2026 NPPES data Gastroenterology Physician NPI 1003906017 MD
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AMIT AGRAWAL, MD

Gastroenterology Physician in CHARLESTON, South Carolina. 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
132
Medicare Part D claims · 64 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$386.56
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: AMIT AGRAWAL, MD is a Gastroenterology Physician ([object Object]) practicing in CHARLESTON, South Carolina with a Medicare Part D prescribing footprint of 132 claims across 64 beneficiaries — 20% brand-name prescribing . Industry payments of $386.56 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: AMIT AGRAWAL, MD filed 132 Medicare Part D claims in 2023 across CHARLESTON, South Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

AMIT AGRAWAL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

AMIT AGRAWAL, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 10/13/2006

NPI 1003906017

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

132 84% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in South Carolina

How Gastroenterology Physician compares to other specialties among South Carolina providers

South Carolina providers

Gastroenterology Physician share within South Carolina

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

Specialty board-certification context

Estimated specialty board-certified rate — Gastroenterology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Gastroenterology Physician ABMS/AOA estimate

Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

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 AGRAWAL, MD is a Gastroenterology Physician provider practicing in CHARLESTON, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1003906017. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

AMIT AGRAWAL, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 171 ASHLEY AVE, CHARLESTON, SC, 29425, with a listed phone of (843) 792-1414. NPI 1003906017 was issued on 10/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGRAWAL 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 132 prescription claims written by this provider, covering 64 Medicare beneficiaries and totaling roughly $42K in drug spend, split 20% brand-name and 80% generic by claim count. 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.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

171 ASHLEY AVE
CHARLESTON, SC 29425

Provider Details

NPI 1003906017
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 10/13/2006

Hospital and facility affiliations

Facilities where AMIT AGRAWAL, 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.

EASTERN MAINE MEDICAL CENTER
BANGOR, ME
ROPER SAINT FRANCIS PHYSICIANS NETWORK
CHARLESTON, SC
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL
CHARLESTON, SC

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 AGRAWAL, MD. Source: openpaymentsdata.cms.gov.

Total received

$387

Largest payer

Boston Scientific 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.

Brand vs generic prescribing mix · Typical

AMIT AGRAWAL, MD — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 132 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.

132
Total Claims
$42K
Total Drug Cost
64
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
291
Total Day Supply
8,420
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$33K
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
67.1 years
Avg HCC Risk Score
1.47
Gender Split
61% female / 39% male
Age Distribution
<65: 21, 65-74: 29, 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.

Drug Claims
Pantoprazole Sodium
52
Omeprazole
15
Linzess
Linaclotide
12

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

Gastroenterology Physician Overview

How AMIT AGRAWAL, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

AMIT AGRAWAL, MD's 132 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as AGRAWAL.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is AMIT AGRAWAL, MD's specialty?
AMIT AGRAWAL, MD specializes in Gastroenterology Physician and practices in CHARLESTON, South Carolina. Credentials: MD.
How much does AMIT AGRAWAL, MD prescribe under Medicare Part D?
In 2023, AMIT AGRAWAL, MD wrote 132 Medicare Part D claims totaling $42K in drug costs for 64 beneficiaries.
Where is AMIT AGRAWAL, MD located?
AMIT AGRAWAL, MD is located at 171 ASHLEY AVE, CHARLESTON, SC, 29425. Phone: (843) 792-1414.
What is AMIT AGRAWAL, MD's NPI number?
AMIT AGRAWAL, MD's National Provider Identifier (NPI) is 1003906017, issued on 10/13/2006.
Does AMIT AGRAWAL, MD prescribe more brand-name or generic drugs?
AMIT AGRAWAL, MD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $33K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does AMIT AGRAWAL, MD prescribe most often?
Based on 2023 Medicare Part D data, AMIT AGRAWAL, MD's most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Linzess. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does AMIT AGRAWAL, MD accept Medicare?
AMIT AGRAWAL, MD appears in CMS Medicare data with 132 Part D claims and 64 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AMIT AGRAWAL, MD's credentials?
AMIT AGRAWAL, MD's NPI is 1003906017 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.
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