2026 NPPES data Infectious Disease Physician NPI 1093159279 MD
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NILESH TEJURA, MD

Infectious Disease Physician in HAGERSTOWN, Maryland. 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
104
Medicare Part D claims · 36 beneficiaries · Infectious Disease Physician avg: 816
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
36.7805/100
▼ 46 pts below national avg 83.1 · [object Object]

What the federal data shows

NILESH TEJURA, MD reported a CMS MIPS final score of 36.7805/100 — below the 83.1 national average — and filed 104 Medicare Part D claims in 2023.

36.7805/100
MIPS score · -46 vs avg
104
Part D claims, 2023
86%
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.

NILESH TEJURA, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

37 3rd percentile higher than 3% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). This entry sits in this band. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

NILESH TEJURA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 TEJURA, MD?

Below national average

NPI registry status

Active

Issued 04/18/2013

NPI 1093159279

Primary specialty

Infectious Disease Physician

Mid-sized

8,292 US NPIs in this specialty

Medicare Part D claims

104 87% vs specialty avg

2023 prescription claims

Specialty avg: 816

MIPS final score

36.7805/100 46.31949999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in Maryland

How Infectious Disease Physician compares to other specialties among Maryland providers

Maryland providers

Infectious Disease Physician share within Maryland

1. Infectious Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Infectious Disease Physician share within Maryland

Medicare quality performance — MIPS

NILESH TEJURA, MD's 2023 MIPS final score plotted against the Infectious Disease Physician national average

Below national average
MIPS Final Score
36.7805/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Infectious Disease Physician) — 36.7805/100 vs national avg 83.1

0%100%National avg83%36.8%
MIPS final score (Infectious Disease Physician) — 36.7805/100 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).

NILESH TEJURA, MD appears in the CMS NPPES registry as a Infectious Disease Physician provider holding MD credentials at 1101 OPAL COURT, HAGERSTOWN, MD, 21740, with a listed phone of (443) 410-4229. NPI 1093159279 was issued on 04/18/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TEJURA 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 104 prescription claims written by this provider, covering 36 Medicare beneficiaries and totaling roughly $31K 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 36.7805/100 for the 2023 performance year (Quality 18.3333, Cost 70.399), compared with the national average of 83.1.

Infectious Disease Physician is a mid-sized specialty nationwide, with 8,292 enrolled providers across 54 states and an average of 816 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

1101 OPAL COURT
HAGERSTOWN, MD 21740

Provider Details

NPI 1093159279
Specialty Infectious Disease Physician
Credentials MD
Gender Male
NPI Issued 04/18/2013

CMS Quality Score (MIPS)

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

36.7805
Final Score
Avg: 83.1
18.3333
Quality
70.399
Cost

Reporting: Individual

Brand vs generic prescribing mix · Typical

NILESH TEJURA, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 104 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.

104
Total Claims
$31K
Total Drug Cost
36
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
124
Total Day Supply
2,200
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$5K
Generic Drug Cost
$27K
Antibiotic Claims
92

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
2.78
Gender Split
36% female / 64% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Vancomycin Hcl
21
Ertapenem
Ertapenem Sodium
13

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

Infectious Disease Physician Overview

How NILESH TEJURA, MD fits within the Infectious Disease Physician landscape nationally.

8,292
Infectious Disease Physician Providers in US
54
States with Infectious Disease Physician
816
Avg Claims per Provider

NILESH TEJURA, MD's 104 claims are below the specialty average of 816.

Nearby Infectious Disease Physician Providers in Maryland

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

Compare Infectious Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NILESH TEJURA, MD's specialty?
NILESH TEJURA, MD specializes in Infectious Disease Physician and practices in HAGERSTOWN, Maryland. Credentials: MD.
How much does NILESH TEJURA, MD prescribe under Medicare Part D?
In 2023, NILESH TEJURA, MD wrote 104 Medicare Part D claims totaling $31K in drug costs for 36 beneficiaries.
What is NILESH TEJURA, MD's Medicare quality score?
NILESH TEJURA, MD has a CMS MIPS Final Score of 36.7805/100 (Quality: 18.3333, Cost: 70.399). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NILESH TEJURA, MD located?
NILESH TEJURA, MD is located at 1101 OPAL COURT, HAGERSTOWN, MD, 21740. Phone: (443) 410-4229.
What is NILESH TEJURA, MD's NPI number?
NILESH TEJURA, MD's National Provider Identifier (NPI) is 1093159279, issued on 04/18/2013.
Does NILESH TEJURA, MD prescribe more brand-name or generic drugs?
NILESH TEJURA, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $5K in brand drug costs.
How many Infectious Disease Physician providers are there in the US?
There are 8,292 Infectious Disease Physician providers across 54 states in the US. The average Infectious Disease Physician provider writes 816 Medicare Part D claims per year.
What drugs does NILESH TEJURA, MD prescribe most often?
Based on 2023 Medicare Part D data, NILESH TEJURA, MD's most frequently prescribed drugs include Vancomycin Hcl, Ertapenem. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NILESH TEJURA, MD accept Medicare?
NILESH TEJURA, MD appears in CMS Medicare data with 104 Part D claims and 36 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NILESH TEJURA, MD's credentials?
NILESH TEJURA, MD's NPI is 1093159279 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