2026 NPPES data Gastroenterology Physician NPI 1366758187 MD
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NEHA AGRAWAL, MD

Gastroenterology Physician in JACKSONVILLE, Florida. 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
359
Medicare Part D claims · 88 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.9011/100
▼ 1 pts below national avg 83.1 · [object Object]
What the federal data reveals: NEHA AGRAWAL, MD is a Gastroenterology Physician ([object Object]) practicing in JACKSONVILLE, Florida with a Medicare Part D prescribing footprint of 359 claims across 88 beneficiaries — 14% brand-name prescribing . Their CMS MIPS Final Score of 81.9011/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: NEHA AGRAWAL, MD reported a CMS MIPS final score of 81.9011 out of 100, below the 83.1 national average, and filed 359 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)

NEHA AGRAWAL, 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).

NEHA AGRAWAL, MD at a glance

Near national average

NPI registry status

Active

Issued 08/31/2010

NPI 1366758187

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

359 57% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

81.9011/100 1.1988999999999947% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Gastroenterology Physician compares to other specialties among Florida providers

Florida providers

Gastroenterology Physician share within Florida

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

Medicare quality performance — MIPS

NEHA AGRAWAL, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

Near national average
MIPS Final Score
81.9011/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 81.9011/100 vs national avg 83.1

0%100%National avg83%81.9%
MIPS final score (Gastroenterology Physician) — 81.9011/100 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).

NEHA AGRAWAL, MD is a Gastroenterology Physician provider practicing in JACKSONVILLE, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1366758187. 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 AGRAWAL, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 5191 FIRST COAST TECH PKWY FL 2, JACKSONVILLE, FL, 32224, with a listed phone of (904) 427-7275. NPI 1366758187 was issued on 08/31/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGRAWAL 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 359 prescription claims written by this provider, covering 88 Medicare beneficiaries and totaling roughly $221K in drug spend, split 14% brand-name and 86% 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 81.9011/100 for the 2023 performance year (Quality 72.4303, Cost 59.5972), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

5191 FIRST COAST TECH PKWY FL 2
JACKSONVILLE, FL 32224

Provider Details

NPI 1366758187
Specialty Gastroenterology Physician
Credentials MD
Gender Female
NPI Issued 08/31/2010

CMS Quality Score (MIPS)

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

81.9011
Final Score
Avg: 83.1
72.4303
Quality
59.5972
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NEHA AGRAWAL, 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.

UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
JACKSONVILLE, FL

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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to NEHA AGRAWAL, MD. To verify NEHA AGRAWAL, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

NEHA AGRAWAL, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 359 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.

359
Total Claims
$221K
Total Drug Cost
88
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
832
Total Day Supply
24,329
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$204K
Generic Drug Cost
$18K
Antibiotic Claims
32

Patient Demographics

Average Patient Age
65.0 years
Avg HCC Risk Score
2.14
Gender Split
53% female / 47% male
Age Distribution
<65: 31, 65-74: 47, 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
Spironolactone
71
Furosemide
49
Lactulose
35
Xifaxan
Rifaximin
32
Pantoprazole Sodium
20
Omeprazole
19
Carvedilol
18
Ursodiol
13
Baclofen
11

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

Gastroenterology Physician Overview

How NEHA AGRAWAL, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

NEHA AGRAWAL, MD's 359 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Florida

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

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

Frequently Asked Questions

What is NEHA AGRAWAL, MD's specialty?
NEHA AGRAWAL, MD specializes in Gastroenterology Physician and practices in JACKSONVILLE, Florida. Credentials: MD.
How much does NEHA AGRAWAL, MD prescribe under Medicare Part D?
In 2023, NEHA AGRAWAL, MD wrote 359 Medicare Part D claims totaling $221K in drug costs for 88 beneficiaries.
What is NEHA AGRAWAL, MD's Medicare quality score?
NEHA AGRAWAL, MD has a CMS MIPS Final Score of 81.9011/100 (Quality: 72.4303, Cost: 59.5972). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NEHA AGRAWAL, MD located?
NEHA AGRAWAL, MD is located at 5191 FIRST COAST TECH PKWY FL 2, JACKSONVILLE, FL, 32224. Phone: (904) 427-7275.
What is NEHA AGRAWAL, MD's NPI number?
NEHA AGRAWAL, MD's National Provider Identifier (NPI) is 1366758187, issued on 08/31/2010.
Does NEHA AGRAWAL, MD prescribe more brand-name or generic drugs?
NEHA AGRAWAL, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $204K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does NEHA AGRAWAL, MD prescribe most often?
Based on 2023 Medicare Part D data, NEHA AGRAWAL, MD's most frequently prescribed drugs include Spironolactone, Furosemide, Lactulose. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NEHA AGRAWAL, MD accept Medicare?
NEHA AGRAWAL, MD appears in CMS Medicare data with 359 Part D claims and 88 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NEHA AGRAWAL, MD's credentials?
NEHA AGRAWAL, MD's NPI is 1366758187 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