2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1538319074 MD
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DURGA ADHIKARI, MD

Student in an Organized Health Care Education/Training Program in SUMMERVILLE, South Carolina. 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
854
Medicare Part D claims · 204 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
MIPS score
96.0864/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$980.63
49 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DURGA ADHIKARI, MD reported a CMS MIPS final score of 96.0864/100 — above the 83.1 national average — and filed 854 Medicare Part D claims in 2023.

96.0864/100
MIPS score · +13 vs avg
854
Part D claims, 2023
$980.63
industry payments (Sunshine Act)

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.

DURGA ADHIKARI, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

96 Top 17% higher than 83% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about DURGA ADHIKARI, MD?

High performer (top quartile)

NPI registry status

Active

Issued 09/21/2008

NPI 1538319074

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

854 86% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

96.0864/100 12.986400000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Carolina

How Student in an Organized Health Care Education/Training Program compares to other specialties among South Carolina providers

South Carolina providers

Student in an Organized Health Care Education/Training Program share within South Carolina

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within South Carolina

Medicare quality performance — MIPS

DURGA ADHIKARI, MD's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

High performer (top quartile)
MIPS Final Score
96.0864/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 96.0864/100 vs national avg 83.1

0%100%National avg83%96.1%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 96.0864/100 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).

DURGA ADHIKARI, MD appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding MD credentials at 2001 2ND AVE STE 201, SUMMERVILLE, SC, 29486, with a listed phone of (843) 572-4840. NPI 1538319074 was issued on 09/21/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ADHIKARI 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 854 prescription claims written by this provider, covering 204 Medicare beneficiaries and totaling roughly $1.1 million 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 96.0864/100 for the 2023 performance year (Quality 92.1728), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

2001 2ND AVE STE 201
SUMMERVILLE, SC 29486

Provider Details

NPI 1538319074
Specialty Student in an Organized Health Care Education/Training Program
Credentials MD
Gender Male
NPI Issued 09/21/2008

CMS Quality Score (MIPS)

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

96.0864
Final Score
Avg: 83.1
92.1728
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where DURGA ADHIKARI, 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.

ARTICULARIS HEALTHCARE GROUP INC
SUMMERVILLE, SC

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 DURGA ADHIKARI, MD. Source: openpaymentsdata.cms.gov.

Total received

$981

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

854
Total Claims
$1.1M
Total Drug Cost
204
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,837
Total Day Supply
53,971
Generic Drug Cost
$36K

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.58
Gender Split
74% female / 26% male

Top Prescribed Drugs (Medicare Part D)

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

What DURGA ADHIKARI, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Hydroxychloroquine Sulfate
130
Prednisone
108
Methotrexate
Methotrexate Sodium
100
Allopurinol
76
Leflunomide
72
Meloxicam
35
Orencia Clickject
Abatacept
31
Humira(Cf) Pen
Adalimumab
29
Colchicine
28
Mycophenolate Mofetil
28

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

Student in an Organized Health Care Education/Training Program Overview

How DURGA ADHIKARI, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

DURGA ADHIKARI, MD's 854 claims are above the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as ADHIKARI.

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is DURGA ADHIKARI, MD's specialty?
DURGA ADHIKARI, MD specializes in Student in an Organized Health Care Education/Training Program and practices in SUMMERVILLE, South Carolina. Credentials: MD.
How much does DURGA ADHIKARI, MD prescribe under Medicare Part D?
In 2023, DURGA ADHIKARI, MD wrote 854 Medicare Part D claims totaling $1.1M in drug costs for 204 beneficiaries.
What is DURGA ADHIKARI, MD's Medicare quality score?
DURGA ADHIKARI, MD has a CMS MIPS Final Score of 96.0864/100 (Quality: 92.1728). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DURGA ADHIKARI, MD located?
DURGA ADHIKARI, MD is located at 2001 2ND AVE STE 201, SUMMERVILLE, SC, 29486. Phone: (843) 572-4840.
What is DURGA ADHIKARI, MD's NPI number?
DURGA ADHIKARI, MD's National Provider Identifier (NPI) is 1538319074, issued on 09/21/2008.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does DURGA ADHIKARI, MD prescribe most often?
Based on 2023 Medicare Part D data, DURGA ADHIKARI, 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 DURGA ADHIKARI, MD accept Medicare?
DURGA ADHIKARI, MD appears in CMS Medicare data with 854 Part D claims and 204 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DURGA ADHIKARI, MD's credentials?
DURGA ADHIKARI, MD's NPI is 1538319074 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.
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