2026 NPPES data Pediatrics Physician NPI 1821409822 M.D.
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NUPUR AGRAWAL, M.D.

Pediatrics Physician in SANTA MONICA, 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
439
Medicare Part D claims · 51 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: NUPUR AGRAWAL, M.D. is a Pediatrics Physician ([object Object]) practicing in SANTA MONICA, California with a Medicare Part D prescribing footprint of 439 claims across 51 beneficiaries — 3% brand-name prescribing .

What stands out: NUPUR AGRAWAL, M.D. filed 439 Medicare Part D claims in 2023 across SANTA MONICA, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NUPUR AGRAWAL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

NUPUR AGRAWAL, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 05/13/2014

NPI 1821409822

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

439 42% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in California

How Pediatrics Physician compares to other specialties among California providers

California providers

Pediatrics Physician share within California

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

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatrics Physician ABMS/AOA estimate

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

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).

NUPUR AGRAWAL, M.D. is a Pediatrics Physician provider practicing in SANTA MONICA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1821409822. 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.

NUPUR AGRAWAL, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 1245 16TH ST STE 125, SANTA MONICA, CA, 90404, with a listed phone of (310) 315-8900. NPI 1821409822 was issued on 05/13/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGRAWAL 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 439 prescription claims written by this provider, covering 51 Medicare beneficiaries and totaling roughly $15K in drug spend, split 3% brand-name and 97% 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

1245 16TH ST STE 125
SANTA MONICA, CA 90404

Provider Details

NPI 1821409822
Specialty Pediatrics Physician
Credentials M.D.
Gender Female
NPI Issued 05/13/2014

Hospital and facility affiliations

Facilities where NUPUR AGRAWAL, M.D. 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.

THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
SANTA MONICA, CA

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 — 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 NUPUR AGRAWAL, M.D.. To verify NUPUR AGRAWAL, M.D.'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 · Generic-heavy

NUPUR AGRAWAL, M.D. — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 439 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.

439
Total Claims
$15K
Total Drug Cost
51
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,128
Total Day Supply
33,569
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$469
Generic Drug Cost
$15K

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
1.33
Gender Split
69% female / 31% 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
Atorvastatin Calcium
64
Losartan Potassium
35
Amlodipine Besylate
23
Lisinopril
23
Levothyroxine Sodium
15
Famotidine
13
Fluticasone Propionate
12
Hydrochlorothiazide
12
Sertraline Hcl
12
Alendronate Sodium
11

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

Pediatrics Physician Overview

How NUPUR AGRAWAL, M.D. fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

NUPUR AGRAWAL, M.D.'s 439 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in California

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

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NUPUR AGRAWAL, M.D.'s specialty?
NUPUR AGRAWAL, M.D. specializes in Pediatrics Physician and practices in SANTA MONICA, California. Credentials: M.D..
How much does NUPUR AGRAWAL, M.D. prescribe under Medicare Part D?
In 2023, NUPUR AGRAWAL, M.D. wrote 439 Medicare Part D claims totaling $15K in drug costs for 51 beneficiaries.
Where is NUPUR AGRAWAL, M.D. located?
NUPUR AGRAWAL, M.D. is located at 1245 16TH ST STE 125, SANTA MONICA, CA, 90404. Phone: (310) 315-8900.
What is NUPUR AGRAWAL, M.D.'s NPI number?
NUPUR AGRAWAL, M.D.'s National Provider Identifier (NPI) is 1821409822, issued on 05/13/2014.
Does NUPUR AGRAWAL, M.D. prescribe more brand-name or generic drugs?
NUPUR AGRAWAL, M.D.'s prescribing is 3% brand-name and 97% generic drugs by claim count, with $469 in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does NUPUR AGRAWAL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NUPUR AGRAWAL, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NUPUR AGRAWAL, M.D. accept Medicare?
NUPUR AGRAWAL, M.D. appears in CMS Medicare data with 439 Part D claims and 51 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NUPUR AGRAWAL, M.D.'s credentials?
NUPUR AGRAWAL, M.D.'s NPI is 1821409822 with credentials M.D.. 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.
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