2026 NPPES data Internal Medicine Physician NPI 1346259512 MD
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NADIA KOVALCHUK, MD

Internal Medicine Physician in LANHAM, Maryland. 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
84
Medicare Part D claims · 45 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
76.5856/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$393.84
19 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NADIA KOVALCHUK, MD reported a CMS MIPS final score of 76.5856/100 — below the 83.1 national average — and filed 84 Medicare Part D claims in 2023.

76.5856/100
MIPS score · -7 vs avg
84
Part D claims, 2023
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.

NADIA KOVALCHUK, MD's MIPS score vs every scored U.S. clinician

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

77 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

NADIA KOVALCHUK, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 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 NADIA KOVALCHUK, MD?

Below national average

NPI registry status

Active

Issued 08/06/2006

NPI 1346259512

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

84 97% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

76.5856/100 6.514399999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maryland

How Internal Medicine Physician compares to other specialties among Maryland providers

Maryland providers

Internal Medicine Physician share within Maryland

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

Medicare quality performance — MIPS

NADIA KOVALCHUK, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
76.5856/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 76.5856/100 vs national avg 83.1

0%100%National avg83%76.6%
MIPS final score (Internal Medicine Physician) — 76.5856/100 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).

NADIA KOVALCHUK, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 8118 GOOD LUCK RD, LANHAM, MD, 20706, with a listed phone of (301) 552-8014. NPI 1346259512 was issued on 08/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOVALCHUK 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 84 prescription claims written by this provider, covering 45 Medicare beneficiaries and totaling roughly $3K in drug spend. 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 76.5856/100 for the 2023 performance year (Quality 64.5647, Cost 48.5487), 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

8118 GOOD LUCK RD
LANHAM, MD 20706

Provider Details

NPI 1346259512
Specialty Internal Medicine Physician
Credentials MD
Gender Female
NPI Issued 08/06/2006

CMS Quality Score (MIPS)

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

76.5856
Final Score
Avg: 83.1
64.5647
Quality
48.5487
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NADIA KOVALCHUK, 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.

ADFINITAS HEALTH AT UMCAP LLC
LARGO, MD
GALEN INPATIENT PHYSICIANS PC
SILVER SPRING, MD
SINAI HOSPITAL OF BALTIMORE, INC
BALTIMORE, MD
USACS INTEGRATED ACUTE CARE SERVICES OF MARYLAND LLC
SILVER SPRING, MD

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 NADIA KOVALCHUK, MD. Source: openpaymentsdata.cms.gov.

Total received

$394

Largest payer

Janssen 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

84
Total Claims
$3K
Total Drug Cost
45
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
107
Total Day Supply
2,537
Generic Drug Cost
$1K
Antibiotic Claims
15

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
2.53
Gender Split
58% female / 42% male

Internal Medicine Physician Overview

How NADIA KOVALCHUK, 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

NADIA KOVALCHUK, MD's 84 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Maryland

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

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

Frequently Asked Questions

What is NADIA KOVALCHUK, MD's specialty?
NADIA KOVALCHUK, MD specializes in Internal Medicine Physician and practices in LANHAM, Maryland. Credentials: MD.
How much does NADIA KOVALCHUK, MD prescribe under Medicare Part D?
In 2023, NADIA KOVALCHUK, MD wrote 84 Medicare Part D claims totaling $3K in drug costs for 45 beneficiaries.
What is NADIA KOVALCHUK, MD's Medicare quality score?
NADIA KOVALCHUK, MD has a CMS MIPS Final Score of 76.5856/100 (Quality: 64.5647, Cost: 48.5487). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NADIA KOVALCHUK, MD located?
NADIA KOVALCHUK, MD is located at 8118 GOOD LUCK RD, LANHAM, MD, 20706. Phone: (301) 552-8014.
What is NADIA KOVALCHUK, MD's NPI number?
NADIA KOVALCHUK, MD's National Provider Identifier (NPI) is 1346259512, issued on 08/06/2006.
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.
Does NADIA KOVALCHUK, MD accept Medicare?
NADIA KOVALCHUK, MD appears in CMS Medicare data with 84 Part D claims and 45 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NADIA KOVALCHUK, MD's credentials?
NADIA KOVALCHUK, MD's NPI is 1346259512 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