2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1619186228 MD, MHS
Verify on CMS →

NIRAJ KHANDELWAL, MD, MHS

Student in an Organized Health Care Education/Training Program in FAYETTEVILLE, Georgia. 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
2K
Medicare Part D claims · 709 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.8928/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$1.0K
51 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NIRAJ KHANDELWAL, MD, MHS reported a CMS MIPS final score of 89.8928/100 — above the 83.1 national average — and filed 1,956 Medicare Part D claims in 2023.

89.8928/100
MIPS score · +7 vs avg
2K
Part D claims, 2023
78%
generic prescribing
$1.0K
industry payments (Sunshine Act)

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.

NIRAJ KHANDELWAL, MD, MHS's MIPS score vs every scored U.S. clinician

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

90 Top 42% higher than 58% 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%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

What does the federal data show about NIRAJ KHANDELWAL, MD, MHS?

High performer (top quartile)

NPI registry status

Active

Issued 05/21/2007

NPI 1619186228

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

1,956 326% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

89.8928/100 6.7928% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Student in an Organized Health Care Education/Training Program compares to other specialties among Georgia providers

Georgia providers

Student in an Organized Health Care Education/Training Program share within Georgia

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within Georgia

Medicare quality performance — MIPS

NIRAJ KHANDELWAL, MD, MHS's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

High performer (top quartile)
MIPS Final Score
89.8928/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 89.8928/100 vs national avg 83.1

0%100%National avg83%89.9%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 89.8928/100 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).

NIRAJ KHANDELWAL, MD, MHS appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding MD, MHS credentials at 1265 HIGHWAY 54 W, FAYETTEVILLE, GA, 30214, with a listed phone of (770) 719-3240. NPI 1619186228 was issued on 05/21/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KHANDELWAL 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 1,956 prescription claims written by this provider, covering 709 Medicare beneficiaries and totaling roughly $1.9 million in drug spend, split 22% brand-name and 78% 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 89.8928/100 for the 2023 performance year (Quality 79.7855), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

1265 HIGHWAY 54 W
FAYETTEVILLE, GA 30214

Provider Details

NPI 1619186228
Specialty Student in an Organized Health Care Education/Training Program
Credentials MD, MHS
Gender Male
NPI Issued 05/21/2007

CMS Quality Score (MIPS)

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

89.8928
Final Score
Avg: 83.1
79.7855
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where NIRAJ KHANDELWAL, MD, MHS 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.

DIGESTIVE HEALTHCARE OF GEORGIA
ATLANTA, GA

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 NIRAJ KHANDELWAL, MD, MHS. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

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.

Brand vs generic prescribing mix · Typical

NIRAJ KHANDELWAL, MD, MHS — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 1,956 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.

1,956
Total Claims
$1.9M
Total Drug Cost
709
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,263
Total Day Supply
81,368
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$1.8M
Generic Drug Cost
$76K
Antibiotic Claims
129

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
1.36
Gender Split
63% female / 37% male
Age Distribution
<65: 90, 65-74: 384, 75-84: 204, 85+: 31

Top Prescribed Drugs (Medicare Part D)

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

What NIRAJ KHANDELWAL, MD, MHS prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Pantoprazole Sodium
457
Omeprazole
175
Dicyclomine Hcl
116
Humira(Cf) Pen
Adalimumab
76
Sucralfate
74
Linzess
Linaclotide
58
Metronidazole
52
Esomeprazole Magnesium
44
Clenpiq
Sod Picosulf/Mag Ox/Citric Ac
43
Dexlansoprazole Dr
Dexlansoprazole
37

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

Student in an Organized Health Care Education/Training Program Overview

How NIRAJ KHANDELWAL, MD, MHS fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

NIRAJ KHANDELWAL, MD, MHS's 1,956 claims are above the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Georgia

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

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is NIRAJ KHANDELWAL, MD, MHS's specialty?
NIRAJ KHANDELWAL, MD, MHS specializes in Student in an Organized Health Care Education/Training Program and practices in FAYETTEVILLE, Georgia. Credentials: MD, MHS.
How much does NIRAJ KHANDELWAL, MD, MHS prescribe under Medicare Part D?
In 2023, NIRAJ KHANDELWAL, MD, MHS wrote 1,956 Medicare Part D claims totaling $1.9M in drug costs for 709 beneficiaries.
What is NIRAJ KHANDELWAL, MD, MHS's Medicare quality score?
NIRAJ KHANDELWAL, MD, MHS has a CMS MIPS Final Score of 89.8928/100 (Quality: 79.7855). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NIRAJ KHANDELWAL, MD, MHS located?
NIRAJ KHANDELWAL, MD, MHS is located at 1265 HIGHWAY 54 W, FAYETTEVILLE, GA, 30214. Phone: (770) 719-3240.
What is NIRAJ KHANDELWAL, MD, MHS's NPI number?
NIRAJ KHANDELWAL, MD, MHS's National Provider Identifier (NPI) is 1619186228, issued on 05/21/2007.
Does NIRAJ KHANDELWAL, MD, MHS prescribe more brand-name or generic drugs?
NIRAJ KHANDELWAL, MD, MHS's prescribing is 22% brand-name and 78% generic drugs by claim count, with $1.8M in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does NIRAJ KHANDELWAL, MD, MHS prescribe most often?
Based on 2023 Medicare Part D data, NIRAJ KHANDELWAL, MD, MHS's most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Dicyclomine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NIRAJ KHANDELWAL, MD, MHS accept Medicare?
NIRAJ KHANDELWAL, MD, MHS appears in CMS Medicare data with 1,956 Part D claims and 709 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NIRAJ KHANDELWAL, MD, MHS's credentials?
NIRAJ KHANDELWAL, MD, MHS's NPI is 1619186228 with credentials MD, MHS. 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