2026 NPPES data Gastroenterology Physician NPI 1407134422 M.D, MRCP
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DILPESH AGRAWAL, M.D, MRCP

Gastroenterology Physician in MILWAUKEE, Wisconsin. 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
274
Medicare Part D claims · 80 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
80.4671/100
▼ 3 pts below national avg 83.1 · [object Object]
What the federal data reveals: DILPESH AGRAWAL, M.D, MRCP is a Gastroenterology Physician ([object Object]) practicing in MILWAUKEE, Wisconsin with a Medicare Part D prescribing footprint of 274 claims across 80 beneficiaries . Their CMS MIPS Final Score of 80.4671/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: DILPESH AGRAWAL, M.D, MRCP reported a CMS MIPS final score of 80.4671 out of 100, below the 83.1 national average, and filed 274 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

DILPESH AGRAWAL, M.D, MRCP 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).

DILPESH AGRAWAL, M.D, MRCP at a glance

Near national average

NPI registry status

Active

Issued 07/25/2011

NPI 1407134422

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

274 67% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

80.4671/100 2.6328999999999922% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Gastroenterology Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Gastroenterology Physician share within Wisconsin

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

Medicare quality performance — MIPS

DILPESH AGRAWAL, M.D, MRCP's 2023 MIPS final score plotted against the Gastroenterology Physician national average

Near national average
MIPS Final Score
80.4671/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 80.4671/100 vs national avg 83.1

0%100%National avg83%80.5%
MIPS final score (Gastroenterology Physician) — 80.4671/100 vs national avg 83.1

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).

DILPESH AGRAWAL, M.D, MRCP is a Gastroenterology Physician provider practicing in MILWAUKEE, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D, MRCP. NPI: 1407134422. 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.

DILPESH AGRAWAL, M.D, MRCP appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D, MRCP credentials at 9200 W WISCONSIN AVE, MILWAUKEE, WI, 53226, with a listed phone of (414) 955-6830. NPI 1407134422 was issued on 07/25/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGRAWAL 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 274 prescription claims written by this provider, covering 80 Medicare beneficiaries and totaling roughly $919K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.4671/100 for the 2023 performance year (Quality 66.2426, Cost 68.6477), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Provider Details

NPI 1407134422
Specialty Gastroenterology Physician
Credentials M.D, MRCP
Gender Male
NPI Issued 07/25/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

80.4671
Final Score
Avg: 83.1
66.2426
Quality
68.6477
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DILPESH AGRAWAL, M.D, MRCP 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.

THE MEDICAL COLLEGE OF WISCONSIN INC
MILWAUKEE, WI

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.

274
Total Claims
$919K
Total Drug Cost
80
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
433
Total Day Supply
11,539
Generic Drug Cost
$12K

Patient Demographics

Average Patient Age
66.6 years
Avg HCC Risk Score
2.14
Gender Split
58% female / 43% male
Age Distribution
<65: 27, 65-74: 27, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Omeprazole
37
Pantoprazole Sodium
35
Stelara
Ustekinumab
26
Linzess
Linaclotide
16
Gavilyte-G
"Peg3350/Sod Sulf
N/A

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

Gastroenterology Physician Overview

How DILPESH AGRAWAL, M.D, MRCP fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

DILPESH AGRAWAL, M.D, MRCP's 274 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Wisconsin

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

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

Frequently Asked Questions

What is DILPESH AGRAWAL, M.D, MRCP's specialty?
DILPESH AGRAWAL, M.D, MRCP specializes in Gastroenterology Physician and practices in MILWAUKEE, Wisconsin. Credentials: M.D, MRCP.
How much does DILPESH AGRAWAL, M.D, MRCP prescribe under Medicare Part D?
In 2023, DILPESH AGRAWAL, M.D, MRCP wrote 274 Medicare Part D claims totaling $919K in drug costs for 80 beneficiaries.
What is DILPESH AGRAWAL, M.D, MRCP's Medicare quality score?
DILPESH AGRAWAL, M.D, MRCP has a CMS MIPS Final Score of 80.4671/100 (Quality: 66.2426, Cost: 68.6477). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DILPESH AGRAWAL, M.D, MRCP located?
DILPESH AGRAWAL, M.D, MRCP is located at 9200 W WISCONSIN AVE, MILWAUKEE, WI, 53226. Phone: (414) 955-6830.
What is DILPESH AGRAWAL, M.D, MRCP's NPI number?
DILPESH AGRAWAL, M.D, MRCP's National Provider Identifier (NPI) is 1407134422, issued on 07/25/2011.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does DILPESH AGRAWAL, M.D, MRCP prescribe most often?
Based on 2023 Medicare Part D data, DILPESH AGRAWAL, M.D, MRCP's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Stelara. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DILPESH AGRAWAL, M.D, MRCP accept Medicare?
DILPESH AGRAWAL, M.D, MRCP appears in CMS Medicare data with 274 Part D claims and 80 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DILPESH AGRAWAL, M.D, MRCP's credentials?
DILPESH AGRAWAL, M.D, MRCP's NPI is 1407134422 with credentials M.D, MRCP. 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.
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