs, CO
Dr. Paul Al-Attar
MD
Thornton, CO
Dr. Ryan Albrecht
MD
Montrose, CO
Dr. Kris Alden
M.D., PHD.
Basalt, CO
Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Amit Agarwala, MD's specialty? ▼
Amit Agarwala, MD specializes in Orthopaedic Surgery Physician and practices in Golden, Colorado. Credentials: MD.
How much does Amit Agarwala, MD prescribe under Medicare Part D? ▼
In 2024, Amit Agarwala, MD wrote 109 Medicare Part D claims totaling $1K in drug costs for 58 beneficiaries.
What is Amit Agarwala, MD's Medicare quality score? ▼
Amit Agarwala, MD has a CMS MIPS Final Score of 82.9/100 (Quality: 85.1, Cost: 66.4). 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 Amit Agarwala, MD located? ▼
Amit Agarwala, MD is located at 660 GOLDEN RIDGE RD, Golden, CO, 80401. Phone: (303) 233-1223.
What is Amit Agarwala, MD's NPI number? ▼
Amit Agarwala, MD's National Provider Identifier (NPI) is 1154383131, issued on 04/05/2006.
Does Amit Agarwala, MD prescribe opioids? ▼
Yes, Amit Agarwala, MD had 42 opioid claims in 2024 with an opioid prescribing rate of 38.5%.
How many Orthopaedic Surgery Physician providers are there in the US? ▼
There are 26,109 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 344 Medicare Part D claims per year.
What drugs does Amit Agarwala, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Amit Agarwala, MD's most frequently prescribed drugs include Methocarbamol, Oxycodone Hcl, Hydromorphone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Amit Agarwala, MD accept Medicare? ▼
Amit Agarwala, MD appears in CMS Medicare data with 109 Part D claims and 58 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Amit Agarwala, MD's credentials? ▼
Amit Agarwala, MD's NPI is 1154383131 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.