2026 NPPES data Nephrology Physician NPI 1255075636 DO
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PRACHI BANSAL, DO

Nephrology Physician in GROVE CITY, Ohio. 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
72
Medicare Part D claims · 16 beneficiaries · Nephrology Physician avg: 1K
Industry payments
$142.81
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PRACHI BANSAL, DO is a Nephrology Physician ([object Object]) practicing in GROVE CITY, Ohio with a Medicare Part D prescribing footprint of 72 claims across 16 beneficiaries . Industry payments of $142.81 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PRACHI BANSAL, DO filed 72 Medicare Part D claims in 2023 across GROVE CITY, Ohio. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

PRACHI BANSAL, DO practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

PRACHI BANSAL, DO at a glance

Quality data not reported

NPI registry status

Active

Issued 04/22/2022

NPI 1255075636

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

72 95% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

Specialty distribution in Ohio

How Nephrology Physician compares to other specialties among Ohio providers

Ohio providers

Nephrology Physician share within Ohio

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Nephrology 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).

PRACHI BANSAL, DO is a Nephrology Physician provider practicing in GROVE CITY, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1255075636. 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.

PRACHI BANSAL, DO appears in the CMS NPPES registry as a Nephrology Physician provider holding DO credentials at 5300 N MEADOWS DR, GROVE CITY, OH, 43123, with a listed phone of (614) 663-4550. NPI 1255075636 was issued on 04/22/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BANSAL 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 72 prescription claims written by this provider, covering 16 Medicare beneficiaries and totaling roughly $7K in drug spend. 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.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

5300 N MEADOWS DR
GROVE CITY, OH 43123

Provider Details

NPI 1255075636
Specialty Nephrology Physician
Credentials DO
Gender Female
NPI Issued 04/22/2022

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 PRACHI BANSAL, DO. Source: openpaymentsdata.cms.gov.

Total received

$143

Largest payer

Otsuka America Pharmaceutical, Inc.

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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to PRACHI BANSAL, DO. To verify PRACHI BANSAL, DO's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

72
Total Claims
$7K
Total Drug Cost
16
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
96
Total Day Supply
2,627
Generic Drug Cost
$366

Patient Demographics

Average Patient Age
60.9 years
Avg HCC Risk Score
2.70

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Lisinopril
13

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

Nephrology Physician Overview

How PRACHI BANSAL, DO fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

PRACHI BANSAL, DO's 72 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Ohio

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

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

Frequently Asked Questions

What is PRACHI BANSAL, DO's specialty?
PRACHI BANSAL, DO specializes in Nephrology Physician and practices in GROVE CITY, Ohio. Credentials: DO.
How much does PRACHI BANSAL, DO prescribe under Medicare Part D?
In 2023, PRACHI BANSAL, DO wrote 72 Medicare Part D claims totaling $7K in drug costs for 16 beneficiaries.
Where is PRACHI BANSAL, DO located?
PRACHI BANSAL, DO is located at 5300 N MEADOWS DR, GROVE CITY, OH, 43123. Phone: (614) 663-4550.
What is PRACHI BANSAL, DO's NPI number?
PRACHI BANSAL, DO's National Provider Identifier (NPI) is 1255075636, issued on 04/22/2022.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does PRACHI BANSAL, DO prescribe most often?
Based on 2023 Medicare Part D data, PRACHI BANSAL, DO's most frequently prescribed drugs include Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRACHI BANSAL, DO accept Medicare?
PRACHI BANSAL, DO appears in CMS Medicare data with 72 Part D claims and 16 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRACHI BANSAL, DO's credentials?
PRACHI BANSAL, DO's NPI is 1255075636 with credentials DO. 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