2026 NPPES data Internal Medicine Physician NPI 1104144146 MD
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NIDHI BANSAL, MD

Internal Medicine Physician in SCRANTON, Pennsylvania. 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
2K
Medicare Part D claims · 350 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
57%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

NIDHI BANSAL, MD filed 1,625 Medicare Part D claims in 2023 as a Internal Medicine Physician in SCRANTON, Pennsylvania, prescribing 57% generic.

2K
Part D claims, 2023
57%
generic prescribing

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.

NIDHI BANSAL, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,625 Top 18% higher than 82% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). This entry sits in this band. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

NIDHI BANSAL, 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).

What does the federal data show about NIDHI BANSAL, MD?

Quality data not reported

NPI registry status

Active

Issued 05/14/2010

NPI 1104144146

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,625 40% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Pennsylvania

How Internal Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Internal Medicine Physician share within Pennsylvania

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

Specialty board-certification context

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

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

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

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

NIDHI BANSAL, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 3 W OLIVE ST, SCRANTON, PA, 18508, with a listed phone of (570) 207-6300. NPI 1104144146 was issued on 05/14/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BANSAL 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 1,625 prescription claims written by this provider, covering 350 Medicare beneficiaries and totaling roughly $781K in drug spend, split 43% brand-name and 57% 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.

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

3 W OLIVE ST
SCRANTON, PA 18508

Provider Details

NPI 1104144146
Specialty Internal Medicine Physician
Credentials MD
Gender Female
NPI Issued 05/14/2010

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to NIDHI BANSAL, MD. To verify NIDHI BANSAL, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

NIDHI BANSAL, MD — brand share 43.0%
Specialty average (est.)

43% brand-name claims vs 57% generic, on 1,625 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.

1,625
Total Claims
$781K
Total Drug Cost
350
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,137
Total Day Supply
92,905
Brand vs Generic
43% brand / 57% generic
Brand Drug Cost
$717K
Generic Drug Cost
$15K

Patient Demographics

Average Patient Age
68.2 years
Avg HCC Risk Score
1.62
Gender Split
52% female / 48% male
Age Distribution
<65: 98, 65-74: 158, 75-84: 79, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

What NIDHI BANSAL, 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
248
Metformin Hcl
125
Jardiance
Empagliflozin
86
Methimazole
66
Trulicity
Dulaglutide
66
Novolog Flexpen
Insulin Aspart
56
Ozempic
Semaglutide
53
Glipizide Er
Glipizide
52
Synthroid
Levothyroxine Sodium
50
Metformin Hcl Er
Metformin Hcl
40

* 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 NIDHI BANSAL, 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

NIDHI BANSAL, MD's 1,625 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Pennsylvania

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

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

Frequently Asked Questions

What is NIDHI BANSAL, MD's specialty?
NIDHI BANSAL, MD specializes in Internal Medicine Physician and practices in SCRANTON, Pennsylvania. Credentials: MD.
How much does NIDHI BANSAL, MD prescribe under Medicare Part D?
In 2023, NIDHI BANSAL, MD wrote 1,625 Medicare Part D claims totaling $781K in drug costs for 350 beneficiaries.
Where is NIDHI BANSAL, MD located?
NIDHI BANSAL, MD is located at 3 W OLIVE ST, SCRANTON, PA, 18508. Phone: (570) 207-6300.
What is NIDHI BANSAL, MD's NPI number?
NIDHI BANSAL, MD's National Provider Identifier (NPI) is 1104144146, issued on 05/14/2010.
Does NIDHI BANSAL, MD prescribe more brand-name or generic drugs?
NIDHI BANSAL, MD's prescribing is 43% brand-name and 57% generic drugs by claim count, with $717K 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 NIDHI BANSAL, MD prescribe most often?
Based on 2023 Medicare Part D data, NIDHI BANSAL, MD's most frequently prescribed drugs include Levothyroxine Sodium, Metformin Hcl, Jardiance. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NIDHI BANSAL, MD accept Medicare?
NIDHI BANSAL, MD appears in CMS Medicare data with 1,625 Part D claims and 350 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NIDHI BANSAL, MD's credentials?
NIDHI BANSAL, MD's NPI is 1104144146 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