2026 NPPES data Internal Medicine Physician NPI 1336591106
Verify on CMS →

KAVITA AGRAWAL

Internal Medicine Physician in BURLINGTON, North 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
141
Medicare Part D claims · 52 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.2132/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

KAVITA AGRAWAL reported a CMS MIPS final score of 84.2132/100 — above the 83.1 national average — and filed 141 Medicare Part D claims in 2023.

84.2132/100
MIPS score · +1 vs avg
141
Part D claims, 2023
91%
generic prescribing
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.

KAVITA AGRAWAL's MIPS score vs every scored U.S. clinician

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

84 45th percentile higher than 45% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

KAVITA AGRAWAL practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — 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 KAVITA AGRAWAL?

Near national average

NPI registry status

Active

Issued 07/05/2016

NPI 1336591106

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

141 95% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

84.2132/100 1.1132000000000062% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Internal Medicine Physician compares to other specialties among North Carolina providers

North Carolina providers

Internal Medicine Physician share within North Carolina

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within North Carolina

Medicare quality performance — MIPS

KAVITA AGRAWAL's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Near national average
MIPS Final Score
84.2132/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 84.2132/100 vs national avg 83.1

0%100%National avg83%84.2%
MIPS final score (Internal Medicine Physician) — 84.2132/100 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).

KAVITA AGRAWAL appears in the CMS NPPES registry as a Internal Medicine Physician provider at 1236 HUFFMAN MILL RD STE 120, BURLINGTON, NC, 27215, with a listed phone of (336) 538-7725. NPI 1336591106 was issued on 07/05/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGRAWAL 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 141 prescription claims written by this provider, covering 52 Medicare beneficiaries and totaling roughly $108K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 14.9%. 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 84.2132/100 for the 2023 performance year (Quality 90.7132, Cost 68.404), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

1236 HUFFMAN MILL RD STE 120
BURLINGTON, NC 27215

Provider Details

NPI 1336591106
Specialty Internal Medicine Physician
Gender Female
NPI Issued 07/05/2016

CMS Quality Score (MIPS)

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

84.2132
Final Score
Avg: 83.1
90.7132
Quality
68.404
Cost
80
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KAVITA AGRAWAL 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.

ST MARYS HEALTH INC
NEWBURGH, IN
ST MARYS MEDICAL GROUP LLC
EVANSVILLE, IN
THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
BURLINGTON, NC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

KAVITA AGRAWAL — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 141 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.

141
Total Claims
$108K
Total Drug Cost
52
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
166
Total Day Supply
3,334
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$60K
Generic Drug Cost
$47K
Opioid Claims
21 (14.9% rate)

Patient Demographics

Average Patient Age
70.7 years
Avg HCC Risk Score
2.07
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

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

What KAVITA AGRAWAL prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Dexamethasone
14
Ondansetron Hcl
12
Prochlorperazine Maleate
11

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

Internal Medicine Physician Overview

How KAVITA AGRAWAL fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

KAVITA AGRAWAL's 141 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in North Carolina

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAVITA AGRAWAL's specialty?
KAVITA AGRAWAL specializes in Internal Medicine Physician and practices in BURLINGTON, North Carolina.
How much does KAVITA AGRAWAL prescribe under Medicare Part D?
In 2023, KAVITA AGRAWAL wrote 141 Medicare Part D claims totaling $108K in drug costs for 52 beneficiaries.
What is KAVITA AGRAWAL's Medicare quality score?
KAVITA AGRAWAL has a CMS MIPS Final Score of 84.2132/100 (Quality: 90.7132, Cost: 68.404). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAVITA AGRAWAL located?
KAVITA AGRAWAL is located at 1236 HUFFMAN MILL RD STE 120, BURLINGTON, NC, 27215. Phone: (336) 538-7725.
What is KAVITA AGRAWAL's NPI number?
KAVITA AGRAWAL's National Provider Identifier (NPI) is 1336591106, issued on 07/05/2016.
Does KAVITA AGRAWAL prescribe more brand-name or generic drugs?
KAVITA AGRAWAL's prescribing is 9% brand-name and 91% generic drugs by claim count, with $60K in brand drug costs.
Does KAVITA AGRAWAL prescribe opioids?
Yes, KAVITA AGRAWAL had 21 opioid claims in 2023 with an opioid prescribing rate of 14.9%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does KAVITA AGRAWAL prescribe most often?
Based on 2023 Medicare Part D data, KAVITA AGRAWAL's most frequently prescribed drugs include Dexamethasone, Ondansetron Hcl, Prochlorperazine Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAVITA AGRAWAL accept Medicare?
KAVITA AGRAWAL appears in CMS Medicare data with 141 Part D claims and 52 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAVITA AGRAWAL's credentials?
KAVITA AGRAWAL's NPI is 1336591106. 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