2026 NPPES data Internal Medicine Physician NPI 1396968038 MD
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PAWAN ARORA, MD

Internal Medicine Physician in YORK, Pennsylvania. 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
37K
Medicare Part D claims · 673 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.707/100
▼ 7 pts below national avg 83.1 · [object Object]
What the federal data reveals: PAWAN ARORA, MD is a Internal Medicine Physician ([object Object]) practicing in YORK, Pennsylvania with a Medicare Part D prescribing footprint of 37K claims across 673 beneficiaries — 8% brand-name prescribing . Their CMS MIPS Final Score of 75.707/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: PAWAN ARORA, MD reported a CMS MIPS final score of 75.707 out of 100, below the 83.1 national average, and filed 37,214 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)

PAWAN ARORA, 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).

PAWAN ARORA, MD at a glance

Below national average

NPI registry status

Active

Issued 04/11/2007

NPI 1396968038

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

37,214 1270% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

75.707/100 7.393000000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Internal Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Internal Medicine Physician share within Pennsylvania

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

Medicare quality performance — MIPS

PAWAN ARORA, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
75.707/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 75.707/100 vs national avg 83.1

0%100%National avg83%75.7%
MIPS final score (Internal Medicine Physician) — 75.707/100 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).

PAWAN ARORA, MD is a Internal Medicine Physician provider practicing in YORK, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1396968038. 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.

PAWAN ARORA, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 310 PINE GROVE COMMONS, YORK, PA, 17403, with a listed phone of (717) 741-5959. NPI 1396968038 was issued on 04/11/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARORA 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 37,214 prescription claims written by this provider, covering 673 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 1.1%. 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 75.707/100 for the 2023 performance year (Quality 75.7288, Cost 34.7183), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

310 PINE GROVE COMMONS
YORK, PA 17403

Provider Details

NPI 1396968038
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 04/11/2007

CMS Quality Score (MIPS)

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

75.707
Final Score
Avg: 83.1
75.7288
Quality
34.7183
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where PAWAN ARORA, 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.

PROVIDER PARTNERS CARE MANAGEMENT LP
YORK, PA

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to PAWAN ARORA, MD. To verify PAWAN ARORA, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

PAWAN ARORA, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 37,214 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.

37,214
Total Claims
$1.2M
Total Drug Cost
673
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
38,018
Total Day Supply
605,970
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$821K
Generic Drug Cost
$403K
Opioid Claims
393 (1.1% rate)
Antibiotic Claims
476

Patient Demographics

Average Patient Age
85.4 years
Avg HCC Risk Score
2.07
Gender Split
73% female / 27% male
Age Distribution
<65: 11, 65-74: 68, 75-84: 195, 85+: 399

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
1,825
Furosemide
1,690
Escitalopram Oxalate
1,653
Atorvastatin Calcium
1,552
Amlodipine Besylate
1,279
Lisinopril
972
Donepezil Hcl
970
Eliquis
Apixaban
958
Quetiapine Fumarate
902
Metoprolol Succinate
831

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

Internal Medicine Physician Overview

How PAWAN ARORA, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

PAWAN ARORA, MD's 37,214 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Pennsylvania

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAWAN ARORA, MD's specialty?
PAWAN ARORA, MD specializes in Internal Medicine Physician and practices in YORK, Pennsylvania. Credentials: MD.
How much does PAWAN ARORA, MD prescribe under Medicare Part D?
In 2023, PAWAN ARORA, MD wrote 37,214 Medicare Part D claims totaling $1.2M in drug costs for 673 beneficiaries.
What is PAWAN ARORA, MD's Medicare quality score?
PAWAN ARORA, MD has a CMS MIPS Final Score of 75.707/100 (Quality: 75.7288, Cost: 34.7183). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAWAN ARORA, MD located?
PAWAN ARORA, MD is located at 310 PINE GROVE COMMONS, YORK, PA, 17403. Phone: (717) 741-5959.
What is PAWAN ARORA, MD's NPI number?
PAWAN ARORA, MD's National Provider Identifier (NPI) is 1396968038, issued on 04/11/2007.
Does PAWAN ARORA, MD prescribe more brand-name or generic drugs?
PAWAN ARORA, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $821K in brand drug costs.
Does PAWAN ARORA, MD prescribe opioids?
Yes, PAWAN ARORA, MD had 393 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does PAWAN ARORA, MD prescribe most often?
Based on 2023 Medicare Part D data, PAWAN ARORA, MD's most frequently prescribed drugs include Levothyroxine Sodium, Furosemide, Escitalopram Oxalate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAWAN ARORA, MD accept Medicare?
PAWAN ARORA, MD appears in CMS Medicare data with 37,214 Part D claims and 673 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAWAN ARORA, MD's credentials?
PAWAN ARORA, MD's NPI is 1396968038 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