NPI registry status
Active
2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1316130065 MD
Verify on CMS → Nishan Adihetty, MD
Child & Adolescent Psychiatry Physician in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,160 in Child & Adolescent Psychiatry 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
1K
Medicare Part D claims · 122 beneficiaries · Child & Adolescent Psychiatry Physician avg: 600
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.7/100
▲ 3 pts above national avg 83.1 · Above neutral
Industry payments
$178.7
4 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
Nishan Adihetty, MD reported a CMS MIPS final score of 85.7/100 - above the 83.1 national average - and filed 1,167 Medicare Part D claims in 2023.
- 85.7/100
- MIPS score · +3 vs avg
- 1K
- Part D claims, 2023
- 90%
- 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.
Nishan Adihetty, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
86 49th percentile higher than 49% 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 Nishan Adihetty, MD sits
This provider among child & adolescent psychiatry physician peers
Across the 332 child & adolescent psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nishan Adihetty, MD writes more Part D claims than 82% of them and scores higher on MIPS quality than 51% - placing this provider in the high-volume, high-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 child & adolescent psychiatry physician peer from a representative sample of 60; the gold marker is Nishan Adihetty, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nishan Adihetty, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Nishan Adihetty, MD?
High performer (top quartile)Primary specialty
Child & Adolescent Psychiatry Physician
Medicare Part D claims
1,167 95% vs specialty avg
MIPS final score
85.7/100 2.6 pts vs avg
Specialty distribution in Texas
How Child & Adolescent Psychiatry Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Nishan Adihetty, MD's 2023 MIPS final score plotted against the Child & Adolescent Psychiatry Physician national average
- MIPS Final Score
- 85.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Child & Adolescent Psychiatry Physician) - 85.7/100 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).
Nishan Adihetty, MD appears in the CMS NPPES registry as a Child & Adolescent Psychiatry Physician provider holding MD credentials at 6441 HIGH STAR, Houston, TX, 77074, with a listed phone of (832) 548-5000. NPI 1316130065 was issued on 08/24/2007.
Medicare Part D records for calendar year 2023 show 1,167 prescription claims written by this provider, covering 122 Medicare beneficiaries and totaling roughly $360K in drug spend, split 10% brand-name and 90% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.7/100 for the 2023 performance year (Quality 71.7, Cost 87.6), compared with the national average of 83.1.
Child & Adolescent Psychiatry Physician is a mid-sized specialty nationwide, with 6,160 enrolled providers across 54 states and an average of 600 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 | 1316130065 |
|---|---|
| Specialty | Child & Adolescent Psychiatry Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/24/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.7297
Final Score
Avg: 83.1
71.737
Quality
87.581
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Nishan Adihetty, 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.
Specialty Clinic Medical Group PLLC
Austin, TX
The Harris Center For Mental Health And Idd
Houston, TX
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 Nishan Adihetty, MD. Source: openpaymentsdata.cms.gov.
Total received
$179
Largest payer
Janssen Scientific Affairs, LLC
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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Nishan Adihetty, MD. To verify Nishan Adihetty, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Nishan Adihetty, MD - brand share 10.0%
Child & Adolescent Psychiatry Physician average
10% brand-name claims vs 90% generic, on 1,167 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.
1,167
Total Claims
$360K
Total Drug Cost
122
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,072
- Total Day Supply
- 60,973
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $294K
- Generic Drug Cost
- $66K
Patient Demographics
- Average Patient Age
- 54.2 years
- Avg HCC Risk Score
- 1.66
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 85, 65-74: 32, 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.
What Nishan Adihetty, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trazodone Hcl
Trazodone Hcl
84 claims
- Hydroxyzine Hcl
Hydroxyzine Hcl
80 claims
- Benztropine Mesylate
Benztropine Mesylate
64 claims
- Quetiapine Fumarate
Quetiapine Fumarate
62 claims
- Risperidone
Risperidone
62 claims
- Fluoxetine Hcl
Fluoxetine Hcl
59 claims
- Buspirone Hcl
Buspirone Hcl
54 claims
- Invega Sustenna
Invega Sustenna
51 claims
| Drug | Claims |
|---|---|
| Trazodone Hcl | 84 |
| Hydroxyzine Hcl | 80 |
| Benztropine Mesylate | 64 |
| Quetiapine Fumarate | 62 |
| Risperidone | 62 |
| Fluoxetine Hcl | 59 |
| Buspirone Hcl | 54 |
| Invega Sustenna Paliperidone Palmitate | 51 |
| Mirtazapine | 50 |
| Olanzapine | 49 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Child & Adolescent Psychiatry Physician Overview
How Nishan Adihetty, MD fits within the Child & Adolescent Psychiatry Physician landscape nationally.
6,160
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
600
Avg Claims per Provider
Nishan Adihetty, MD's 1,167 claims are above the specialty average of 600.
Nearby Child & Adolescent Psychiatry Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Adihetty.
Dr. Zargham Abbas
MD
Houston, TX
Dr. John Abraham
D.O.
Austin, TX
Dr. Cini Abraham, M.d.
M.D.
Rockwall, TX
Dr. Baer Ackerman
M.D.
Plano, TX
Dr. Mehvesh Afrina
M.D.
Plano, TX
Compare Child & Adolescent Psychiatry 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Child & Adolescent Psychiatry 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 Nishan Adihetty, MD's specialty? ▼
Nishan Adihetty, MD specializes in Child & Adolescent Psychiatry Physician and practices in Houston, Texas. Credentials: MD.
How much does Nishan Adihetty, MD prescribe under Medicare Part D? ▼
In 2023, Nishan Adihetty, MD wrote 1,167 Medicare Part D claims totaling $360K in drug costs for 122 beneficiaries.
What is Nishan Adihetty, MD's Medicare quality score? ▼
Nishan Adihetty, MD has a CMS MIPS Final Score of 85.7/100 (Quality: 71.7, Cost: 87.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nishan Adihetty, MD located? ▼
Nishan Adihetty, MD is located at 6441 HIGH STAR, Houston, TX, 77074. Phone: (832) 548-5000.
What is Nishan Adihetty, MD's NPI number? ▼
Nishan Adihetty, MD's National Provider Identifier (NPI) is 1316130065, issued on 08/24/2007.
Does Nishan Adihetty, MD prescribe more brand-name or generic drugs? ▼
Nishan Adihetty, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $294K in brand drug costs.
How many Child & Adolescent Psychiatry Physician providers are there in the US? ▼
There are 6,160 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 600 Medicare Part D claims per year.
What drugs does Nishan Adihetty, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Nishan Adihetty, MD's most frequently prescribed drugs include Trazodone Hcl, Hydroxyzine Hcl, Benztropine Mesylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nishan Adihetty, MD accept Medicare? ▼
Nishan Adihetty, MD appears in CMS Medicare data with 1,167 Part D claims and 122 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nishan Adihetty, MD's credentials? ▼
Nishan Adihetty, MD's NPI is 1316130065 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.