NPI registry status
Active
2026 NPPES data Cardiovascular Disease Physician NPI 1568484061 MD
Verify on CMS → Nimish Dharia, MD
Cardiovascular Disease Physician in New Hyde Park, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,810 in Cardiovascular Disease 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
5K
Medicare Part D claims · 541 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.5/100
▼ 7 pts below national avg 83.1 · Above neutral
Industry payments
$125
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Nimish Dharia, MD reported a CMS MIPS final score of 76.5/100 - below the 83.1 national average - and filed 4,903 Medicare Part D claims in 2023.
- 76.5/100
- MIPS score · -7 vs avg
- 5K
- Part D claims, 2023
- 88%
- 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.
Nimish Dharia, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 21st percentile higher than 21% 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 Nimish Dharia, MD sits
This provider among cardiovascular disease physician peers
Across the 8,753 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nimish Dharia, MD writes more Part D claims than 73% of them and scores higher on MIPS quality than 25% - placing this provider in the high-volume, lower-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 cardiovascular disease physician peer from a representative sample of 60; the gold marker is Nimish Dharia, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nimish Dharia, 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).
What does the federal data show about Nimish Dharia, MD?
Below national averagePrimary specialty
Cardiovascular Disease Physician
Medicare Part D claims
4,903 62% vs specialty avg
MIPS final score
76.5/100 6.6 pts vs avg
Specialty distribution in New York
How Cardiovascular Disease Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Nimish Dharia, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average
- MIPS Final Score
- 76.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Cardiovascular Disease Physician) - 76.5/100 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).
Nimish Dharia, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 2035 LAKEVILLE ROAD, New Hyde Park, NY, 11040, with a listed phone of (576) 328-9797. NPI 1568484061 was issued on 07/24/2006.
Medicare Part D records for calendar year 2023 show 4,903 prescription claims written by this provider, covering 541 Medicare beneficiaries and totaling roughly $709K in drug spend, split 12% brand-name and 88% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.5/100 for the 2023 performance year (Quality 64, Cost 57.7), compared with the national average of 83.1.
Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,810 enrolled providers across 54 states and an average of 3,033 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 | 1568484061 |
|---|---|
| Specialty | Cardiovascular Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/24/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.5288
Final Score
Avg: 83.1
64.0296
Quality
57.7329
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Nimish Dharia, 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.
City Medical OF Upper East Side PLLC
Corona, NY
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 Nimish Dharia, MD. Source: openpaymentsdata.cms.gov.
Total received
$125
Largest payer
Boehringer Ingelheim Pharmaceuticals, 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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Nimish Dharia, MD. To verify Nimish Dharia, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Nimish Dharia, MD - brand share 12.0%
Cardiovascular Disease Physician average
12% brand-name claims vs 88% generic, on 4,903 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.
4,903
Total Claims
$709K
Total Drug Cost
541
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 13,173
- Total Day Supply
- 393,174
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $608K
- Generic Drug Cost
- $100K
- Antibiotic Claims
- 61
Patient Demographics
- Average Patient Age
- 75.9 years
- Avg HCC Risk Score
- 1.23
- Gender Split
- 48% female / 52% male
- Age Distribution
- <65: 20, 65-74: 233, 75-84: 208, 85+: 80
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nimish Dharia, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
468 claims
- Amlodipine Besylate
Amlodipine Besylate
400 claims
- Metoprolol Succinate
Metoprolol Succinate
306 claims
- Losartan Potassium
Losartan Potassium
212 claims
- Eliquis 178
Eliquis
178 claims
- Hydrochlorothiazide 156
Hydrochlorothiazide
156 claims
- Rosuvastatin Calcium 155
Rosuvastatin Calcium
155 claims
- Levothyroxine Sodium 145
Levothyroxine Sodium
145 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 468 |
| Amlodipine Besylate | 400 |
| Metoprolol Succinate | 306 |
| Losartan Potassium | 212 |
| Eliquis Apixaban | 178 |
| Hydrochlorothiazide | 156 |
| Rosuvastatin Calcium | 155 |
| Levothyroxine Sodium | 145 |
| Metformin Hcl | 141 |
| Clopidogrel Clopidogrel Bisulfate | 102 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Cardiovascular Disease Physician Overview
How Nimish Dharia, MD fits within the Cardiovascular Disease Physician landscape nationally.
24,810
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider
Nimish Dharia, MD's 4,903 claims are above the specialty average of 3,033.
Nearby Cardiovascular Disease Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Dharia.
Dr. Michael Aaron
MD
West Islip, NY
Dr. Vivian Abascal
MD
Richmond Hill, NY
Dr. Joseph Abboud
MD
Brooklyn, NY
Dr. Mohamed Abdel-Aal Ahmed
M.D.
Buffalo, NY
Dr. Khaled Abdulla
M.D.
Rochester, NY
Compare Cardiovascular Disease 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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Cardiovascular Disease 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 Nimish Dharia, MD's specialty? ▼
Nimish Dharia, MD specializes in Cardiovascular Disease Physician and practices in New Hyde Park, New York. Credentials: MD.
How much does Nimish Dharia, MD prescribe under Medicare Part D? ▼
In 2023, Nimish Dharia, MD wrote 4,903 Medicare Part D claims totaling $709K in drug costs for 541 beneficiaries.
What is Nimish Dharia, MD's Medicare quality score? ▼
Nimish Dharia, MD has a CMS MIPS Final Score of 76.5/100 (Quality: 64, Cost: 57.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nimish Dharia, MD located? ▼
Nimish Dharia, MD is located at 2035 LAKEVILLE ROAD, New Hyde Park, NY, 11040. Phone: (576) 328-9797.
What is Nimish Dharia, MD's NPI number? ▼
Nimish Dharia, MD's National Provider Identifier (NPI) is 1568484061, issued on 07/24/2006.
Does Nimish Dharia, MD prescribe more brand-name or generic drugs? ▼
Nimish Dharia, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $608K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US? ▼
There are 24,810 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does Nimish Dharia, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Nimish Dharia, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nimish Dharia, MD accept Medicare? ▼
Nimish Dharia, MD appears in CMS Medicare data with 4,903 Part D claims and 541 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nimish Dharia, MD's credentials? ▼
Nimish Dharia, MD's NPI is 1568484061 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.