NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1134137011 MD
Verify on CMS → Banke Agarwal, MD
Gastroenterology Physician in Lakeland, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 17,061 in Gastroenterology 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
152
Medicare Part D claims · 144 beneficiaries · Gastroenterology Physician avg: 848
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$36.22
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Banke Agarwal, MD filed 152 Medicare Part D claims in 2024 as a Gastroenterology Physician in Lakeland, Florida, prescribing 76% generic.
- 152
- Part D claims, 2024
- 76%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥34th
- pct by Part D claim volume (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 Banke Agarwal, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1134137011), first enumerated 08/04/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 152 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- 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
3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$36.22 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Florida statewide board action statistics are published annually — these figures describe aggregate state activity, not Banke Agarwal, MD's individual license status. Verify directly with the state medical board.
Source: FLDOH annual report 2023
- 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 1134137011 · Gastroenterology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1134137011
- ENUM-LEGACY 2006
- TAX-MID 17K Gastroenterology Physician
- RX-LIGHT 152
- BOOK-LIGHT 1,268 in Florida
- PHOTO-ENUM Sean May · 2006
Banke Agarwal, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
152 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Banke Agarwal, 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).
What does the federal data show about Banke Agarwal, MD?
Quality data not reportedPrimary specialty
Gastroenterology Physician
Medicare Part D claims
152 82% vs specialty avg
Specialty distribution in Florida
How Gastroenterology Physician compares to other specialties among Florida providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Gastroenterology Physician. Verify directly:
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 | 1134137011 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/04/2006 |
Hospital and facility affiliations
Facilities where Banke Agarwal, 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.
According to CMS billing records, Banke Agarwal, MD is affiliated with 3 Medicare-billing facilities across 3 states.
Lakeland Regional Health Systems Inc
Lakeland, FL
Mchs Hospitals Inc
Marshfield, WI
Physician Groups LC
Saint Peters, MO
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 Banke Agarwal, MD. Source: openpaymentsdata.cms.gov.
Total received
$36
Largest payer
Olympus America 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.
License & disciplinary context - Florida FLDOH 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 - they are NOT specific to Banke Agarwal, MD. To verify Banke Agarwal, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Banke Agarwal, MD - brand share 24.0%
Gastroenterology Physician average
24% brand-name claims vs 76% generic, on 152 2024 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 2024.
152
Total Claims
$7K
Total Drug Cost
144
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 154
- Total Day Supply
- 287
- Brand vs Generic
- 24% brand / 76% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 69.1 years
- Avg HCC Risk Score
- 1.19
- Gender Split
- 49% female / 51% male
- Age Distribution
- <65: 16, 65-74: 103, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Banke Agarwal, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Sod Sulf-Potass Su…
Sod Sulf-Potass Sulf-Mag Sulf
83 claims
- Gavilyte-C
Gavilyte-C
36 claims
- Gavilyte-G 14
Gavilyte-G
14 claims
- Peg-3350 And Elect… 11
Peg-3350 And Electrolytes
11 claims
| Drug | Claims |
|---|---|
| Sod Sulf-Potass Sulf-Mag Sulf Sodium, Potassium,mag Sulfates | 83 |
| Gavilyte-C Peg3350/Sod Sulf,bicarb,cl/Kcl | 36 |
| Gavilyte-G Peg3350/Sod Sulf,bicarb,cl/Kcl | 14 |
| Peg-3350 And Electrolytes Peg3350/Sod Sulf,bicarb,cl/Kcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Banke Agarwal, MD fits within the Gastroenterology Physician landscape nationally.
17,061
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
848
Avg Claims per Provider
Banke Agarwal, MD's 152 claims are below the specialty average of 848.
Nationwide Gastroenterology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Agarwal, both outside Florida so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Gastroenterology Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Agarwal.
One of 1,268 Gastroenterology Physician providers enrolled in Florida, 5 are shown here.
Dr. Ali Abbas
M.D.
Wesley Chapel, FL
Dr. Abdi Abbassi
M.D.
Jacksonville, FL
Dr. Abdallah Abdallah
M.D
Riverview, FL
Dr. Omar Abdelmaksoud
MD
Plantation, FL
Dr. Jason Abfier
M.D.
Fort Myers, FL
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Banke Agarwal, MD's specialty? ▼
Banke Agarwal, MD specializes in Gastroenterology Physician and practices in Lakeland, Florida. Credentials: MD.
How much does Banke Agarwal, MD prescribe under Medicare Part D? ▼
In 2024, Banke Agarwal, MD wrote 152 Medicare Part D claims totaling $7K in drug costs for 144 beneficiaries.
Where is Banke Agarwal, MD located? ▼
Banke Agarwal, MD is located at 4120 US HIGHWAY 98 N, Lakeland, FL, 33809. Phone: (863) 687-8335.
What is Banke Agarwal, MD's NPI number? ▼
Banke Agarwal, MD's National Provider Identifier (NPI) is 1134137011, issued on 08/04/2006.
Does Banke Agarwal, MD prescribe more brand-name or generic drugs? ▼
Banke Agarwal, MD's prescribing is 24% brand-name and 76% generic drugs by claim count, with $2K in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 17,061 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 848 Medicare Part D claims per year.
What drugs does Banke Agarwal, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Banke Agarwal, MD's most frequently prescribed drugs include Sod Sulf-Potass Sulf-Mag Sulf, Gavilyte-C, Gavilyte-G. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Banke Agarwal, MD accept Medicare? ▼
Banke Agarwal, MD appears in CMS Medicare data with 152 Part D claims and 144 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Banke Agarwal, MD's credentials? ▼
Banke Agarwal, MD's NPI is 1134137011 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.
- 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.