2026 NPPES data Cardiovascular Disease Physician NPI 1619928892 MD
Verify on CMS →

NITISH BADHWAR, MD

Cardiovascular Disease Physician in STANFORD, California. 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
762
Medicare Part D claims · 191 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
69%
generic claims · 31% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.5025/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$25.0K
76 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NITISH BADHWAR, MD is a Cardiovascular Disease Physician ([object Object]) practicing in STANFORD, California with a Medicare Part D prescribing footprint of 762 claims across 191 beneficiaries — 31% brand-name prescribing . Their CMS MIPS Final Score of 76.5025/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $25.0K across 76 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NITISH BADHWAR, MD reported a CMS MIPS final score of 76.5025 out of 100, below the 83.1 national average, and filed 762 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)

NITISH BADHWAR, MD 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).

NITISH BADHWAR, MD at a glance

Below national average

NPI registry status

Active

Issued 05/13/2006

NPI 1619928892

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

762 75% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

76.5025/100 6.597499999999997% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Cardiovascular Disease Physician compares to other specialties among California providers

California providers

Cardiovascular Disease Physician share within California

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within California

Medicare quality performance — MIPS

NITISH BADHWAR, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

Below national average
MIPS Final Score
76.5025/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 76.5025/100 vs national avg 83.1

0%100%National avg83%76.5%
MIPS final score (Cardiovascular Disease Physician) — 76.5025/100 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).

NITISH BADHWAR, MD is a Cardiovascular Disease Physician provider practicing in STANFORD, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1619928892. 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.

NITISH BADHWAR, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 300 PASTEUR DR, STANFORD, CA, 94305, with a listed phone of (650) 723-4000. NPI 1619928892 was issued on 05/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BADHWAR 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 762 prescription claims written by this provider, covering 191 Medicare beneficiaries and totaling roughly $362K in drug spend, split 31% brand-name and 69% 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 76.5025/100 for the 2023 performance year (Quality 74.3195, Cost 43.9595), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

300 PASTEUR DR
STANFORD, CA 94305

Provider Details

NPI 1619928892
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 05/13/2006

CMS Quality Score (MIPS)

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

76.5025
Final Score
Avg: 83.1
74.3195
Quality
43.9595
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NITISH BADHWAR, 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.

STANFORD HEALTH CARE
★★★★★ 5/5
SAN JOSE, CA
Acute Care Hospitals
CMS CCN: 050441

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 NITISH BADHWAR, MD. Source: openpaymentsdata.cms.gov.

Total received

$25.0K

Largest payer

Abbott Laboratories

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to NITISH BADHWAR, MD. To verify NITISH BADHWAR, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

NITISH BADHWAR, MD — brand share 31.0%
Specialty average (est.)

31% brand-name claims vs 69% generic, on 762 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.

762
Total Claims
$362K
Total Drug Cost
191
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,775
Total Day Supply
52,768
Brand vs Generic
31% brand / 69% generic
Brand Drug Cost
$288K
Generic Drug Cost
$73K

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
1.53
Gender Split
42% female / 58% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Eliquis
Apixaban
165
Metoprolol Succinate
113
Dofetilide
111
Flecainide Acetate
74
Xarelto
Rivaroxaban
58
Sotalol
Sotalol Hcl
40
Pantoprazole Sodium
31
Metoprolol Tartrate
28
Propafenone Hcl Er
Propafenone Hcl
22
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
19

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

Cardiovascular Disease Physician Overview

How NITISH BADHWAR, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

NITISH BADHWAR, MD's 762 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in California

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NITISH BADHWAR, MD's specialty?
NITISH BADHWAR, MD specializes in Cardiovascular Disease Physician and practices in STANFORD, California. Credentials: MD.
How much does NITISH BADHWAR, MD prescribe under Medicare Part D?
In 2023, NITISH BADHWAR, MD wrote 762 Medicare Part D claims totaling $362K in drug costs for 191 beneficiaries.
What is NITISH BADHWAR, MD's Medicare quality score?
NITISH BADHWAR, MD has a CMS MIPS Final Score of 76.5025/100 (Quality: 74.3195, Cost: 43.9595). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NITISH BADHWAR, MD located?
NITISH BADHWAR, MD is located at 300 PASTEUR DR, STANFORD, CA, 94305. Phone: (650) 723-4000.
What is NITISH BADHWAR, MD's NPI number?
NITISH BADHWAR, MD's National Provider Identifier (NPI) is 1619928892, issued on 05/13/2006.
Does NITISH BADHWAR, MD prescribe more brand-name or generic drugs?
NITISH BADHWAR, MD's prescribing is 31% brand-name and 69% generic drugs by claim count, with $288K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does NITISH BADHWAR, MD prescribe most often?
Based on 2023 Medicare Part D data, NITISH BADHWAR, MD's most frequently prescribed drugs include Eliquis, Metoprolol Succinate, Dofetilide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NITISH BADHWAR, MD accept Medicare?
NITISH BADHWAR, MD appears in CMS Medicare data with 762 Part D claims and 191 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NITISH BADHWAR, MD's credentials?
NITISH BADHWAR, MD's NPI is 1619928892 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