NPI registry status
Active
2026 NPPES data Infectious Disease Physician NPI 1669437224 MD
Verify on CMS → Nisha Sethi, MD
Infectious Disease Physician in Hempstead, 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 8,314 in Infectious 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
850
Medicare Part D claims · 91 beneficiaries · Infectious Disease Physician avg: 816
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$92.71
2 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
Nisha Sethi, MD reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 850 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 850
- Part D claims, 2023
- 55%
- 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.
Nisha Sethi, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
75 15th percentile higher than 15% 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 Nisha Sethi, MD sits
This provider among infectious disease physician peers
Across the 2,276 infectious disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nisha Sethi, MD writes more Part D claims than 77% of them and scores higher on MIPS quality than 16% - 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 infectious disease physician peer from a representative sample of 60; the gold marker is Nisha Sethi, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nisha Sethi, 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 Nisha Sethi, MD?
Below national averagePrimary specialty
Infectious Disease Physician
Medicare Part D claims
850 4% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in New York
How Infectious Disease Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Nisha Sethi, MD's 2023 MIPS final score plotted against the Infectious Disease Physician national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Infectious Disease Physician) - 75/100 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).
Nisha Sethi, MD appears in the CMS NPPES registry as an Infectious Disease Physician provider holding MD credentials at 230 HILTON AVENUE, Hempstead, NY, 11550, with a listed phone of (516) 565-5200. NPI 1669437224 was issued on 04/18/2006.
Medicare Part D records for calendar year 2023 show 850 prescription claims written by this provider, covering 91 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 45% brand-name and 55% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.
Infectious Disease Physician is a mid-sized specialty nationwide, with 8,314 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
Provider Details
| NPI | 1669437224 |
|---|---|
| Specialty | Infectious Disease Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 04/18/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
Avg: 83.1
Reporting: Group practice
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 Nisha Sethi, MD. Source: openpaymentsdata.cms.gov.
Total received
$93
Largest payer
Boston Scientific Corporation
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 Nisha Sethi, MD. To verify Nisha Sethi, 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 · Above average
Nisha Sethi, MD - brand share 45.0%
Infectious Disease Physician average
45% brand-name claims vs 55% generic, on 850 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.
850
Total Claims
$1.5M
Total Drug Cost
91
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 947
- Total Day Supply
- 22,583
- Brand vs Generic
- 45% brand / 55% generic
- Brand Drug Cost
- $1.4M
- Generic Drug Cost
- $89K
- Antibiotic Claims
- 287
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 2.49
- Gender Split
- 45% female / 55% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nisha Sethi, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Biktarvy
Biktarvy
153 claims
- Dovato
Dovato
153 claims
- Vancomycin Hcl
Vancomycin Hcl
70 claims
- Amlodipine Besylate 53
Amlodipine Besylate
53 claims
- Cefepime Hcl 37
Cefepime Hcl
37 claims
- Meropenem 31
Meropenem
31 claims
- Cefazolin Sodium 28
Cefazolin Sodium
28 claims
- Genvoya 20
Genvoya
20 claims
| Drug | Claims |
|---|---|
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 153 |
| Dovato Dolutegravir Sodium/Lamivudine | 153 |
| Vancomycin Hcl | 70 |
| Amlodipine Besylate | 53 |
| Cefepime Hcl | 37 |
| Meropenem | 31 |
| Cefazolin Sodium | 28 |
| Genvoya Elviteg/Cob/Emtri/Tenof Alafen | 20 |
| Tivicay Dolutegravir Sodium | 20 |
| Atorvastatin Calcium | 19 |
* 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 Nisha Sethi, MD fits within the Infectious Disease Physician landscape nationally.
8,314
Infectious Disease Physician Providers in US
54
States with Infectious Disease Physician
816
Avg Claims per Provider
Nisha Sethi, MD's 850 claims are above the specialty average of 816.
Nearby Infectious 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 Sethi.
Dr. Mekonnen Abebe
M.D.
New York, NY
Dr. Maryam Abul
MD
New York, NY
Dr. Jacqueline Achkar
MD
Bronx, NY
Joel Ackelsberg
Long Island City, NY
Dr. Adedayo Adedeji
M.D.
Staten Island, NY
Compare Infectious 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 Infectious 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 Nisha Sethi, MD's specialty? ▼
Nisha Sethi, MD specializes in Infectious Disease Physician and practices in Hempstead, New York. Credentials: MD.
How much does Nisha Sethi, MD prescribe under Medicare Part D? ▼
In 2023, Nisha Sethi, MD wrote 850 Medicare Part D claims totaling $1.5M in drug costs for 91 beneficiaries.
What is Nisha Sethi, MD's Medicare quality score? ▼
Nisha Sethi, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nisha Sethi, MD located? ▼
Nisha Sethi, MD is located at 230 HILTON AVENUE, Hempstead, NY, 11550. Phone: (516) 565-5200.
What is Nisha Sethi, MD's NPI number? ▼
Nisha Sethi, MD's National Provider Identifier (NPI) is 1669437224, issued on 04/18/2006.
Does Nisha Sethi, MD prescribe more brand-name or generic drugs? ▼
Nisha Sethi, MD's prescribing is 45% brand-name and 55% generic drugs by claim count, with $1.4M in brand drug costs.
How many Infectious Disease Physician providers are there in the US? ▼
There are 8,314 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 Nisha Sethi, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Nisha Sethi, MD's most frequently prescribed drugs include Biktarvy, Dovato, Vancomycin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nisha Sethi, MD accept Medicare? ▼
Nisha Sethi, MD appears in CMS Medicare data with 850 Part D claims and 91 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nisha Sethi, MD's credentials? ▼
Nisha Sethi, MD's NPI is 1669437224 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.