NPI registry status
Active
2026 NPPES data Nephrology Physician NPI 1063737070 M.D , M.P.H
Verify on CMS → Gautam Agrawal, M.D , M.P.H
Nephrology Physician in Greensburg, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,534 in Nephrology 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
3K
Medicare Part D claims · 471 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$173.58
4 payments · CMS Open Payments (Sunshine Act)
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
Gautam Agrawal, M.D , M.P.H filed 3,117 Medicare Part D claims in 2023 as a Nephrology Physician in Greensburg, Pennsylvania, prescribing 90% generic.
- 3K
- Part D claims, 2023
- 90%
- 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.
Gautam Agrawal, M.D , M.P.H's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
3,117 Top 11% higher than 89% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Gautam Agrawal, M.D , M.P.H practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Gautam Agrawal, M.D , M.P.H?
Quality data not reportedPrimary specialty
Nephrology Physician
Medicare Part D claims
3,117 114% vs specialty avg
Specialty distribution in Pennsylvania
How Nephrology Physician compares to other specialties among Pennsylvania 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 Nephrology 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).
Gautam Agrawal, M.D , M.P.H appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D , M.P.H credentials at 1275 S MAIN ST STE 202, Greensburg, PA, 15601, with a listed phone of (724) 836-8303. NPI 1063737070 was issued on 04/01/2010.
Medicare Part D records for calendar year 2023 show 3,117 prescription claims written by this provider, covering 471 Medicare beneficiaries and totaling roughly $395K in drug spend, split 10% brand-name and 90% generic by claim count.
Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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 | 1063737070 |
|---|---|
| Specialty | Nephrology Physician |
| Credentials | M.D , M.P.H |
| Gender | Male |
| NPI Issued | 04/01/2010 |
Hospital and facility affiliations
Facilities where Gautam Agrawal, M.D , M.P.H 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.
Pittsburgh Kidney Care LLC
Greensburg, PA
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 Gautam Agrawal, M.D , M.P.H. Source: openpaymentsdata.cms.gov.
Total received
$174
Largest payer
CALLIDITAS THERAPEUTICS US 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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Gautam Agrawal, M.D , M.P.H. To verify Gautam Agrawal, M.D , M.P.H's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Gautam Agrawal, M.D , M.P.H - brand share 10.0%
Nephrology Physician average
10% brand-name claims vs 90% generic, on 3,117 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.
3,117
Total Claims
$395K
Total Drug Cost
471
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 7,345
- Total Day Supply
- 217,806
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $298K
- Generic Drug Cost
- $96K
- Antibiotic Claims
- 103
Patient Demographics
- Average Patient Age
- 74.6 years
- Avg HCC Risk Score
- 2.94
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 52, 65-74: 162, 75-84: 194, 85+: 63
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Gautam Agrawal, M.D , M.P.H prescribes most
Top Medicare Part D drugs by claim count, 2023
- Allopurinol
Allopurinol
423 claims
- Bumetanide
Bumetanide
283 claims
- Furosemide
Furosemide
247 claims
- Lisinopril
Lisinopril
239 claims
- Losartan Potassium
Losartan Potassium
215 claims
- Amlodipine Besylate
Amlodipine Besylate
178 claims
- Calcitriol 169
Calcitriol
169 claims
- Carvedilol 140
Carvedilol
140 claims
| Drug | Claims |
|---|---|
| Allopurinol | 423 |
| Bumetanide | 283 |
| Furosemide | 247 |
| Lisinopril | 239 |
| Losartan Potassium | 215 |
| Amlodipine Besylate | 178 |
| Calcitriol | 169 |
| Carvedilol | 140 |
| Hydrochlorothiazide | 134 |
| Farxiga Dapagliflozin Propanediol | 105 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nephrology Physician Overview
How Gautam Agrawal, M.D , M.P.H fits within the Nephrology Physician landscape nationally.
10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider
Gautam Agrawal, M.D , M.P.H's 3,117 claims are above the specialty average of 1,454.
Nearby Nephrology Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Agrawal.
Dr. Mohamed Anwar Abdus Samad
MD
York, PA
Dr. Samer Abou Chehade
M.D
Erie, PA
Blaise Abramovitz
Pittsburgh, PA
Dr. Parvaneh Abtahi
MD
Wyomissing, PA
Azza Abubaker
Philadelphia, PA
Compare Nephrology 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Nephrology 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 Gautam Agrawal, M.D , M.P.H's specialty? ▼
Gautam Agrawal, M.D , M.P.H specializes in Nephrology Physician and practices in Greensburg, Pennsylvania. Credentials: M.D , M.P.H.
How much does Gautam Agrawal, M.D , M.P.H prescribe under Medicare Part D? ▼
In 2023, Gautam Agrawal, M.D , M.P.H wrote 3,117 Medicare Part D claims totaling $395K in drug costs for 471 beneficiaries.
Where is Gautam Agrawal, M.D , M.P.H located? ▼
Gautam Agrawal, M.D , M.P.H is located at 1275 S MAIN ST STE 202, Greensburg, PA, 15601. Phone: (724) 836-8303.
What is Gautam Agrawal, M.D , M.P.H's NPI number? ▼
Gautam Agrawal, M.D , M.P.H's National Provider Identifier (NPI) is 1063737070, issued on 04/01/2010.
Does Gautam Agrawal, M.D , M.P.H prescribe more brand-name or generic drugs? ▼
Gautam Agrawal, M.D , M.P.H's prescribing is 10% brand-name and 90% generic drugs by claim count, with $298K in brand drug costs.
How many Nephrology Physician providers are there in the US? ▼
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does Gautam Agrawal, M.D , M.P.H prescribe most often? ▼
Based on 2023 Medicare Part D data, Gautam Agrawal, M.D , M.P.H's most frequently prescribed drugs include Allopurinol, Bumetanide, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gautam Agrawal, M.D , M.P.H accept Medicare? ▼
Gautam Agrawal, M.D , M.P.H appears in CMS Medicare data with 3,117 Part D claims and 471 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gautam Agrawal, M.D , M.P.H's credentials? ▼
Gautam Agrawal, M.D , M.P.H's NPI is 1063737070 with credentials M.D , M.P.H. 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.
- 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.