2026 NPPES data Nephrology Physician NPI 1386136992 MD
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MUHAMMAD KHAN, MD

Nephrology Physician in PRESTONSBURG, Kentucky. 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
203
Medicare Part D claims · 70 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.4009/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$148.03
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MUHAMMAD KHAN, MD is a Nephrology Physician ([object Object]) practicing in PRESTONSBURG, Kentucky with a Medicare Part D prescribing footprint of 203 claims across 70 beneficiaries — 23% brand-name prescribing . Their CMS MIPS Final Score of 97.4009/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $148.03 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MUHAMMAD KHAN, MD reported a CMS MIPS final score of 97.4009 out of 100, above the 83.1 national average, and filed 203 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MUHAMMAD KHAN, 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).

MUHAMMAD KHAN, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/31/2018

NPI 1386136992

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

203 86% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

97.4009/100 14.300899999999999% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Nephrology Physician compares to other specialties among Kentucky providers

Kentucky providers

Nephrology Physician share within Kentucky

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

Medicare quality performance — MIPS

MUHAMMAD KHAN, MD's 2023 MIPS final score plotted against the Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
97.4009/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 97.4009/100 vs national avg 83.1

0%100%National avg83%97.4%
MIPS final score (Nephrology Physician) — 97.4009/100 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).

MUHAMMAD KHAN, MD is a Nephrology Physician provider practicing in PRESTONSBURG, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1386136992. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MUHAMMAD KHAN, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 5000 KY ROUTE 321, PRESTONSBURG, KY, 41653, with a listed phone of (606) 886-7645. NPI 1386136992 was issued on 05/31/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KHAN 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 203 prescription claims written by this provider, covering 70 Medicare beneficiaries and totaling roughly $34K in drug spend, split 23% brand-name and 77% 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 97.4009/100 for the 2023 performance year (Quality 76.5564), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

5000 KY ROUTE 321
PRESTONSBURG, KY 41653

Provider Details

NPI 1386136992
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 05/31/2018

CMS Quality Score (MIPS)

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

97.4009
Final Score
Avg: 83.1
76.5564
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MUHAMMAD KHAN, 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.

ARH TUG VALLEY HEALTH SERVICES INC
PRESTONSBURG, KY

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 MUHAMMAD KHAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$148

Largest payer

Bayer Healthcare Pharmaceuticals Inc.

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

MUHAMMAD KHAN, MD — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 203 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.

203
Total Claims
$34K
Total Drug Cost
70
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
320
Total Day Supply
9,286
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$31K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
1.61
Gender Split
50% female / 50% male
Age Distribution
<65: 19, 65-74: 34, 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.

Drug Claims
Lisinopril
21
Amlodipine Besylate
19
Calcitriol
16
Carvedilol
16
Losartan Potassium
16
Eliquis
Apixaban
12
Farxiga
Dapagliflozin Propanediol
12

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

Nephrology Physician Overview

How MUHAMMAD KHAN, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

MUHAMMAD KHAN, MD's 203 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Kentucky

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

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MUHAMMAD KHAN, MD's specialty?
MUHAMMAD KHAN, MD specializes in Nephrology Physician and practices in PRESTONSBURG, Kentucky. Credentials: MD.
How much does MUHAMMAD KHAN, MD prescribe under Medicare Part D?
In 2023, MUHAMMAD KHAN, MD wrote 203 Medicare Part D claims totaling $34K in drug costs for 70 beneficiaries.
What is MUHAMMAD KHAN, MD's Medicare quality score?
MUHAMMAD KHAN, MD has a CMS MIPS Final Score of 97.4009/100 (Quality: 76.5564). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MUHAMMAD KHAN, MD located?
MUHAMMAD KHAN, MD is located at 5000 KY ROUTE 321, PRESTONSBURG, KY, 41653. Phone: (606) 886-7645.
What is MUHAMMAD KHAN, MD's NPI number?
MUHAMMAD KHAN, MD's National Provider Identifier (NPI) is 1386136992, issued on 05/31/2018.
Does MUHAMMAD KHAN, MD prescribe more brand-name or generic drugs?
MUHAMMAD KHAN, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $31K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does MUHAMMAD KHAN, MD prescribe most often?
Based on 2023 Medicare Part D data, MUHAMMAD KHAN, MD's most frequently prescribed drugs include Lisinopril, Amlodipine Besylate, Calcitriol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MUHAMMAD KHAN, MD accept Medicare?
MUHAMMAD KHAN, MD appears in CMS Medicare data with 203 Part D claims and 70 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MUHAMMAD KHAN, MD's credentials?
MUHAMMAD KHAN, MD's NPI is 1386136992 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