2026 NPPES data Rheumatology Physician NPI 1336378405 MD
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ASHA SHRESTHA, MD

Rheumatology Physician in ORONO, Maine. 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
3K
Medicare Part D claims · 558 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$235.27
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ASHA SHRESTHA, MD is a Rheumatology Physician ([object Object]) practicing in ORONO, Maine with a Medicare Part D prescribing footprint of 3K claims across 558 beneficiaries — 14% brand-name prescribing . Industry payments of $235.27 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ASHA SHRESTHA, MD filed 2,978 Medicare Part D claims in 2023 across ORONO, Maine. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ASHA SHRESTHA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ASHA SHRESTHA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 07/09/2009

NPI 1336378405

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

2,978 45% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in Maine

How Rheumatology Physician compares to other specialties among Maine providers

Maine providers

Rheumatology Physician share within Maine

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within Maine

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Rheumatology 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).

ASHA SHRESTHA, MD is a Rheumatology Physician provider practicing in ORONO, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1336378405. 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.

ASHA SHRESTHA, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 12 CROMWELL DR, ORONO, ME, 04473, with a listed phone of (207) 907-1000. NPI 1336378405 was issued on 07/09/2009. 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 2,978 prescription claims written by this provider, covering 558 Medicare beneficiaries and totaling roughly $2.8 million in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 3.1%. 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

12 CROMWELL DR
ORONO, ME 04473

Provider Details

NPI 1336378405
Specialty Rheumatology Physician
Credentials MD
Gender Female
NPI Issued 07/09/2009

Hospital and facility affiliations

Facilities where ASHA 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.

OPTUM MEDICAL CARE PC
MOUNT KISCO, NY

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 ASHA SHRESTHA, MD. Source: openpaymentsdata.cms.gov.

Total received

$235

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Typical

ASHA SHRESTHA, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 2,978 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.

2,978
Total Claims
$2.8M
Total Drug Cost
558
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,324
Total Day Supply
186,805
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$2.6M
Generic Drug Cost
$117K
Opioid Claims
91 (3.1% rate)
Antibiotic Claims
13

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.47
Gender Split
73% female / 27% male
Age Distribution
<65: 51, 65-74: 269, 75-84: 187, 85+: 51

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydroxychloroquine Sulfate
534
Prednisone
466
Methotrexate
Methotrexate Sodium
416
Allopurinol
146
Gabapentin
144
Enbrel Sureclick
Etanercept
103
Leflunomide
94
Alendronate Sodium
92
Folic Acid
90
Duloxetine Hcl
65

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

Rheumatology Physician Overview

How ASHA SHRESTHA, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

ASHA SHRESTHA, MD's 2,978 claims are above the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Maine

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

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

Frequently Asked Questions

What is ASHA SHRESTHA, MD's specialty?
ASHA SHRESTHA, MD specializes in Rheumatology Physician and practices in ORONO, Maine. Credentials: MD.
How much does ASHA SHRESTHA, MD prescribe under Medicare Part D?
In 2023, ASHA SHRESTHA, MD wrote 2,978 Medicare Part D claims totaling $2.8M in drug costs for 558 beneficiaries.
Where is ASHA SHRESTHA, MD located?
ASHA SHRESTHA, MD is located at 12 CROMWELL DR, ORONO, ME, 04473. Phone: (207) 907-1000.
What is ASHA SHRESTHA, MD's NPI number?
ASHA SHRESTHA, MD's National Provider Identifier (NPI) is 1336378405, issued on 07/09/2009.
Does ASHA SHRESTHA, MD prescribe more brand-name or generic drugs?
ASHA SHRESTHA, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $2.6M in brand drug costs.
Does ASHA SHRESTHA, MD prescribe opioids?
Yes, ASHA SHRESTHA, MD had 91 opioid claims in 2023 with an opioid prescribing rate of 3.1%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does ASHA SHRESTHA, MD prescribe most often?
Based on 2023 Medicare Part D data, ASHA SHRESTHA, MD's most frequently prescribed drugs include Hydroxychloroquine Sulfate, Prednisone, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ASHA SHRESTHA, MD accept Medicare?
ASHA SHRESTHA, MD appears in CMS Medicare data with 2,978 Part D claims and 558 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ASHA SHRESTHA, MD's credentials?
ASHA SHRESTHA, MD's NPI is 1336378405 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