2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1912090366 MD
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ARCHANA SHRESTHA, MD

Neurology with Special Qualifications in Child Neurology Physician in AURORA, Colorado. 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
258
Medicare Part D claims · 46 beneficiaries · Neurology with Special Qualifications in Child Neurology Physician avg: 359
MIPS score
91.1178/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$201.57
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ARCHANA SHRESTHA, MD is a Neurology with Special Qualifications in Child Neurology Physician ([object Object]) practicing in AURORA, Colorado with a Medicare Part D prescribing footprint of 258 claims across 46 beneficiaries . Their CMS MIPS Final Score of 91.1178/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $201.57 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ARCHANA SHRESTHA, MD reported a CMS MIPS final score of 91.1178 out of 100, above the 83.1 national average, and filed 258 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ARCHANA SHRESTHA, MD 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).

ARCHANA SHRESTHA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/30/2006

NPI 1912090366

Primary specialty

Neurology with Special Qualifications in Child Neurology Physician

Niche

1,803 US NPIs in this specialty

Medicare Part D claims

258 28% vs specialty avg

2023 prescription claims

Specialty avg: 359

MIPS final score

91.1178/100 8.017800000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Colorado

How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among Colorado providers

Colorado providers

Neurology with Special Qualifications in Child Neurology Physician share within Colorado

1. Neurology with Special Qualifications in Child Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology with Special Qualifications in Child Neurology Physician share within Colorado

Medicare quality performance — MIPS

ARCHANA SHRESTHA, MD's 2023 MIPS final score plotted against the Neurology with Special Qualifications in Child Neurology Physician national average

High performer (top quartile)
MIPS Final Score
91.1178/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology with Special Qualifications in Child Neurology Physician) — 91.1178/100 vs national avg 83.1

0%100%National avg83%91.1%
MIPS final score (Neurology with Special Qualifications in Child Neurology Physician) — 91.1178/100 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).

ARCHANA SHRESTHA, MD is a Neurology with Special Qualifications in Child Neurology Physician provider practicing in AURORA, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1912090366. 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.

ARCHANA SHRESTHA, MD appears in the CMS NPPES registry as a Neurology with Special Qualifications in Child Neurology Physician provider holding MD credentials at 12605 E 16TH AVE, AURORA, CO, 80045, with a listed phone of (720) 848-0000. NPI 1912090366 was issued on 09/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHRESTHA 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 258 prescription claims written by this provider, covering 46 Medicare beneficiaries and totaling roughly $145K in drug spend. 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 91.1178/100 for the 2023 performance year (Quality 90.2343, Cost 73.4915), compared with the national average of 83.1.

Neurology with Special Qualifications in Child Neurology Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 51 states and an average of 359 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

12605 E 16TH AVE
AURORA, CO 80045

Provider Details

NPI 1912090366
Specialty Neurology with Special Qualifications in Child Neurology Physician
Credentials MD
Gender Female
NPI Issued 09/30/2006

CMS Quality Score (MIPS)

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

91.1178
Final Score
Avg: 83.1
90.2343
Quality
73.4915
Cost
88
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ARCHANA SHRESTHA, 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.

DENVER HEALTH AND HOSPITAL AUTHORITY
DENVER, 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 ARCHANA SHRESTHA, MD. Source: openpaymentsdata.cms.gov.

Total received

$202

Largest payer

SK Life Science, 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.

258
Total Claims
$145K
Total Drug Cost
46
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
501
Total Day Supply
14,967
Generic Drug Cost
$54K

Patient Demographics

Average Patient Age
53.9 years
Avg HCC Risk Score
1.74
Gender Split
65% female / 35% male
Age Distribution
<65: 30, 65-74: 14, 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
Clobazam
34
Lamotrigine
34
Levetiracetam
31
Lacosamide
25
Zonisamide
24
Xcopri
Cenobamate
23
Briviact
Brivaracetam
16
Lamotrigine Er
Lamotrigine
12
Phenytoin Sodium Extended
11

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

Neurology with Special Qualifications in Child Neurology Physician Overview

How ARCHANA SHRESTHA, MD fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.

1,803
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
359
Avg Claims per Provider

ARCHANA SHRESTHA, MD's 258 claims are below the specialty average of 359.

Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in Colorado

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

Compare Neurology with Special Qualifications in Child Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ARCHANA SHRESTHA, MD's specialty?
ARCHANA SHRESTHA, MD specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in AURORA, Colorado. Credentials: MD.
How much does ARCHANA SHRESTHA, MD prescribe under Medicare Part D?
In 2023, ARCHANA SHRESTHA, MD wrote 258 Medicare Part D claims totaling $145K in drug costs for 46 beneficiaries.
What is ARCHANA SHRESTHA, MD's Medicare quality score?
ARCHANA SHRESTHA, MD has a CMS MIPS Final Score of 91.1178/100 (Quality: 90.2343, Cost: 73.4915). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ARCHANA SHRESTHA, MD located?
ARCHANA SHRESTHA, MD is located at 12605 E 16TH AVE, AURORA, CO, 80045. Phone: (720) 848-0000.
What is ARCHANA SHRESTHA, MD's NPI number?
ARCHANA SHRESTHA, MD's National Provider Identifier (NPI) is 1912090366, issued on 09/30/2006.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US?
There are 1,803 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 359 Medicare Part D claims per year.
What drugs does ARCHANA SHRESTHA, MD prescribe most often?
Based on 2023 Medicare Part D data, ARCHANA SHRESTHA, MD's most frequently prescribed drugs include Clobazam, Lamotrigine, Levetiracetam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ARCHANA SHRESTHA, MD accept Medicare?
ARCHANA SHRESTHA, MD appears in CMS Medicare data with 258 Part D claims and 46 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ARCHANA SHRESTHA, MD's credentials?
ARCHANA SHRESTHA, MD's NPI is 1912090366 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