2026 NPPES data Pulmonary Disease Physician NPI 1265814669 MD
Verify on CMS →

Bikash Khanal, MD

Pulmonary Disease Physician in Chicago, Illinois.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,647 in Pulmonary Disease 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
168
Medicare Part D claims · 35 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
60%
generic claims · 40% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.1K
11 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Bikash Khanal, MD filed 168 Medicare Part D claims in 2024 as a Pulmonary Disease Physician in Chicago, Illinois, prescribing 60% generic.

168
Part D claims, 2024
60%
generic prescribing
$1.1K
industry payments (Sunshine Act)
≥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 Bikash Khanal, 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 1265814669), first enumerated 06/22/2015.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 168 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

    Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Industry payment transparency

    $1.1K in reported industry payments (11 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

    Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Bikash Khanal, MD's individual license status. Verify directly with the state medical board.

    Source: IDFPR 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 1265814669 · Pulmonary Disease Physician

NPI-10 · ENUM-MID · TAX-MID · RX-LIGHT · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1265814669
  • ENUM-MID 2015
  • TAX-MID 10K Pulmonary Disease
  • RX-LIGHT 168
  • BOOK-THIN 365 in Illinois
  • PHOTO-ENUM Lukman Hassan · 2015

Bikash Khanal, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

168 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). This entry sits in this band. 200–400: 188,835 prescribers (13%). Above this entry. 400–600: 95,866 prescribers (7%). Above this entry. 600–800: 60,107 prescribers (4%). Above this entry. 800–1,000: 43,043 prescribers (3%). Above this entry. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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-eligible specialty (heuristic, not verified)

Bikash Khanal, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Bikash Khanal, MD?

Quality data not reported

NPI registry status

Active

Issued 06/22/2015

NPI 1265814669

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,647 US NPIs in this specialty

Medicare Part D claims

168 89% vs specialty avg

2024 prescription claims

Specialty avg: 1,498

Specialty distribution in Illinois

How Pulmonary Disease Physician compares to other specialties among Illinois providers

Illinois providers
Clinical Social Worker5.2%Physical Therapist4.9%Mental Health Counselor4.5%Speech-Language Pathologist4.2%Student in an Organized Heal…4.1%Pharmacist4.1%Pulmonary Disease Physician0.2%
Largest specialties in Illinois (% of in-state 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 Pulmonary Disease 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

1620 W HARRISON ST
Chicago, IL 60612

Provider Details

NPI 1265814669
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 06/22/2015

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 Bikash Khanal, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Medical Device Business Services, 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 - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Bikash Khanal, MD. To verify Bikash Khanal, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Bikash Khanal, MD - brand share 40.0%
Pulmonary Disease Physician average

40% brand-name claims vs 60% generic, on 168 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.

168
Total Claims
$38K
Total Drug Cost
35
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
210.933
Total Day Supply
5,616
Brand vs Generic
40% brand / 60% generic
Brand Drug Cost
$35K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
2.53
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Bikash Khanal, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
20
Atorvastatin Calcium
19
Xarelto
Rivaroxaban
15
Albuterol Sulfate Hfa
Albuterol Sulfate
12
Digoxin
12
Fluticasone Propionate
12
Tamsulosin Hcl
11

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

Pulmonary Disease Physician Overview

How Bikash Khanal, MD fits within the Pulmonary Disease Physician landscape nationally.

9,647
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,498
Avg Claims per Provider

Bikash Khanal, MD's 168 claims are below the specialty average of 1,498.

Nationwide Pulmonary Disease Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Khanal, both outside Illinois so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2015)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Pulmonary Disease Physician Providers in Illinois

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

One of 365 Pulmonary Disease Physician providers enrolled in Illinois, 5 are shown here.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Bikash Khanal, MD's specialty?
Bikash Khanal, MD specializes in Pulmonary Disease Physician and practices in Chicago, Illinois. Credentials: MD.
How much does Bikash Khanal, MD prescribe under Medicare Part D?
In 2024, Bikash Khanal, MD wrote 168 Medicare Part D claims totaling $38K in drug costs for 35 beneficiaries.
Where is Bikash Khanal, MD located?
Bikash Khanal, MD is located at 1620 W HARRISON ST, Chicago, IL, 60612. Phone: (312) 942-5000.
What is Bikash Khanal, MD's NPI number?
Bikash Khanal, MD's National Provider Identifier (NPI) is 1265814669, issued on 06/22/2015.
Does Bikash Khanal, MD prescribe more brand-name or generic drugs?
Bikash Khanal, MD's prescribing is 40% brand-name and 60% generic drugs by claim count, with $35K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,647 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,498 Medicare Part D claims per year.
What drugs does Bikash Khanal, MD prescribe most often?
Based on 2024 Medicare Part D data, Bikash Khanal, MD's most frequently prescribed drugs include Trelegy Ellipta, Atorvastatin Calcium, Xarelto. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Bikash Khanal, MD accept Medicare?
Bikash Khanal, MD appears in CMS Medicare data with 168 Part D claims and 35 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Bikash Khanal, MD's credentials?
Bikash Khanal, MD's NPI is 1265814669 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.