NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1275039414
Verify on CMS → Arjun Athreya
Hospitalist Physician in West Columbia, South Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,825 in Hospitalist 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
12
Medicare Part D claims · Hospitalist Physician avg: 888
MIPS score
83/100
▼ 0 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Arjun Athreya reported a CMS MIPS final score of 83/100 - below the 83.1 national average - and filed 12 Medicare Part D claims in 2023.
- 83/100
- MIPS score · 0 vs avg
- 12
- Part D claims, 2023
- 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.
Arjun Athreya's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
83 42nd percentile higher than 42% of 477,587 scored providers
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 Arjun Athreya sits
This provider among hospitalist physician peers
Across the 4,437 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Arjun Athreya writes more Part D claims than 0% of them and scores higher on MIPS quality than 37% - placing this provider in the lower-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
Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is Arjun Athreya. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Arjun Athreya 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 Arjun Athreya?
Near national averagePrimary specialty
Hospitalist Physician
Medicare Part D claims
12 99% vs specialty avg
MIPS final score
83/100 0.1 pts vs avg
Specialty distribution in South Carolina
How Hospitalist Physician compares to other specialties among South Carolina providers
Medicare quality performance, MIPS
Arjun Athreya's 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 83/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospitalist Physician) - 83/100 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).
Arjun Athreya appears in the CMS NPPES registry as a Hospitalist Physician provider at 2720 SUNSET BLVD, West Columbia, SC, 29169, with a listed phone of (803) 936-7372. NPI 1275039414 was issued on 04/05/2018.
Medicare Part D records for calendar year 2023 show 12 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $971 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83/100 for the 2023 performance year (Quality 80.5, Cost 72.2), compared with the national average of 83.1.
Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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
Provider Details
| NPI | 1275039414 |
|---|---|
| Specialty | Hospitalist Physician |
| Gender | Male |
| NPI Issued | 04/05/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
83.0384
Final Score
Avg: 83.1
80.4541
Quality
72.1739
Cost
89
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Arjun Athreya 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.
Lexington Health Inc
West Columbia, 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).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
12
Total Claims
$971
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 12
- Total Day Supply
- 323
- Generic Drug Cost
- $304
Patient Demographics
- Average Patient Age
- 54.7 years
- Avg HCC Risk Score
- 0.57
Hospitalist Physician Overview
How Arjun Athreya fits within the Hospitalist Physician landscape nationally.
16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider
Arjun Athreya's 12 claims are below the specialty average of 888.
Nearby Hospitalist Physician Providers in South Carolina
Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as Athreya.
Dr. Jonathan Acra
MD
Greenville, SC
Dr. Frank Adusei-Poku
MD
Columbia, SC
Dr. Rola Akache
DO
Summerville, SC
Mahabuba Akhter
Seneca, SC
Dr. Choncharoen Amphan
MD
Spartanburg, SC
Compare Hospitalist 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 South Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospitalist 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore South Carolina
Frequently Asked Questions
What is Arjun Athreya's specialty? ▼
Arjun Athreya specializes in Hospitalist Physician and practices in West Columbia, South Carolina.
How much does Arjun Athreya prescribe under Medicare Part D? ▼
In 2023, Arjun Athreya wrote 12 Medicare Part D claims totaling $971 in drug costs for N/A beneficiaries.
What is Arjun Athreya's Medicare quality score? ▼
Arjun Athreya has a CMS MIPS Final Score of 83/100 (Quality: 80.5, Cost: 72.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Arjun Athreya located? ▼
Arjun Athreya is located at 2720 SUNSET BLVD, West Columbia, SC, 29169. Phone: (803) 936-7372.
What is Arjun Athreya's NPI number? ▼
Arjun Athreya's National Provider Identifier (NPI) is 1275039414, issued on 04/05/2018.
How many Hospitalist Physician providers are there in the US? ▼
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
Does Arjun Athreya accept Medicare? ▼
Arjun Athreya appears in CMS Medicare data with 12 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Arjun Athreya's credentials? ▼
Arjun Athreya's NPI is 1275039414. 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.