NPI registry status
Active
2026 NPPES data Adult Medicine Physician NPI 1861706038 MBBS
Verify on CMS → Pankaj Agrawal, MBBS
Adult Medicine Physician in Marshalltown, Iowa.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,481 in Adult Medicine 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
125
Medicare Part D claims · 61 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86/100
▲ 3 pts above national avg 83.1 · Above neutral
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
Pankaj Agrawal, MBBS reported a CMS MIPS final score of 86/100 - above the 83.1 national average - and filed 125 Medicare Part D claims in 2023.
- 86/100
- MIPS score · +3 vs avg
- 125
- Part D claims, 2023
- 81%
- 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.
Pankaj Agrawal, MBBS'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 Pankaj Agrawal, MBBS sits
This provider among adult medicine physician peers
Across the 216 adult medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Pankaj Agrawal, MBBS writes more Part D claims than 12% of them and scores higher on MIPS quality than 51% - placing this provider in the lower-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 adult medicine physician peer from a representative sample of 60; the gold marker is Pankaj Agrawal, MBBS. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Pankaj Agrawal, MBBS 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 Pankaj Agrawal, MBBS?
High performer (top quartile)Primary specialty
Adult Medicine Physician
Medicare Part D claims
125 96% vs specialty avg
MIPS final score
86/100 2.9 pts vs avg
Specialty distribution in Iowa
How Adult Medicine Physician compares to other specialties among Iowa providers
Medicare quality performance, MIPS
Pankaj Agrawal, MBBS's 2023 MIPS final score plotted against the Adult Medicine Physician national average
- MIPS Final Score
- 86/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Adult Medicine Physician) - 86/100 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).
Pankaj Agrawal, MBBS appears in the CMS NPPES registry as a Adult Medicine Physician provider holding MBBS credentials at 3 S 4TH AVE, Marshalltown, IA, 50158, with a listed phone of (641) 754-5151. NPI 1861706038 was issued on 07/30/2010.
Medicare Part D records for calendar year 2023 show 125 prescription claims written by this provider, covering 61 Medicare beneficiaries and totaling roughly $13K in drug spend, split 19% brand-name and 81% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86/100 for the 2023 performance year (Quality 68, Cost 80.6), compared with the national average of 83.1.
Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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 | 1861706038 |
|---|---|
| Specialty | Adult Medicine Physician |
| Credentials | MBBS |
| Gender | Male |
| NPI Issued | 07/30/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.9941
Final Score
Avg: 83.1
67.989
Quality
80.6352
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Pankaj Agrawal, MBBS 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.
Apogee Medical Group Georgia
Valdosta, GA
South Georgia Medical Center Inc
Valdosta, GA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Pankaj Agrawal, MBBS - brand share 19.0%
Adult Medicine Physician average
19% brand-name claims vs 81% generic, on 125 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.
125
Total Claims
$13K
Total Drug Cost
61
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 133
- Total Day Supply
- 2,760
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $11K
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 25
Patient Demographics
- Average Patient Age
- 70.3 years
- Avg HCC Risk Score
- 2.71
- Gender Split
- 56% female / 44% male
Adult Medicine Physician Overview
How Pankaj Agrawal, MBBS fits within the Adult Medicine Physician landscape nationally.
2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider
Pankaj Agrawal, MBBS's 125 claims are below the specialty average of 2,807.
Nearby Adult Medicine Physician Providers in Iowa
Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as Agrawal.
Dr. Nelson Chesney
M.D.
Dubuque, IA
Dr. Teresa Coon
MD
Bettendorf, IA
Dr. Frank Filippelli
D.O.
West Des Moines, IA
Dr. Kenneth Hubel
M.D.
North Liberty, IA
Dr. Takashi Kawamitsu
MD
Council Bluffs, IA
Compare Adult Medicine 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 Iowa medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Medicine 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 Pankaj Agrawal, MBBS's specialty? ▼
Pankaj Agrawal, MBBS specializes in Adult Medicine Physician and practices in Marshalltown, Iowa. Credentials: MBBS.
How much does Pankaj Agrawal, MBBS prescribe under Medicare Part D? ▼
In 2023, Pankaj Agrawal, MBBS wrote 125 Medicare Part D claims totaling $13K in drug costs for 61 beneficiaries.
What is Pankaj Agrawal, MBBS's Medicare quality score? ▼
Pankaj Agrawal, MBBS has a CMS MIPS Final Score of 86/100 (Quality: 68, Cost: 80.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Pankaj Agrawal, MBBS located? ▼
Pankaj Agrawal, MBBS is located at 3 S 4TH AVE, Marshalltown, IA, 50158. Phone: (641) 754-5151.
What is Pankaj Agrawal, MBBS's NPI number? ▼
Pankaj Agrawal, MBBS's National Provider Identifier (NPI) is 1861706038, issued on 07/30/2010.
Does Pankaj Agrawal, MBBS prescribe more brand-name or generic drugs? ▼
Pankaj Agrawal, MBBS's prescribing is 19% brand-name and 81% generic drugs by claim count, with $11K in brand drug costs.
How many Adult Medicine Physician providers are there in the US? ▼
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
Does Pankaj Agrawal, MBBS accept Medicare? ▼
Pankaj Agrawal, MBBS appears in CMS Medicare data with 125 Part D claims and 61 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pankaj Agrawal, MBBS's credentials? ▼
Pankaj Agrawal, MBBS's NPI is 1861706038 with credentials MBBS. 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.