2026 NPPES data Specialist NPI 1578512612 MD
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HARPREET PATHEJA, MD

Specialist in AIKEN, 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
2K
Medicare Part D claims · 410 beneficiaries · Specialist avg: 1K
Generic prescribing
57%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.0632/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$721.42
25 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HARPREET PATHEJA, MD reported a CMS MIPS final score of 98.0632/100 — above the 83.1 national average — and filed 1,605 Medicare Part D claims in 2023.

98.0632/100
MIPS score · +15 vs avg
2K
Part D claims, 2023
57%
generic prescribing
$721.42
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.

HARPREET PATHEJA, MD's MIPS score vs every scored U.S. clinician

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

98 Top 11% higher than 89% 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 HARPREET PATHEJA, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/08/2006

NPI 1578512612

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

1,605 9% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

98.0632/100 14.9632% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Carolina

How Specialist compares to other specialties among South Carolina providers

South Carolina providers

Specialist share within South Carolina

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within South Carolina

Medicare quality performance — MIPS

HARPREET PATHEJA, MD's 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
98.0632/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 98.0632/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Specialist) — 98.0632/100 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).

HARPREET PATHEJA, MD is a Specialist provider practicing in AIKEN, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1578512612. 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.

HARPREET PATHEJA, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 110 PEPPER HILL WAY, AIKEN, SC, 29801, with a listed phone of (803) 642-6060. NPI 1578512612 was issued on 05/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PATHEJA 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 1,605 prescription claims written by this provider, covering 410 Medicare beneficiaries and totaling roughly $407K in drug spend, split 43% brand-name and 57% generic by claim count. 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 98.0632/100 for the 2023 performance year (Quality 100, Cost 93.544), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

110 PEPPER HILL WAY
AIKEN, SC 29801

Provider Details

NPI 1578512612
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 05/08/2006

CMS Quality Score (MIPS)

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

98.0632
Final Score
Avg: 83.1
100
Quality
93.544
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where HARPREET PATHEJA, 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.

AIKEN OPHTHALMOLOGY PC
AIKEN, 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 HARPREET PATHEJA, MD. Source: openpaymentsdata.cms.gov.

Total received

$721

Largest payer

Bausch & Lomb Americas 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.

Brand vs generic prescribing mix · Above average

HARPREET PATHEJA, MD — brand share 43.0%
Specialty average (est.)

43% brand-name claims vs 57% generic, on 1,605 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.

1,605
Total Claims
$407K
Total Drug Cost
410
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,117
Total Day Supply
88,935
Brand vs Generic
43% brand / 57% generic
Brand Drug Cost
$355K
Generic Drug Cost
$52K
Antibiotic Claims
16

Patient Demographics

Average Patient Age
77.1 years
Avg HCC Risk Score
1.30
Gender Split
62% female / 38% male
Age Distribution
<65: 21, 65-74: 123, 75-84: 184, 85+: 82

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
367
Timolol Maleate
187
Lumigan
Bimatoprost
119
Prednisolone Acetate
88
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
86
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
84
Brimonidine Tartrate-Timolol
Brimonidine Tartrate/Timolol
83
Restasis
Cyclosporine
82
Brimonidine Tartrate
75
Combigan
Brimonidine Tartrate/Timolol
48

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

Specialist Overview

How HARPREET PATHEJA, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

HARPREET PATHEJA, MD's 1,605 claims are above the specialty average of 1,474.

Nearby Specialist Providers in South Carolina

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is HARPREET PATHEJA, MD's specialty?
HARPREET PATHEJA, MD specializes in Specialist and practices in AIKEN, South Carolina. Credentials: MD.
How much does HARPREET PATHEJA, MD prescribe under Medicare Part D?
In 2023, HARPREET PATHEJA, MD wrote 1,605 Medicare Part D claims totaling $407K in drug costs for 410 beneficiaries.
What is HARPREET PATHEJA, MD's Medicare quality score?
HARPREET PATHEJA, MD has a CMS MIPS Final Score of 98.0632/100 (Quality: 100, Cost: 93.544). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HARPREET PATHEJA, MD located?
HARPREET PATHEJA, MD is located at 110 PEPPER HILL WAY, AIKEN, SC, 29801. Phone: (803) 642-6060.
What is HARPREET PATHEJA, MD's NPI number?
HARPREET PATHEJA, MD's National Provider Identifier (NPI) is 1578512612, issued on 05/08/2006.
Does HARPREET PATHEJA, MD prescribe more brand-name or generic drugs?
HARPREET PATHEJA, MD's prescribing is 43% brand-name and 57% generic drugs by claim count, with $355K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does HARPREET PATHEJA, MD prescribe most often?
Based on 2023 Medicare Part D data, HARPREET PATHEJA, MD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HARPREET PATHEJA, MD accept Medicare?
HARPREET PATHEJA, MD appears in CMS Medicare data with 1,605 Part D claims and 410 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HARPREET PATHEJA, MD's credentials?
HARPREET PATHEJA, MD's NPI is 1578512612 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