2026 NPPES data Neuromuscular Medicine (Psychiatry & Neurology) Physician NPI 1821593690
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NIRMAL ANDRAPALLIYAL

Neuromuscular Medicine (Psychiatry & Neurology) Physician in CLEVELAND, Ohio. 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
156
Medicare Part D claims · 56 beneficiaries · Neuromuscular Medicine (Psychiatry & Neurology) Physician avg: 931
MIPS score
95.1056/100
▲ 12 pts above national avg 83.1 · [object Object]
What the federal data reveals: NIRMAL ANDRAPALLIYAL is a Neuromuscular Medicine (Psychiatry & Neurology) Physician ([object Object]) practicing in CLEVELAND, Ohio with a Medicare Part D prescribing footprint of 156 claims across 56 beneficiaries . Their CMS MIPS Final Score of 95.1056/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: NIRMAL ANDRAPALLIYAL reported a CMS MIPS final score of 95.1056 out of 100, above the 83.1 national average, and filed 156 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NIRMAL ANDRAPALLIYAL 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).

NIRMAL ANDRAPALLIYAL at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/26/2018

NPI 1821593690

Primary specialty

Neuromuscular Medicine (Psychiatry & Neurology) Physician

Rare

336 US NPIs in this specialty

Medicare Part D claims

156 83% vs specialty avg

2023 prescription claims

Specialty avg: 931

MIPS final score

95.1056/100 12.005600000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Neuromuscular Medicine (Psychiatry & Neurology) Physician compares to other specialties among Ohio providers

Ohio providers

Neuromuscular Medicine (Psychiatry & Neurology) Physician share within Ohio

1. Neuromuscular Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neuromuscular Medicine (Psychiatry & Neurology) Physician share within Ohio

Medicare quality performance — MIPS

NIRMAL ANDRAPALLIYAL's 2023 MIPS final score plotted against the Neuromuscular Medicine (Psychiatry & Neurology) Physician national average

High performer (top quartile)
MIPS Final Score
95.1056/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neuromuscular Medicine (Psychiatry & Neurology) Physician) — 95.1056/100 vs national avg 83.1

0%100%National avg83%95.1%
MIPS final score (Neuromuscular Medicine (Psychiatry & Neurology) Physician) — 95.1056/100 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).

NIRMAL ANDRAPALLIYAL is a Neuromuscular Medicine (Psychiatry & Neurology) Physician provider practicing in CLEVELAND, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1821593690. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

NIRMAL ANDRAPALLIYAL appears in the CMS NPPES registry as a Neuromuscular Medicine (Psychiatry & Neurology) Physician provider at CLEVELAND CLINIC 9500 EUCLID AVE/NA-23, CLEVELAND, OH, 44195, with a listed phone of (216) 444-2200. NPI 1821593690 was issued on 03/26/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ANDRAPALLIYAL 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 156 prescription claims written by this provider, covering 56 Medicare beneficiaries and totaling roughly $11K in drug spend. 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 95.1056/100 for the 2023 performance year (Quality 86.8042), compared with the national average of 83.1.

Neuromuscular Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 336 enrolled providers across 44 states and an average of 931 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

CLEVELAND CLINIC 9500 EUCLID AVE/NA-23
CLEVELAND, OH 44195

Provider Details

NPI 1821593690
Specialty Neuromuscular Medicine (Psychiatry & Neurology) Physician
Gender Male
NPI Issued 03/26/2018

CMS Quality Score (MIPS)

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

95.1056
Final Score
Avg: 83.1
86.8042
Quality
99
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where NIRMAL ANDRAPALLIYAL 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.

CLEVELAND CLINIC
★★★★☆ 4/5
CLEVELAND, OH
Acute Care Hospitals
CMS CCN: 360180

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to NIRMAL ANDRAPALLIYAL. To verify NIRMAL ANDRAPALLIYAL's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

156
Total Claims
$11K
Total Drug Cost
56
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
258
Total Day Supply
7,428
Generic Drug Cost
$9K

Patient Demographics

Average Patient Age
68.8 years
Avg HCC Risk Score
1.62
Gender Split
45% female / 55% male
Age Distribution
<65: 16, 65-74: 24, 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.

Drug Claims
Prednisone
33
Gabapentin
18
Riluzole
18
Pyridostigmine Bromide
14

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

Neuromuscular Medicine (Psychiatry & Neurology) Physician Overview

How NIRMAL ANDRAPALLIYAL fits within the Neuromuscular Medicine (Psychiatry & Neurology) Physician landscape nationally.

336
Neuromuscular Medicine (Psychiatry & Neurology) Physician Providers in US
44
States with Neuromuscular Medicine (Psychiatry & Neurology) Physician
931
Avg Claims per Provider

NIRMAL ANDRAPALLIYAL's 156 claims are below the specialty average of 931.

Nearby Neuromuscular Medicine (Psychiatry & Neurology) Physician Providers in Ohio

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

Compare Neuromuscular Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NIRMAL ANDRAPALLIYAL's specialty?
NIRMAL ANDRAPALLIYAL specializes in Neuromuscular Medicine (Psychiatry & Neurology) Physician and practices in CLEVELAND, Ohio.
How much does NIRMAL ANDRAPALLIYAL prescribe under Medicare Part D?
In 2023, NIRMAL ANDRAPALLIYAL wrote 156 Medicare Part D claims totaling $11K in drug costs for 56 beneficiaries.
What is NIRMAL ANDRAPALLIYAL's Medicare quality score?
NIRMAL ANDRAPALLIYAL has a CMS MIPS Final Score of 95.1056/100 (Quality: 86.8042). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NIRMAL ANDRAPALLIYAL located?
NIRMAL ANDRAPALLIYAL is located at CLEVELAND CLINIC 9500 EUCLID AVE/NA-23, CLEVELAND, OH, 44195. Phone: (216) 444-2200.
What is NIRMAL ANDRAPALLIYAL's NPI number?
NIRMAL ANDRAPALLIYAL's National Provider Identifier (NPI) is 1821593690, issued on 03/26/2018.
How many Neuromuscular Medicine (Psychiatry & Neurology) Physician providers are there in the US?
There are 336 Neuromuscular Medicine (Psychiatry & Neurology) Physician providers across 44 states in the US. The average Neuromuscular Medicine (Psychiatry & Neurology) Physician provider writes 931 Medicare Part D claims per year.
What drugs does NIRMAL ANDRAPALLIYAL prescribe most often?
Based on 2023 Medicare Part D data, NIRMAL ANDRAPALLIYAL's most frequently prescribed drugs include Prednisone, Gabapentin, Riluzole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NIRMAL ANDRAPALLIYAL accept Medicare?
NIRMAL ANDRAPALLIYAL appears in CMS Medicare data with 156 Part D claims and 56 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NIRMAL ANDRAPALLIYAL's credentials?
NIRMAL ANDRAPALLIYAL's NPI is 1821593690. 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