NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1730701913 MD
Verify on CMS → Himal Chapagain, MD
Hospitalist Physician in Syracuse, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 17,950 in Hospitalist 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
97
Medicare Part D claims · 36 beneficiaries · Hospitalist Physician avg: 940
MIPS score
77.5/100
▼ 6 pts below national avg 83.5 · Above neutral
What the federal data shows
Himal Chapagain, MD reported a CMS MIPS final score of 77.5/100 - below the 83.5 national average - and filed 97 Medicare Part D claims in 2024.
- 77.5/100
- MIPS score · -6 vs avg
- 97
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥20th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Himal Chapagain, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1730701913), first enumerated 05/11/2020.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 97 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 77.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Himal Chapagain, MD's individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1730701913 · Hospitalist Physician
NPI-10 · ENUM-RECENT · TAX-MID · MIPS-BELOW · RX-TRACE · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1730701913
- ENUM-RECENT 2020
- TAX-MID 18K Hospitalist Physician
- MIPS-BELOW 77.5/100
- RX-TRACE 97
- BOOK-LIGHT 1,316 in New York
- PHOTO-FINISH Fnu Abhishek, MD · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Chapagain · this…
Chapagain · this provider
77.5 MIPS pts
- Marvi Bukhari, M…
Marvi Bukhari, M.D.
77.5 MIPS pts
- Fnu Abhishek, MD…
Fnu Abhishek, MD
77.5 MIPS pts
- Karl Bezak, M.D.…
Karl Bezak, M.D.
77.5 MIPS pts
- Pooja Bhatt, MD …
Pooja Bhatt, MD
77.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Himal Chapagain, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
78 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Himal Chapagain, MD sits
This provider among hospitalist physician peers
Across the 4,317 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Himal Chapagain, MD writes more Part D claims than 22% of them and scores higher on MIPS quality than 16% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is Himal Chapagain, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Himal Chapagain, 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 Himal Chapagain, MD?
Below national averagePrimary specialty
Hospitalist Physician
Medicare Part D claims
97 90% vs specialty avg
MIPS final score
77.5/100 6 pts vs avg
Specialty distribution in New York
How Hospitalist Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Himal Chapagain, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 77.5/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1730701913 |
|---|---|
| Specialty | Hospitalist Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/11/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.5068
Final Score
Measured-score avg: 83.5
68.6144
Quality
56.4081
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Himal Chapagain, 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.
Upstate Community Medical, PC
Syracuse, NY
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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Himal Chapagain, MD. To verify Himal Chapagain, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
97
Total Claims
$9K
Total Drug Cost
36
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 108.433
- Total Day Supply
- 2,579
- Generic Drug Cost
- $492
- Antibiotic Claims
- 16
Patient Demographics
- Average Patient Age
- 67.0 years
- Avg HCC Risk Score
- 2.54
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 11, 65-74: 12, 75-84: N/A, 85+: N/A
Hospitalist Physician Overview
How Himal Chapagain, MD fits within the Hospitalist Physician landscape nationally.
17,950
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
940
Avg Claims per Provider
Himal Chapagain, MD's 97 claims are below the specialty average of 940.
Nationwide Hospitalist Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Chapagain, both outside New York so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (77.5 here).
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Hospitalist Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Chapagain.
One of 1,316 Hospitalist Physician providers enrolled in New York, 5 are shown here.
Dr. Farrukh Abbas
MD
Rochester, NY
Dr. Hassan Abbas
M.D.
Rochester, NY
Dr. Suhail Abbasi
MD,FACP,FHM,FRCP
Batavia, NY
Fatmaalzahraa Abdelqader
New York, NY
Dr. Abdullah Abdullah
MD
Rochester, NY
Compare Hospitalist Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Himal Chapagain, MD's specialty? ▼
Himal Chapagain, MD specializes in Hospitalist Physician and practices in Syracuse, New York. Credentials: MD.
How much does Himal Chapagain, MD prescribe under Medicare Part D? ▼
In 2024, Himal Chapagain, MD wrote 97 Medicare Part D claims totaling $9K in drug costs for 36 beneficiaries.
What is Himal Chapagain, MD's Medicare quality score? ▼
Himal Chapagain, MD has a CMS MIPS Final Score of 77.5/100 (Quality: 68.6, Cost: 56.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Himal Chapagain, MD located? ▼
Himal Chapagain, MD is located at 750 E. ADAMS STREET, Syracuse, NY, 13210. Phone: (315) 464-5910.
What is Himal Chapagain, MD's NPI number? ▼
Himal Chapagain, MD's National Provider Identifier (NPI) is 1730701913, issued on 05/11/2020.
How many Hospitalist Physician providers are there in the US? ▼
There are 17,950 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 940 Medicare Part D claims per year.
Does Himal Chapagain, MD accept Medicare? ▼
Himal Chapagain, MD appears in CMS Medicare data with 97 Part D claims and 36 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Himal Chapagain, MD's credentials? ▼
Himal Chapagain, MD's NPI is 1730701913 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.