Niraj Karki, M.D.
Hospitalist Physician · Presque Isle, ME
Niraj Karki, M.D. is a hospitalist physician with a practice address in Presque Isle, Maine, and NPI 1952670309, issued on Dec 14, 2011. Check the license (Maine MD20087, as entered in NPPES) on the Maine Board of Licensure in Medicine; the Medicare figures below come from public CMS files.
- Name
- Niraj Karki
- Credential
- M.D.
- Primary taxonomy
- Hospitalist Physician 208M00000X
- License number
- MD20087 ME
Self-reported in NPPES; status is on the state search - Practice location
- 140 Academy St, Presque Isle, ME 04769
- Phone
- (207) 768-4000
- Enumerated
- Dec 14, 2011
- Record last updated
- Feb 15, 2017 (not updated in 9 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20170419000885); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest hospitalist physician records → All 245 in Maine → Look up another NPI →
Also registered at 140 Academy St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Georgina Aguirre, NPNurse Practitioner1851900971
- Bruce Alexander, MDFamily Medicine Physician1477584795
- Rebeca Ayala, MDPediatrics Physician1881619096
- Mohammed Aziz, MDHospitalist Physician1508886649
- Neil Baggesen, PA-CMedical Physician Assistant1841827300
- Paul Barrett, PHARM.D., B.C.P.S.Pharmacotherapy Pharmacist1730181058
Verify Niraj Karki in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMaine Board of Licensure in Medicine
Search for license MD20087Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
19% more Medicare Part D claims than the average hospitalist physician in 2024
618 Medicare Part D claims for 142 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D. Brand-name drugs were 25% of claims.
Most prescribed
- Biktarvy39 claims
- Vancomycin Hcl35 claims
- Doxycycline Hyclate33 claims
- Amikacin Sulfate29 claims
- Piperacillin-Tazobactam29 claims
- Ertapenem27 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 76.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Pih Health PhysiciansDowney, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Niraj Karki among 245 hospitalist physician records in Maine
Niraj Karki, M.D. is one of 245 hospitalist physician records with a practice address in Maine. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 45% of them.
- NPI issued2011 · 45% of these records are older, 51% newer
- In a Medicare fileYes · 90% of these records are
- In the CMS Doctors and Clinicians fileYes · 84% of these records are
- Graduated2005 · median 2012 among the 206 with a school on file
- Record last updated2017 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a Maine practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
4 hospitalist physician records list a practice address in Presque Isle
They are 4 of the 439 NPPES records with a practice address in Presque Isle, and 245 hospitalist physician records in Maine.
All 245 in Maine → Every provider in Presque Isle → Hospitalist Physician nationwide →
The 8 hospitalist physician records with the nearest ZIP codes
- Mohammed Aziz, MDPresque Isle, ME 047691508886649
- Roger Pelli, DOPresque Isle, ME 047691073539581
- Ram Mohan Venepally, MDPresque Isle, ME 047691033368113
- Patrick Mitchell, M.D., PH.D.Fort Kent, ME 047431093134306
- Jeffrey Hoeksma, M.D., BSCCaribou, ME 047361407296080
- Thomas Ryan, D.O.Houlton, ME 047301528239951
- Elizabeth Boogusch, M.D.Camden, ME 048431801996772
- David Bradeen, MDRockport, ME 048561417998063
Common questions
What is Niraj Karki, M.D.'s NPI number?
Niraj Karki, M.D.'s National Provider Identifier (NPI) is 1952670309, issued on Dec 14, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Niraj Karki, M.D. located?
The NPPES record lists a practice address at 140 Academy St, Presque Isle, ME, 04769. Phone: (207) 768-4000. Providers update this record themselves, so call before visiting.
How can I verify Niraj Karki, M.D.'s license?
NPPES lists Maine license number MD20087, as entered by the provider. Search the Maine Board of Licensure in Medicine at https://www.maine.gov/md/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Niraj Karki, M.D. prescribe under Medicare Part D?
In 2024, Niraj Karki, M.D. had 618 Medicare Part D claims for 142 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.
What is Niraj Karki, M.D.'s MIPS final score?
The 2023 MIPS final score is 76.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.