NIKHITA DHARBHAMULLA, M.D.
Gastroenterology Physician in BRYN MAWR, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
NIKHITA DHARBHAMULLA, M.D. reported a CMS MIPS final score of 95.75/100 — above the 83.1 national average — and filed 347 Medicare Part D claims in 2023.
- 95.75/100
- MIPS score · +13 vs avg
- 347
- Part D claims, 2023
- 82%
- generic prescribing
- 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.
NIKHITA DHARBHAMULLA, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
96 Top 21% higher than 79% of 477,587 scored providers
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
NIKHITA DHARBHAMULLA, M.D. 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).
What does the federal data show about NIKHITA DHARBHAMULLA, M.D.?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Pennsylvania
How Gastroenterology Physician compares to other specialties among Pennsylvania providers
Gastroenterology Physician share within Pennsylvania
Gastroenterology Physician is one of the more visible NUCC categories in Pennsylvania
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
NIKHITA DHARBHAMULLA, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 95.75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) — 95.75/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Specialty volume Gastroenterology Physician US NPIs
95.75/100 MIPS final score — 12.7 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Gastroenterology Physician.
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).
NIKHITA DHARBHAMULLA, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 825 OLD LANCASTER RD STE 340, BRYN MAWR, PA, 19010, with a listed phone of (610) 525-9570. NPI 1255715090 was issued on 07/10/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DHARBHAMULLA 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 347 prescription claims written by this provider, covering 134 Medicare beneficiaries and totaling roughly $190K in drug spend, split 18% brand-name and 82% 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 95.75/100 for the 2023 performance year, 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
Provider Details
| NPI | 1255715090 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 07/10/2015 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm NIKHITA DHARBHAMULLA, M.D.'s current license status, disciplinary history, and board certifications with the Pennsylvania State Board of Medicine in Pennsylvania before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where NIKHITA DHARBHAMULLA, M.D. 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.
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 NIKHITA DHARBHAMULLA, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$2.2K
Largest payer
ABBVIE 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.
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 NIKHITA DHARBHAMULLA, M.D.. To verify NIKHITA DHARBHAMULLA, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
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 · Typical
18% brand-name claims vs 82% generic, on 347 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.
Prescribing Breakdown
- 30-Day Fills
- 530
- Total Day Supply
- 14,118
- Brand vs Generic
- 18% brand / 82% generic
- Brand Drug Cost
- $169K
- Generic Drug Cost
- $20K
Patient Demographics
- Average Patient Age
- 72.9 years
- Avg HCC Risk Score
- 1.36
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 12, 65-74: 62, 75-84: 47, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What NIKHITA DHARBHAMULLA, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
75 claims
- Dicyclomine Hcl
Dicyclomine Hcl
39 claims
- Pantoprazole Sodium 28
Pantoprazole Sodium
28 claims
- Linzess 27
Linzess
27 claims
- Famotidine 18
Famotidine
18 claims
- Ondansetron Odt 15
Ondansetron Odt
15 claims
- Creon 13
Creon
13 claims
| Drug | Claims |
|---|---|
| Omeprazole | 75 |
| Dicyclomine Hcl | 39 |
| Pantoprazole Sodium | 28 |
| Linzess Linaclotide | 27 |
| Famotidine | 18 |
| Ondansetron Odt Ondansetron | 15 |
| Creon Lipase/Protease/Amylase | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How NIKHITA DHARBHAMULLA, M.D. fits within the Gastroenterology Physician landscape nationally.
NIKHITA DHARBHAMULLA, M.D.'s 347 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as DHARBHAMULLA.
Compare Gastroenterology Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
What is NIKHITA DHARBHAMULLA, M.D.'s specialty? ▼
How much does NIKHITA DHARBHAMULLA, M.D. prescribe under Medicare Part D? ▼
What is NIKHITA DHARBHAMULLA, M.D.'s Medicare quality score? ▼
Where is NIKHITA DHARBHAMULLA, M.D. located? ▼
What is NIKHITA DHARBHAMULLA, M.D.'s NPI number? ▼
Does NIKHITA DHARBHAMULLA, M.D. prescribe more brand-name or generic drugs? ▼
How many Gastroenterology Physician providers are there in the US? ▼
What drugs does NIKHITA DHARBHAMULLA, M.D. prescribe most often? ▼
Does NIKHITA DHARBHAMULLA, M.D. accept Medicare? ▼
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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