2026 NPPES data Geriatric Medicine (Internal Medicine) Physician NPI 1619288156 MD
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MONICA SETHI, MD

Geriatric Medicine (Internal Medicine) Physician in ABINGTON, Pennsylvania. 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
589
Medicare Part D claims · 98 beneficiaries · Geriatric Medicine (Internal Medicine) Physician avg: 4K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

MONICA SETHI, MD filed 589 Medicare Part D claims in 2023 as a Geriatric Medicine (Internal Medicine) Physician in ABINGTON, Pennsylvania, prescribing 86% generic.

589
Part D claims, 2023
86%
generic prescribing

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.

MONICA SETHI, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

589 Top 34% higher than 66% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

MONICA SETHI, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about MONICA SETHI, MD?

Quality data not reported

NPI registry status

Active

Issued 06/30/2010

NPI 1619288156

Primary specialty

Geriatric Medicine (Internal Medicine) Physician

Niche

4,161 US NPIs in this specialty

Medicare Part D claims

589 87% vs specialty avg

2023 prescription claims

Specialty avg: 4,450

Specialty distribution in Pennsylvania

How Geriatric Medicine (Internal Medicine) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Geriatric Medicine (Internal Medicine) Physician share within Pennsylvania

1. Geriatric Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Geriatric Medicine (Internal Medicine) Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Geriatric Medicine (Internal Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Geriatric Medicine (Internal Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Geriatric Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Geriatric Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

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).

MONICA SETHI, MD appears in the CMS NPPES registry as a Geriatric Medicine (Internal Medicine) Physician provider holding MD credentials at 1200 OLD YORK RD, ABINGTON, PA, 19001, with a listed phone of (215) 481-2606. NPI 1619288156 was issued on 06/30/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SETHI 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 589 prescription claims written by this provider, covering 98 Medicare beneficiaries and totaling roughly $46K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 2.0%. 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.

Geriatric Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 4,161 enrolled providers across 52 states and an average of 4,450 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

1200 OLD YORK RD
ABINGTON, PA 19001

Provider Details

NPI 1619288156
Specialty Geriatric Medicine (Internal Medicine) Physician
Credentials MD
Gender Female
NPI Issued 06/30/2010

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to MONICA SETHI, MD. To verify MONICA SETHI, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MONICA SETHI, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 589 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.

589
Total Claims
$46K
Total Drug Cost
98
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
626
Total Day Supply
17,467
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$28K
Generic Drug Cost
$17K
Opioid Claims
12 (2.0% rate)

Patient Demographics

Average Patient Age
78.9 years
Avg HCC Risk Score
3.06
Gender Split
63% female / 37% male
Age Distribution
<65: 11, 65-74: 26, 75-84: 29, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

What MONICA SETHI, MD 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
Levothyroxine Sodium
32
Atorvastatin Calcium
30
Quetiapine Fumarate
24
Amlodipine Besylate
22
Lisinopril
22
Carvedilol
18
Finasteride
18
Gabapentin
16
Metformin Hcl
15
Tamsulosin Hcl
15

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

Geriatric Medicine (Internal Medicine) Physician Overview

How MONICA SETHI, MD fits within the Geriatric Medicine (Internal Medicine) Physician landscape nationally.

4,161
Geriatric Medicine (Internal Medicine) Physician Providers in US
52
States with Geriatric Medicine (Internal Medicine) Physician
4,450
Avg Claims per Provider

MONICA SETHI, MD's 589 claims are below the specialty average of 4,450.

Nearby Geriatric Medicine (Internal Medicine) Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as SETHI.

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

Frequently Asked Questions

What is MONICA SETHI, MD's specialty?
MONICA SETHI, MD specializes in Geriatric Medicine (Internal Medicine) Physician and practices in ABINGTON, Pennsylvania. Credentials: MD.
How much does MONICA SETHI, MD prescribe under Medicare Part D?
In 2023, MONICA SETHI, MD wrote 589 Medicare Part D claims totaling $46K in drug costs for 98 beneficiaries.
Where is MONICA SETHI, MD located?
MONICA SETHI, MD is located at 1200 OLD YORK RD, ABINGTON, PA, 19001. Phone: (215) 481-2606.
What is MONICA SETHI, MD's NPI number?
MONICA SETHI, MD's National Provider Identifier (NPI) is 1619288156, issued on 06/30/2010.
Does MONICA SETHI, MD prescribe more brand-name or generic drugs?
MONICA SETHI, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $28K in brand drug costs.
Does MONICA SETHI, MD prescribe opioids?
Yes, MONICA SETHI, MD had 12 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Geriatric Medicine (Internal Medicine) Physician providers are there in the US?
There are 4,161 Geriatric Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Internal Medicine) Physician provider writes 4,450 Medicare Part D claims per year.
What drugs does MONICA SETHI, MD prescribe most often?
Based on 2023 Medicare Part D data, MONICA SETHI, MD's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MONICA SETHI, MD accept Medicare?
MONICA SETHI, MD appears in CMS Medicare data with 589 Part D claims and 98 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MONICA SETHI, MD's credentials?
MONICA SETHI, MD's NPI is 1619288156 with credentials MD. 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.
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