2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1316130065 MD
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NISHAN ADIHETTY, MD

Child & Adolescent Psychiatry Physician in HOUSTON, Texas. 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
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
85.7297/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$178.7
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NISHAN ADIHETTY, MD is a Child & Adolescent Psychiatry Physician ([object Object]) practicing in HOUSTON, Texas with a Medicare Part D prescribing footprint of 1K claims across 122 beneficiaries — 10% brand-name prescribing . Their CMS MIPS Final Score of 85.7297/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $178.7 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NISHAN ADIHETTY, MD reported a CMS MIPS final score of 85.7297 out of 100, above the 83.1 national average, and filed 1,167 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)

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).

NISHAN ADIHETTY, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/24/2007

NPI 1316130065

Primary specialty

Child & Adolescent Psychiatry Physician

Mid-sized

6,160 US NPIs in this specialty

Medicare Part D claims

1,167 95% vs specialty avg

2023 prescription claims

Specialty avg: 600

MIPS final score

85.7297/100 2.6296999999999997% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Child & Adolescent Psychiatry Physician compares to other specialties among Texas providers

Texas providers

Child & Adolescent Psychiatry Physician share within Texas

1. Child & Adolescent Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Child & Adolescent Psychiatry Physician share within Texas

Medicare quality performance — MIPS

NISHAN ADIHETTY, MD's 2023 MIPS final score plotted against the Child & Adolescent Psychiatry Physician national average

High performer (top quartile)
MIPS Final Score
85.7297/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Child & Adolescent Psychiatry Physician) — 85.7297/100 vs national avg 83.1

0%100%National avg83%85.7%
MIPS final score (Child & Adolescent Psychiatry Physician) — 85.7297/100 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).

NISHAN ADIHETTY, MD is a Child & Adolescent Psychiatry Physician provider practicing in HOUSTON, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1316130065. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ADIHETTY 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 1,167 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. 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 85.7297/100 for the 2023 performance year (Quality 71.737, Cost 87.581), 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

6441 HIGH STAR
HOUSTON, TX 77074

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%
Specialty average (est.)

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.

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.

Compare Child & Adolescent Psychiatry Physician nationally: see state-by-state distribution →

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 85.7297/100 (Quality: 71.737, Cost: 87.581). 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

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