NPI registry status
Active
2026 NPPES data Neurology Physician NPI 1255568010 M.D.
Verify on CMS → Kamal Bhatia, M.D.
Neurology Physician in Rockville, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 19,866 in 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
123
Medicare Part D claims · 27 beneficiaries · Neurology Physician avg: 1K
MIPS score
84.8/100
▲ 2 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kamal Bhatia, M.D. reported a CMS MIPS final score of 84.8/100 - above the 83.1 national average - and filed 123 Medicare Part D claims in 2023.
- 84.8/100
- MIPS score · +2 vs avg
- 123
- 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.
Kamal Bhatia, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 45th percentile higher than 45% 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 Kamal Bhatia, M.D. sits
This provider among neurology physician peers
Across the 5,437 neurology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kamal Bhatia, M.D. writes more Part D claims than 15% of them and scores higher on MIPS quality than 52% - 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 neurology physician peer from a representative sample of 60; the gold marker is Kamal Bhatia, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Kamal Bhatia, M.D. 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 Kamal Bhatia, M.D.?
Near national averagePrimary specialty
Neurology Physician
Medicare Part D claims
123 91% vs specialty avg
MIPS final score
84.8/100 1.7 pts vs avg
Specialty distribution in Maryland
How Neurology Physician compares to other specialties among Maryland providers
Medicare quality performance, MIPS
Kamal Bhatia, M.D.'s 2023 MIPS final score plotted against the Neurology Physician national average
- MIPS Final Score
- 84.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Neurology Physician) - 84.8/100 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).
Kamal Bhatia, M.D. appears in the CMS NPPES registry as a Neurology Physician provider holding M.D. credentials at 1101 WOOTTON PKWY STE 960, Rockville, MD, 20852, with a listed phone of (301) 288-1028. NPI 1255568010 was issued on 06/18/2009.
Medicare Part D records for calendar year 2023 show 123 prescription claims written by this provider, covering 27 Medicare beneficiaries and totaling roughly $7K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.8/100 for the 2023 performance year (Quality 59, Cost 92.8), compared with the national average of 83.1.
Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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 | 1255568010 |
|---|---|
| Specialty | Neurology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/18/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.7753
Final Score
Avg: 83.1
58.961
Quality
92.79
Cost
77
Promoting Interoperability
Reporting: Group practice
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
123
Total Claims
$7K
Total Drug Cost
27
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 123
- Total Day Supply
- 2,771
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 48.7 years
- Avg HCC Risk Score
- 1.70
- Gender Split
- 52% female / 48% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Trazodone Hcl | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Neurology Physician Overview
How Kamal Bhatia, M.D. fits within the Neurology Physician landscape nationally.
19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider
Kamal Bhatia, M.D.'s 123 claims are below the specialty average of 1,309.
Nearby Neurology Physician Providers in Maryland
Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Bhatia.
Dr. Orwa Aboud
M.D. PH.D
Baltimore, MD
Dr. Malik Adil
MD
Bethesda, MD
Dr. Busranur Agac
MD
Bethesda, MD
Dr. Gurdeep Ahluwalia
M.D.
Annapolis, MD
Dr. Ghasan Ahmad
MD
Baltimore, MD
Compare Neurology 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 Maryland medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby 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 Kamal Bhatia, M.D.'s specialty? ▼
Kamal Bhatia, M.D. specializes in Neurology Physician and practices in Rockville, Maryland. Credentials: M.D..
How much does Kamal Bhatia, M.D. prescribe under Medicare Part D? ▼
In 2023, Kamal Bhatia, M.D. wrote 123 Medicare Part D claims totaling $7K in drug costs for 27 beneficiaries.
What is Kamal Bhatia, M.D.'s Medicare quality score? ▼
Kamal Bhatia, M.D. has a CMS MIPS Final Score of 84.8/100 (Quality: 59, Cost: 92.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kamal Bhatia, M.D. located? ▼
Kamal Bhatia, M.D. is located at 1101 WOOTTON PKWY STE 960, Rockville, MD, 20852. Phone: (301) 288-1028.
What is Kamal Bhatia, M.D.'s NPI number? ▼
Kamal Bhatia, M.D.'s National Provider Identifier (NPI) is 1255568010, issued on 06/18/2009.
How many Neurology Physician providers are there in the US? ▼
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does Kamal Bhatia, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Kamal Bhatia, M.D.'s most frequently prescribed drugs include Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kamal Bhatia, M.D. accept Medicare? ▼
Kamal Bhatia, M.D. appears in CMS Medicare data with 123 Part D claims and 27 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kamal Bhatia, M.D.'s credentials? ▼
Kamal Bhatia, M.D.'s NPI is 1255568010 with credentials M.D.. 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.