NPI registry status
Active
2026 NPPES data Sleep Medicine (Psychiatry & Neurology) Physician NPI 1922599877 DO
Verify on CMS → Hiral Padia, DO
Sleep Medicine (Psychiatry & Neurology) Physician in Arlington, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 376 in Sleep Medicine (Psychiatry & Neurology) 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
58
Medicare Part D claims · 25 beneficiaries · Sleep Medicine (Psychiatry & Neurology) Physician avg: 1K
MIPS score
92.6/100
▲ 10 pts above national avg 83.1 · Exceptional
Industry payments
$422.51
17 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Hiral Padia, DO reported a CMS MIPS final score of 92.6/100 - above the 83.1 national average - and filed 58 Medicare Part D claims in 2023.
- 92.6/100
- MIPS score · +10 vs avg
- 58
- Part D claims, 2023
- 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.
Hiral Padia, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
93 Top 32% higher than 68% of 477,587 scored providers
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
Where Hiral Padia, DO sits
This provider among sleep medicine (psychiatry & neurology) physician peers
Across the 126 sleep medicine (psychiatry & neurology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Hiral Padia, DO writes more Part D claims than 10% of them and scores higher on MIPS quality than 65% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one sleep medicine (psychiatry & neurology) physician peer from a representative sample of 60; the gold marker is Hiral Padia, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Hiral Padia, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Hiral Padia, DO?
High performer (top quartile)Primary specialty
Sleep Medicine (Psychiatry & Neurology) Physician
Medicare Part D claims
58 94% vs specialty avg
MIPS final score
92.6/100 9.5 pts vs avg
Specialty distribution in Virginia
How Sleep Medicine (Psychiatry & Neurology) Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Hiral Padia, DO's 2023 MIPS final score plotted against the Sleep Medicine (Psychiatry & Neurology) Physician national average
- MIPS Final Score
- 92.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sleep Medicine (Psychiatry & Neurology) Physician) - 92.6/100 vs national avg 83.1
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).
Hiral Padia, DO appears in the CMS NPPES registry as a Sleep Medicine (Psychiatry & Neurology) Physician provider holding DO credentials at 200 N GLEBE RD STE 316, Arlington, VA, 22203, with a listed phone of (703) 729-3420. NPI 1922599877 was issued on 05/27/2018.
Medicare Part D records for calendar year 2023 show 58 prescription claims written by this provider, covering 25 Medicare beneficiaries and totaling roughly $4K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.6/100 for the 2023 performance year (Quality 85.2), compared with the national average of 83.1.
Sleep Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 376 enrolled providers across 46 states and an average of 1,005 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 | 1922599877 |
|---|---|
| Specialty | Sleep Medicine (Psychiatry & Neurology) Physician |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 05/27/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
92.6141
Final Score
Avg: 83.1
85.2283
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
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 Hiral Padia, DO. Source: openpaymentsdata.cms.gov.
Total received
$423
Largest payer
HARMONY BIOSCIENCES LLC
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.
58
Total Claims
$4K
Total Drug Cost
25
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 95
- Total Day Supply
- 2,827
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 63.5 years
- Avg HCC Risk Score
- 1.80
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Gabapentin | 15 |
| Levetiracetam | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sleep Medicine (Psychiatry & Neurology) Physician in VA →
All providers in Virginia →
Compare specialties →
Sleep Medicine (Psychiatry & Neurology) Physician Overview
How Hiral Padia, DO fits within the Sleep Medicine (Psychiatry & Neurology) Physician landscape nationally.
376
Sleep Medicine (Psychiatry & Neurology) Physician Providers in US
46
States with Sleep Medicine (Psychiatry & Neurology) Physician
1,005
Avg Claims per Provider
Hiral Padia, DO's 58 claims are below the specialty average of 1,005.
Nearby Sleep Medicine (Psychiatry & Neurology) Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Padia.
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 Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sleep Medicine (Psychiatry & Neurology) 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 Hiral Padia, DO's specialty? ▼
Hiral Padia, DO specializes in Sleep Medicine (Psychiatry & Neurology) Physician and practices in Arlington, Virginia. Credentials: DO.
How much does Hiral Padia, DO prescribe under Medicare Part D? ▼
In 2023, Hiral Padia, DO wrote 58 Medicare Part D claims totaling $4K in drug costs for 25 beneficiaries.
What is Hiral Padia, DO's Medicare quality score? ▼
Hiral Padia, DO has a CMS MIPS Final Score of 92.6/100 (Quality: 85.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Hiral Padia, DO located? ▼
Hiral Padia, DO is located at 200 N GLEBE RD STE 316, Arlington, VA, 22203. Phone: (703) 729-3420.
What is Hiral Padia, DO's NPI number? ▼
Hiral Padia, DO's National Provider Identifier (NPI) is 1922599877, issued on 05/27/2018.
How many Sleep Medicine (Psychiatry & Neurology) Physician providers are there in the US? ▼
There are 376 Sleep Medicine (Psychiatry & Neurology) Physician providers across 46 states in the US. The average Sleep Medicine (Psychiatry & Neurology) Physician provider writes 1,005 Medicare Part D claims per year.
What drugs does Hiral Padia, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Hiral Padia, DO's most frequently prescribed drugs include Gabapentin, Levetiracetam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Hiral Padia, DO accept Medicare? ▼
Hiral Padia, DO appears in CMS Medicare data with 58 Part D claims and 25 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Hiral Padia, DO's credentials? ▼
Hiral Padia, DO's NPI is 1922599877 with credentials DO. 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.