2026 NPPES data Pediatrics Physician NPI 1275088445 MD
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NEHA AGARWAL, MD

Pediatrics Physician in SEATTLE, 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
52
Medicare Part D claims · 19 beneficiaries · Pediatrics Physician avg: 762
What the federal data reveals: NEHA AGARWAL, MD is a Pediatrics Physician ([object Object]) practicing in SEATTLE, Washington with a Medicare Part D prescribing footprint of 52 claims across 19 beneficiaries .

What stands out: NEHA AGARWAL, MD filed 52 Medicare Part D claims in 2023 across SEATTLE, Washington. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

NEHA AGARWAL, 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).

NEHA AGARWAL, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 08/17/2016

NPI 1275088445

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

52 93% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Washington

How Pediatrics Physician compares to other specialties among Washington providers

Washington providers

Pediatrics Physician share within Washington

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

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatrics Physician ABMS/AOA estimate

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics 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).

NEHA AGARWAL, MD is a Pediatrics Physician provider practicing in SEATTLE, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1275088445. 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.

NEHA AGARWAL, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 325 9TH AVE, SEATTLE, WA, 98104, with a listed phone of (206) 520-5000. NPI 1275088445 was issued on 08/17/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGARWAL 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 52 prescription claims written by this provider, covering 19 Medicare beneficiaries and totaling roughly $12K 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

325 9TH AVE
SEATTLE, WA 98104

Provider Details

NPI 1275088445
Specialty Pediatrics Physician
Credentials MD
Gender Female
NPI Issued 08/17/2016

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 NEHA AGARWAL, MD. To verify NEHA AGARWAL, 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.

Medicare Part D Prescribing Data

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

52
Total Claims
$12K
Total Drug Cost
19
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
92
Total Day Supply
2,632
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
56.9 years
Avg HCC Risk Score
1.72

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxcarbazepine
11

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

Pediatrics Physician Overview

How NEHA AGARWAL, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

NEHA AGARWAL, MD's 52 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Washington

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

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

Frequently Asked Questions

What is NEHA AGARWAL, MD's specialty?
NEHA AGARWAL, MD specializes in Pediatrics Physician and practices in SEATTLE, Washington. Credentials: MD.
How much does NEHA AGARWAL, MD prescribe under Medicare Part D?
In 2023, NEHA AGARWAL, MD wrote 52 Medicare Part D claims totaling $12K in drug costs for 19 beneficiaries.
Where is NEHA AGARWAL, MD located?
NEHA AGARWAL, MD is located at 325 9TH AVE, SEATTLE, WA, 98104. Phone: (206) 520-5000.
What is NEHA AGARWAL, MD's NPI number?
NEHA AGARWAL, MD's National Provider Identifier (NPI) is 1275088445, issued on 08/17/2016.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does NEHA AGARWAL, MD prescribe most often?
Based on 2023 Medicare Part D data, NEHA AGARWAL, MD's most frequently prescribed drugs include Oxcarbazepine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NEHA AGARWAL, MD accept Medicare?
NEHA AGARWAL, MD appears in CMS Medicare data with 52 Part D claims and 19 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NEHA AGARWAL, MD's credentials?
NEHA AGARWAL, MD's NPI is 1275088445 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