2026 NPPES data Internal Medicine Physician NPI 1801318191 MD
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MONISHA PRIYADARSHIN KUMAR, MD

Internal Medicine Physician in RICHLAND, Washington. 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
830
Medicare Part D claims · 136 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
43%
generic claims · 57% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.0533/100
▼ 0 pts below national avg 83.1 · [object Object]

What the federal data shows

MONISHA PRIYADARSHIN KUMAR, MD reported a CMS MIPS final score of 83.0533/100 — below the 83.1 national average — and filed 830 Medicare Part D claims in 2023.

83.0533/100
MIPS score · 0 vs avg
830
Part D claims, 2023
43%
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.

MONISHA PRIYADARSHIN KUMAR, MD's MIPS score vs every scored U.S. clinician

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

83 42nd percentile higher than 42% 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)

MONISHA PRIYADARSHIN KUMAR, 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 MONISHA PRIYADARSHIN KUMAR, MD?

Near national average

NPI registry status

Active

Issued 07/09/2017

NPI 1801318191

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

830 69% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

83.0533/100 0.046700000000001296% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Internal Medicine Physician compares to other specialties among Washington providers

Washington providers

Internal Medicine Physician share within Washington

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

Medicare quality performance — MIPS

MONISHA PRIYADARSHIN KUMAR, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Near national average
MIPS Final Score
83.0533/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 83.0533/100 vs national avg 83.1

0%100%National avg83%83.1%
MIPS final score (Internal Medicine Physician) — 83.0533/100 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).

MONISHA PRIYADARSHIN KUMAR, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 1100 GOETHALS DR FL 1, RICHLAND, WA, 99352, with a listed phone of (509) 942-3288. NPI 1801318191 was issued on 07/09/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KUMAR 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 830 prescription claims written by this provider, covering 136 Medicare beneficiaries and totaling roughly $459K in drug spend, split 57% brand-name and 43% generic by claim count. 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 83.0533/100 for the 2023 performance year (Quality 76.4787, Cost 67.0324), 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

1100 GOETHALS DR FL 1
RICHLAND, WA 99352

Provider Details

NPI 1801318191
Specialty Internal Medicine Physician
Credentials MD
Gender Female
NPI Issued 07/09/2017

CMS Quality Score (MIPS)

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

83.0533
Final Score
Avg: 83.1
76.4787
Quality
67.0324
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MONISHA PRIYADARSHIN KUMAR, 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.

KADLEC REGIONAL MEDICAL CENTER
★★★★☆ 4/5
RICHLAND, WA
Acute Care Hospitals
CMS CCN: 500058

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

License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to MONISHA PRIYADARSHIN KUMAR, MD. To verify MONISHA PRIYADARSHIN KUMAR, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

MONISHA PRIYADARSHIN KUMAR, MD — brand share 57.0%
Specialty average (est.)

57% brand-name claims vs 43% generic, on 830 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.

830
Total Claims
$459K
Total Drug Cost
136
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,586
Total Day Supply
46,229
Brand vs Generic
57% brand / 43% generic
Brand Drug Cost
$441K
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
68.3 years
Avg HCC Risk Score
1.93
Gender Split
71% female / 29% male
Age Distribution
<65: 35, 65-74: 67, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What MONISHA PRIYADARSHIN KUMAR, 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
87
Ozempic
Semaglutide
58
Metformin Hcl
38
Hydrocortisone
34
Jardiance
Empagliflozin
34
Metformin Hcl Er
Metformin Hcl
31
Alendronate Sodium
26
Novolog Flexpen
Insulin Aspart
26
Humalog Kwikpen U-100
Insulin Lispro
25
Synthroid
Levothyroxine Sodium
25

* 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 MONISHA PRIYADARSHIN KUMAR, MD 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

MONISHA PRIYADARSHIN KUMAR, MD's 830 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Washington

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

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

Frequently Asked Questions

What is MONISHA PRIYADARSHIN KUMAR, MD's specialty?
MONISHA PRIYADARSHIN KUMAR, MD specializes in Internal Medicine Physician and practices in RICHLAND, Washington. Credentials: MD.
How much does MONISHA PRIYADARSHIN KUMAR, MD prescribe under Medicare Part D?
In 2023, MONISHA PRIYADARSHIN KUMAR, MD wrote 830 Medicare Part D claims totaling $459K in drug costs for 136 beneficiaries.
What is MONISHA PRIYADARSHIN KUMAR, MD's Medicare quality score?
MONISHA PRIYADARSHIN KUMAR, MD has a CMS MIPS Final Score of 83.0533/100 (Quality: 76.4787, Cost: 67.0324). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MONISHA PRIYADARSHIN KUMAR, MD located?
MONISHA PRIYADARSHIN KUMAR, MD is located at 1100 GOETHALS DR FL 1, RICHLAND, WA, 99352. Phone: (509) 942-3288.
What is MONISHA PRIYADARSHIN KUMAR, MD's NPI number?
MONISHA PRIYADARSHIN KUMAR, MD's National Provider Identifier (NPI) is 1801318191, issued on 07/09/2017.
Does MONISHA PRIYADARSHIN KUMAR, MD prescribe more brand-name or generic drugs?
MONISHA PRIYADARSHIN KUMAR, MD's prescribing is 57% brand-name and 43% generic drugs by claim count, with $441K in brand drug costs.
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 MONISHA PRIYADARSHIN KUMAR, MD prescribe most often?
Based on 2023 Medicare Part D data, MONISHA PRIYADARSHIN KUMAR, MD's most frequently prescribed drugs include Levothyroxine Sodium, Ozempic, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MONISHA PRIYADARSHIN KUMAR, MD accept Medicare?
MONISHA PRIYADARSHIN KUMAR, MD appears in CMS Medicare data with 830 Part D claims and 136 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MONISHA PRIYADARSHIN KUMAR, MD's credentials?
MONISHA PRIYADARSHIN KUMAR, MD's NPI is 1801318191 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.
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