NPI registry status
Active
2026 NPPES data Infectious Disease Physician NPI 1205918851 MD
Verify on CMS → Dhiraj Kotwal, MD
Infectious Disease Physician in Frisco, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 8,314 in Infectious 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
553
Medicare Part D claims · 98 beneficiaries · Infectious Disease Physician avg: 816
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
70.2/100
▼ 13 pts below national avg 83.1 · Mid-tier
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Dhiraj Kotwal, MD reported a CMS MIPS final score of 70.2/100 - below the 83.1 national average - and filed 553 Medicare Part D claims in 2023.
- 70.2/100
- MIPS score · -13 vs avg
- 553
- Part D claims, 2023
- 80%
- generic prescribing
- 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.
Dhiraj Kotwal, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
70 8th percentile higher than 8% 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 Dhiraj Kotwal, MD sits
This provider among infectious disease physician peers
Across the 2,276 infectious disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Dhiraj Kotwal, MD writes more Part D claims than 62% of them and scores higher on MIPS quality than 9% - placing this provider in the high-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 infectious disease physician peer from a representative sample of 60; the gold marker is Dhiraj Kotwal, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Dhiraj Kotwal, 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).
What does the federal data show about Dhiraj Kotwal, MD?
Below national averagePrimary specialty
Infectious Disease Physician
Medicare Part D claims
553 32% vs specialty avg
MIPS final score
70.2/100 12.9 pts vs avg
Specialty distribution in Texas
How Infectious Disease Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Dhiraj Kotwal, MD's 2023 MIPS final score plotted against the Infectious Disease Physician national average
- MIPS Final Score
- 70.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Infectious Disease Physician) - 70.2/100 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).
Dhiraj Kotwal, MD appears in the CMS NPPES registry as an Infectious Disease Physician provider holding MD credentials at 5350 INDEPENDENCE PKWY STE 120, Frisco, TX, 75035, with a listed phone of (214) 396-8877. NPI 1205918851 was issued on 10/20/2006.
Medicare Part D records for calendar year 2023 show 553 prescription claims written by this provider, covering 98 Medicare beneficiaries and totaling roughly $397K in drug spend, split 20% brand-name and 80% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 70.2/100 for the 2023 performance year (Quality 94.9, Cost 79.7), compared with the national average of 83.1.
Infectious Disease Physician is a mid-sized specialty nationwide, with 8,314 enrolled providers across 54 states and an average of 816 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 | 1205918851 |
|---|---|
| Specialty | Infectious Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 10/20/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
70.2035
Final Score
Avg: 83.1
94.9469
Quality
79.7038
Cost
Reporting: Individual
Hospital and facility affiliations
Facilities where Dhiraj Kotwal, 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.
North Texas ID PA
Frisco, TX
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Dhiraj Kotwal, MD. To verify Dhiraj Kotwal, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Dhiraj Kotwal, MD - brand share 20.0%
Infectious Disease Physician average
20% brand-name claims vs 80% generic, on 553 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.
553
Total Claims
$397K
Total Drug Cost
98
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 611
- Total Day Supply
- 8,892
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $275K
- Generic Drug Cost
- $121K
- Antibiotic Claims
- 413
Patient Demographics
- Average Patient Age
- 70.3 years
- Avg HCC Risk Score
- 2.79
- Gender Split
- 51% female / 49% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Dhiraj Kotwal, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Daptomycin
Daptomycin
77 claims
- Meropenem
Meropenem
50 claims
- Vancomycin Hcl
Vancomycin Hcl
48 claims
- Piperacillin-Tazob…
Piperacillin-Tazobactam
38 claims
- Juluca
Juluca
33 claims
- Cefepime 30
Cefepime
30 claims
- Cefepime Hcl 22
Cefepime Hcl
22 claims
- Azithromycin 21
Azithromycin
21 claims
| Drug | Claims |
|---|---|
| Daptomycin | 77 |
| Meropenem | 50 |
| Vancomycin Hcl | 48 |
| Piperacillin-Tazobactam Piperacillin Sodium/Tazobactam | 38 |
| Juluca Dolutegravir/Rilpivirine | 33 |
| Cefepime Cefepime In Iso-Osm Dextrose | 30 |
| Cefepime Hcl | 22 |
| Azithromycin | 21 |
| Ceftriaxone Ceftriaxone Sodium | 21 |
| Doxycycline Hyclate | 19 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Infectious Disease Physician Overview
How Dhiraj Kotwal, MD fits within the Infectious Disease Physician landscape nationally.
8,314
Infectious Disease Physician Providers in US
54
States with Infectious Disease Physician
816
Avg Claims per Provider
Dhiraj Kotwal, MD's 553 claims are below the specialty average of 816.
Nearby Infectious Disease Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Kotwal.
Dr. Jordan Abel
M.D.
San Antonio, TX
Dr. Oladapo Abodunde
M.D.
McKinney, TX
Dr. Leny Abraham
MD
Dallas, TX
Dr. Ahmed Abubaker
MD
Dallas, TX
Dr. Ashish Acharya
M.D.
Grapevine, TX
Compare Infectious Disease 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Infectious Disease 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.
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Frequently Asked Questions
What is Dhiraj Kotwal, MD's specialty? ▼
Dhiraj Kotwal, MD specializes in Infectious Disease Physician and practices in Frisco, Texas. Credentials: MD.
How much does Dhiraj Kotwal, MD prescribe under Medicare Part D? ▼
In 2023, Dhiraj Kotwal, MD wrote 553 Medicare Part D claims totaling $397K in drug costs for 98 beneficiaries.
What is Dhiraj Kotwal, MD's Medicare quality score? ▼
Dhiraj Kotwal, MD has a CMS MIPS Final Score of 70.2/100 (Quality: 94.9, Cost: 79.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Dhiraj Kotwal, MD located? ▼
Dhiraj Kotwal, MD is located at 5350 INDEPENDENCE PKWY STE 120, Frisco, TX, 75035. Phone: (214) 396-8877.
What is Dhiraj Kotwal, MD's NPI number? ▼
Dhiraj Kotwal, MD's National Provider Identifier (NPI) is 1205918851, issued on 10/20/2006.
Does Dhiraj Kotwal, MD prescribe more brand-name or generic drugs? ▼
Dhiraj Kotwal, MD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $275K in brand drug costs.
How many Infectious Disease Physician providers are there in the US? ▼
There are 8,314 Infectious Disease Physician providers across 54 states in the US. The average Infectious Disease Physician provider writes 816 Medicare Part D claims per year.
What drugs does Dhiraj Kotwal, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Dhiraj Kotwal, MD's most frequently prescribed drugs include Daptomycin, Meropenem, Vancomycin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Dhiraj Kotwal, MD accept Medicare? ▼
Dhiraj Kotwal, MD appears in CMS Medicare data with 553 Part D claims and 98 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Dhiraj Kotwal, MD's credentials? ▼
Dhiraj Kotwal, MD's NPI is 1205918851 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 (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.
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 May 2026.