Milind Sumant Awale, MD
Hospitalist Physician in Wheeling, West 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 16,825 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Milind Sumant Awale, MD reported a CMS MIPS final score of 94.1/100 - above the 83.1 national average - and filed 641 Medicare Part D claims in 2023.
- 94.1/100
- MIPS score · +11 vs avg
- 641
- Part D claims, 2023
- 90%
- 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.
Milind Sumant Awale, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
94 Top 25% higher than 75% 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 Milind Sumant Awale, MD sits
This provider among hospitalist physician peers
Across the 4,437 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Milind Sumant Awale, MD writes more Part D claims than 84% of them and scores higher on MIPS quality than 70% - placing this provider in the high-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 hospitalist physician peer from a representative sample of 60; the gold marker is Milind Sumant Awale, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Milind Sumant Awale, 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 Milind Sumant Awale, MD?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in West Virginia
How Hospitalist Physician compares to other specialties among West Virginia providers
Hospitalist Physician ranks #57 among West Virginia's specialties (0.1% of in-state providers)
Each bar is a specialty's share of the West Virginia provider total, by primary NUCC taxonomy. The highlighted bar is Hospitalist Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Milind Sumant Awale, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 94.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospitalist Physician) - 94.1/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Hospitalist Physician US NPIs
94.1/100 MIPS final score - 11.0 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Hospitalist Physician. Quality dim: 78.5.
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).
Milind Sumant Awale, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 1 MEDICAL PARK, Wheeling, WV, 26003, with a listed phone of (304) 243-2981. NPI 1528355070 was issued on 07/06/2011.
Medicare Part D records for calendar year 2023 show 641 prescription claims written by this provider, covering 270 Medicare beneficiaries and totaling roughly $46K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 3.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1/100 for the 2023 performance year (Quality 78.5), compared with the national average of 83.1.
Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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 | 1528355070 |
|---|---|
| Specialty | Hospitalist Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/06/2011 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Milind Sumant Awale, MD's current license status, disciplinary history, and board certifications with the West Virginia Board of Medicine in West Virginia before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1528355070 is the unique 10-digit identifier CMS uses to link Awale across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Milind Sumant Awale, 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Milind Sumant Awale, MD. Source: openpaymentsdata.cms.gov.
Total received
$20
Largest payer
Abbott Laboratories
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.
Brand vs generic prescribing mix · Typical
10% brand-name claims vs 90% generic, on 641 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.
Prescribing Breakdown
- 30-Day Fills
- 723
- Total Day Supply
- 15,445
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $37K
- Generic Drug Cost
- $9K
- Opioid Claims
- 23 (3.6% rate)
- Antibiotic Claims
- 154
Patient Demographics
- Average Patient Age
- 73.1 years
- Avg HCC Risk Score
- 2.42
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 39, 65-74: 107, 75-84: 82, 85+: 42
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Milind Sumant Awale, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
55 claims
- Prednisone
Prednisone
44 claims
- Pantoprazole Sodium
Pantoprazole Sodium
38 claims
- Furosemide
Furosemide
37 claims
- Metoprolol Succinate
Metoprolol Succinate
35 claims
- Ciprofloxacin Hcl
Ciprofloxacin Hcl
26 claims
- Hydralazine Hcl 21
Hydralazine Hcl
21 claims
- Atorvastatin Calcium 19
Atorvastatin Calcium
19 claims
| Drug | Claims |
|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 55 |
| Prednisone | 44 |
| Pantoprazole Sodium | 38 |
| Furosemide | 37 |
| Metoprolol Succinate | 35 |
| Ciprofloxacin Hcl | 26 |
| Hydralazine Hcl | 21 |
| Atorvastatin Calcium | 19 |
| Eliquis Apixaban | 19 |
| Lisinopril | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospitalist Physician Overview
How Milind Sumant Awale, MD fits within the Hospitalist Physician landscape nationally.
Milind Sumant Awale, MD's 641 claims are below the specialty average of 888.
Nearby Hospitalist Physician Providers in West Virginia
Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Awale.
Compare Hospitalist 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 West Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospitalist 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
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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