2026 NPPES data Adult Medicine Physician NPI 1104531342 PA-C
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PRAGYASHREE SHARMA BASYAL, PA-C

Adult Medicine Physician in BALTIMORE, Maryland. 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
665
Medicare Part D claims · 76 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$136.73
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PRAGYASHREE SHARMA BASYAL, PA-C filed 665 Medicare Part D claims in 2023 as a Adult Medicine Physician in BALTIMORE, Maryland, prescribing 79% generic.

665
Part D claims, 2023
79%
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.

PRAGYASHREE SHARMA BASYAL, PA-C's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

665 Top 31% higher than 69% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

PRAGYASHREE SHARMA BASYAL, PA-C 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).

What does the federal data show about PRAGYASHREE SHARMA BASYAL, PA-C?

Quality data not reported

NPI registry status

Active

Issued 01/23/2023

NPI 1104531342

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

665 76% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

Specialty distribution in Maryland

How Adult Medicine Physician compares to other specialties among Maryland providers

Maryland providers

Adult Medicine Physician share within Maryland

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

Specialty board-certification context

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

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

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

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

PRAGYASHREE SHARMA BASYAL, PA-C appears in the CMS NPPES registry as a Adult Medicine Physician provider holding PA-C credentials at 1235 E MONUMENT ST, BALTIMORE, MD, 21202, with a listed phone of (443) 303-7076. NPI 1104531342 was issued on 01/23/2023. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHARMA BASYAL 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 665 prescription claims written by this provider, covering 76 Medicare beneficiaries and totaling roughly $77K in drug spend, split 21% brand-name and 79% 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.

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

1235 E MONUMENT ST
BALTIMORE, MD 21202

Provider Details

NPI 1104531342
Specialty Adult Medicine Physician
Credentials PA-C
Gender Female
NPI Issued 01/23/2023

Hospital and facility affiliations

Facilities where PRAGYASHREE SHARMA BASYAL, PA-C 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.

HOLLIS SEUNARINE MDPA LLC
BALTIMORE, MD

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 PRAGYASHREE SHARMA BASYAL, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$137

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Typical

PRAGYASHREE SHARMA BASYAL, PA-C — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 665 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.

665
Total Claims
$77K
Total Drug Cost
76
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
959
Total Day Supply
27,345
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$67K
Generic Drug Cost
$9K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
64.2 years
Avg HCC Risk Score
1.38
Gender Split
50% female / 50% male
Age Distribution
<65: 27, 65-74: 44, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What PRAGYASHREE SHARMA BASYAL, PA-C prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
47
Lisinopril
41
Amlodipine Besylate
37
Albuterol Sulfate Hfa
Albuterol Sulfate
29
Gabapentin
27
Pantoprazole Sodium
18
Metoprolol Succinate
17
Hydrochlorothiazide
16
Incruse Ellipta
Umeclidinium Bromide
15
Diclofenac Sodium
14

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

Adult Medicine Physician Overview

How PRAGYASHREE SHARMA BASYAL, PA-C 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

PRAGYASHREE SHARMA BASYAL, PA-C's 665 claims are below the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Maryland

Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as SHARMA BASYAL.

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

Frequently Asked Questions

What is PRAGYASHREE SHARMA BASYAL, PA-C's specialty?
PRAGYASHREE SHARMA BASYAL, PA-C specializes in Adult Medicine Physician and practices in BALTIMORE, Maryland. Credentials: PA-C.
How much does PRAGYASHREE SHARMA BASYAL, PA-C prescribe under Medicare Part D?
In 2023, PRAGYASHREE SHARMA BASYAL, PA-C wrote 665 Medicare Part D claims totaling $77K in drug costs for 76 beneficiaries.
Where is PRAGYASHREE SHARMA BASYAL, PA-C located?
PRAGYASHREE SHARMA BASYAL, PA-C is located at 1235 E MONUMENT ST, BALTIMORE, MD, 21202. Phone: (443) 303-7076.
What is PRAGYASHREE SHARMA BASYAL, PA-C's NPI number?
PRAGYASHREE SHARMA BASYAL, PA-C's National Provider Identifier (NPI) is 1104531342, issued on 01/23/2023.
Does PRAGYASHREE SHARMA BASYAL, PA-C prescribe more brand-name or generic drugs?
PRAGYASHREE SHARMA BASYAL, PA-C's prescribing is 21% brand-name and 79% generic drugs by claim count, with $67K 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.
What drugs does PRAGYASHREE SHARMA BASYAL, PA-C prescribe most often?
Based on 2023 Medicare Part D data, PRAGYASHREE SHARMA BASYAL, PA-C's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRAGYASHREE SHARMA BASYAL, PA-C accept Medicare?
PRAGYASHREE SHARMA BASYAL, PA-C appears in CMS Medicare data with 665 Part D claims and 76 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRAGYASHREE SHARMA BASYAL, PA-C's credentials?
PRAGYASHREE SHARMA BASYAL, PA-C's NPI is 1104531342 with credentials PA-C. 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