2026 NPPES data Sleep Medicine (Psychiatry & Neurology) Physician NPI 1922599877 DO
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HIRAL PADIA, DO

Sleep Medicine (Psychiatry & Neurology) Physician in ARLINGTON, Virginia. 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
58
Medicare Part D claims · 25 beneficiaries · Sleep Medicine (Psychiatry & Neurology) Physician avg: 1K
MIPS score
92.6141/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$422.51
17 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HIRAL PADIA, DO reported a CMS MIPS final score of 92.6141/100 — above the 83.1 national average — and filed 58 Medicare Part D claims in 2023.

92.6141/100
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

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

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)

NPI registry status

Active

Issued 05/27/2018

NPI 1922599877

Primary specialty

Sleep Medicine (Psychiatry & Neurology) Physician

Rare

371 US NPIs in this specialty

Medicare Part D claims

58 94% vs specialty avg

2023 prescription claims

Specialty avg: 1,005

MIPS final score

92.6141/100 9.5141% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Sleep Medicine (Psychiatry & Neurology) Physician compares to other specialties among Virginia providers

Virginia providers

Sleep Medicine (Psychiatry & Neurology) Physician share within Virginia

1. Sleep Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Psychiatry & Neurology) Physician share within Virginia

Medicare quality performance — MIPS

HIRAL PADIA, DO's 2023 MIPS final score plotted against the Sleep Medicine (Psychiatry & Neurology) Physician national average

High performer (top quartile)
MIPS Final Score
92.6141/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Psychiatry & Neurology) Physician) — 92.6141/100 vs national avg 83.1

0%100%National avg83%92.6%
MIPS final score (Sleep Medicine (Psychiatry & Neurology) Physician) — 92.6141/100 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).

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PADIA 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 58 prescription claims written by this provider, covering 25 Medicare beneficiaries and totaling roughly $4K 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 92.6141/100 for the 2023 performance year (Quality 85.2283), compared with the national average of 83.1.

Sleep Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 371 enrolled providers across 45 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

200 N GLEBE RD STE 316
ARLINGTON, VA 22203

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.

Sleep Medicine (Psychiatry & Neurology) Physician Overview

How HIRAL PADIA, DO fits within the Sleep Medicine (Psychiatry & Neurology) Physician landscape nationally.

371
Sleep Medicine (Psychiatry & Neurology) Physician Providers in US
45
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.

Compare Sleep Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

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 92.6141/100 (Quality: 85.2283). 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 371 Sleep Medicine (Psychiatry & Neurology) Physician providers across 45 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

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