NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1922264654 MD
Verify on CMS → Nilesh Lodhia, MD
Gastroenterology Physician in Charlotte, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
897
Medicare Part D claims · 267 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$105.9K
160 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Nilesh Lodhia, MD reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 897 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 897
- 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.
Nilesh Lodhia, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
100 Top 7% higher than 93% 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
Where Nilesh Lodhia, MD sits
This provider among gastroenterology physician peers
Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nilesh Lodhia, MD writes more Part D claims than 56% of them and scores higher on MIPS quality than 91% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Nilesh Lodhia, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nilesh Lodhia, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Nilesh Lodhia, MD?
High performer (top quartile)Primary specialty
Gastroenterology Physician
Medicare Part D claims
897 8% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in North Carolina
How Gastroenterology Physician compares to other specialties among North Carolina providers
Medicare quality performance, MIPS
Nilesh Lodhia, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 100/100 vs national avg 83.1
How MIPS and board certification work
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).
Nilesh Lodhia, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 1025 MOREHEAD MEDICAL DR, Charlotte, NC, 28204, with a listed phone of (704) 355-4593. NPI 1922264654 was issued on 08/01/2008.
Medicare Part D records for calendar year 2023 show 897 prescription claims written by this provider, covering 267 Medicare beneficiaries and totaling roughly $4.4 million in drug spend, with an opioid prescribing rate of 5.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 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 | 1922264654 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/01/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Nilesh Lodhia, 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.
According to CMS billing records, Nilesh Lodhia, MD is affiliated with 3 Medicare-billing facilities.
Atrium Health Specialty Network Inc
Charlotte, NC
Carolinas Physicians Network Inc
Charlotte, NC
The Charlotte-Mecklenburg Hospital Authority
Charlotte, NC
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 Nilesh Lodhia, MD. Source: openpaymentsdata.cms.gov.
Total received
$105.9K
Largest payer
Janssen Biotech, 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.
897
Total Claims
$4.4M
Total Drug Cost
267
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,335
- Total Day Supply
- 30,851
- Generic Drug Cost
- $26K
- Opioid Claims
- 49 (5.5% rate)
- Antibiotic Claims
- 42
Patient Demographics
- Average Patient Age
- 66.8 years
- Avg HCC Risk Score
- 1.52
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 75, 65-74: 139, 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.
What Nilesh Lodhia, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Stelara
Stelara
89 claims
- Omeprazole
Omeprazole
88 claims
- Humira(Cf) Pen
Humira(Cf) Pen
73 claims
- Promethazine Hcl
Promethazine Hcl
65 claims
- Diphenhydramine Hcl
Diphenhydramine Hcl
52 claims
- Pantoprazole Sodium
Pantoprazole Sodium
45 claims
- Peg 3350-Electrolyte 25
Peg 3350-Electrolyte
25 claims
- Skyrizi On-Body 24
Skyrizi On-Body
24 claims
| Drug | Claims |
|---|---|
| Stelara Ustekinumab | 89 |
| Omeprazole | 88 |
| Humira(Cf) Pen Adalimumab | 73 |
| Promethazine Hcl | 65 |
| Diphenhydramine Hcl | 52 |
| Pantoprazole Sodium | 45 |
| Peg 3350-Electrolyte Sodium Chloride/Nahco3/Kcl/Peg | 25 |
| Skyrizi On-Body Risankizumab-Rzaa | 24 |
| Linzess Linaclotide | 21 |
| Metronidazole | 20 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Nilesh Lodhia, 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
Nilesh Lodhia, MD's 897 claims are above the specialty average of 833.
Nearby Gastroenterology Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Lodhia.
Dr. Manal Abdelmalek
MD
Durham, NC
Dr. Sonia Abichandani
M.D.
Cary, NC
Dr. Sabeen Abid
M.D
Greenville, NC
Dr. Kendral Adkisson
MD
Asheville, NC
Dr. Vipul Aggarwal
M.D.
Winston Salem, NC
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Nilesh Lodhia, MD's specialty? ▼
Nilesh Lodhia, MD specializes in Gastroenterology Physician and practices in Charlotte, North Carolina. Credentials: MD.
How much does Nilesh Lodhia, MD prescribe under Medicare Part D? ▼
In 2023, Nilesh Lodhia, MD wrote 897 Medicare Part D claims totaling $4.4M in drug costs for 267 beneficiaries.
What is Nilesh Lodhia, MD's Medicare quality score? ▼
Nilesh Lodhia, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nilesh Lodhia, MD located? ▼
Nilesh Lodhia, MD is located at 1025 MOREHEAD MEDICAL DR, Charlotte, NC, 28204. Phone: (704) 355-4593.
What is Nilesh Lodhia, MD's NPI number? ▼
Nilesh Lodhia, MD's National Provider Identifier (NPI) is 1922264654, issued on 08/01/2008.
Does Nilesh Lodhia, MD prescribe opioids? ▼
Yes, Nilesh Lodhia, MD had 49 opioid claims in 2023 with an opioid prescribing rate of 5.5%.
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 Nilesh Lodhia, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Nilesh Lodhia, MD's most frequently prescribed drugs include Stelara, Omeprazole, Humira(Cf) Pen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nilesh Lodhia, MD accept Medicare? ▼
Nilesh Lodhia, MD appears in CMS Medicare data with 897 Part D claims and 267 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nilesh Lodhia, MD's credentials? ▼
Nilesh Lodhia, MD's NPI is 1922264654 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.