2026 NPPES data Otolaryngology Physician NPI 1538628789
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PRATIMA AGARWAL

Otolaryngology Physician in LONE TREE, Colorado. 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
41
Medicare Part D claims · 26 beneficiaries · Otolaryngology Physician avg: 509

What the federal data shows

PRATIMA AGARWAL filed 41 Medicare Part D claims in 2023 as a Otolaryngology Physician in LONE TREE, Colorado.

41
Part D claims, 2023
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.

PRATIMA AGARWAL's Medicare Part D volume vs every U.S. prescriber

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

41 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 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)

PRATIMA AGARWAL 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 PRATIMA AGARWAL?

Quality data not reported

NPI registry status

Active

Issued 03/18/2019

NPI 1538628789

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

41 92% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in Colorado

How Otolaryngology Physician compares to other specialties among Colorado providers

Colorado providers

Otolaryngology Physician share within Colorado

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

Specialty board-certification context

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

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

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

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

PRATIMA AGARWAL is a Otolaryngology Physician provider practicing in LONE TREE, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1538628789. 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.

PRATIMA AGARWAL appears in the CMS NPPES registry as a Otolaryngology Physician provider at 9980 PARK MEADOWS DR STE 200, LONE TREE, CO, 80124, with a listed phone of (303) 744-1961. NPI 1538628789 was issued on 03/18/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGARWAL 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 41 prescription claims written by this provider, covering 26 Medicare beneficiaries and totaling roughly $2K 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

9980 PARK MEADOWS DR STE 200
LONE TREE, CO 80124

Provider Details

NPI 1538628789
Specialty Otolaryngology Physician
Gender Female
NPI Issued 03/18/2019

Hospital and facility affiliations

Facilities where PRATIMA AGARWAL 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.

ASSOCIATES OF OTOLARYNGOLOGY, P.C.
LONE TREE, CO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

41
Total Claims
$2K
Total Drug Cost
26
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
59
Total Day Supply
1,270
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
1.61
Gender Split
58% female / 42% male

Otolaryngology Physician Overview

How PRATIMA AGARWAL fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

PRATIMA AGARWAL's 41 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Colorado

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

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

Frequently Asked Questions

What is PRATIMA AGARWAL's specialty?
PRATIMA AGARWAL specializes in Otolaryngology Physician and practices in LONE TREE, Colorado.
How much does PRATIMA AGARWAL prescribe under Medicare Part D?
In 2023, PRATIMA AGARWAL wrote 41 Medicare Part D claims totaling $2K in drug costs for 26 beneficiaries.
Where is PRATIMA AGARWAL located?
PRATIMA AGARWAL is located at 9980 PARK MEADOWS DR STE 200, LONE TREE, CO, 80124. Phone: (303) 744-1961.
What is PRATIMA AGARWAL's NPI number?
PRATIMA AGARWAL's National Provider Identifier (NPI) is 1538628789, issued on 03/18/2019.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
Does PRATIMA AGARWAL accept Medicare?
PRATIMA AGARWAL appears in CMS Medicare data with 41 Part D claims and 26 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRATIMA AGARWAL's credentials?
PRATIMA AGARWAL's NPI is 1538628789. 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