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2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1053758458 DO
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Priya Agrawal, DO

Pain Medicine (Anesthesiology) Physician in Stanford, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,094 in Pain Medicine (Anesthesiology) 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
28
Medicare Part D claims · 17 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
MIPS score
91/100
▲ 8 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Priya Agrawal, DO reported a CMS MIPS final score of 91/100 - above the 83.5 national average - and filed 28 Medicare Part D claims in 2024.

91/100
MIPS score · +8 vs avg
28
Part D claims, 2024
Likely
board-certified (heuristic)
≥61st
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Priya Agrawal, DO

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1053758458), first enumerated 05/28/2013.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 28 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 91/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    California statewide board action statistics are published annually — these figures describe aggregate state activity, not Priya Agrawal, DO's individual license status. Verify directly with the state medical board.

    Source: MBC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1053758458 · Pain Medicine (Anesthesiology) Physician

NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ABOVE · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1053758458
  • ENUM-MID 2013
  • TAX-NARROW 4,094
  • MIPS-ABOVE 91/100
  • RX-TRACE 28
  • BOOK-THIN 422 in California
  • PHOTO-FINISH Thomas Martin · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Priya Agrawal, DO's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

91 ≥ 61st percentile 61% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Priya Agrawal, DO sits

This provider among pain medicine (anesthesiology) physician peers

Across the 928 pain medicine (anesthesiology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Priya Agrawal, DO writes more Part D claims than 4% of them and scores higher on MIPS quality than 68% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 90Priya Agrawal, DO, Part D claim volume, percentile in specialty: 4 · MIPS quality, percentile: 68
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pain medicine (anesthesiology) physician peer from a representative sample of 60; the gold marker is Priya Agrawal, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Priya Agrawal, DO 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).

What does the federal data show about Priya Agrawal, DO?

High performer (top quartile)

NPI registry status

Active

Issued 05/28/2013

NPI 1053758458

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,094 US NPIs in this specialty

Medicare Part D claims

28 98% vs specialty avg

2024 prescription claims

Specialty avg: 1,731

MIPS final score

91/100 7.5 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in California

How Pain Medicine (Anesthesiology) Physician compares to other specialties among California providers

California providers
Behavior Technician17.9%Marriage & Family Therapist5.4%Student in an Organized Heal…5.1%Mental Health Counselor3.7%Pharmacist3.4%Clinical Social Worker3.1%Pain Medicine (Anesthesiolog…0%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Priya Agrawal, DO's 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average

High performer (top quartile)
MIPS Final Score
91/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%91%
MIPS final score (Pain Medicine (Anesthesiology) Physician) - 91/100 vs national avg 83.5
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).

Practice Address

300 PASTEUR DR
Stanford, CA 94305
(650) 723-4000

Provider Details

NPI 1053758458
Specialty Pain Medicine (Anesthesiology) Physician
Credentials DO
Gender Female
NPI Issued 05/28/2013

CMS Quality Score (MIPS)

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

91.0409
Final Score
Measured-score avg: 83.5
82.1321
Quality
64.1093
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Priya Agrawal, DO 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.

Alameda Health System
San Leandro, CA

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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Priya Agrawal, DO. To verify Priya Agrawal, DO's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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 2024.

28
Total Claims
$2K
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
35
Total Day Supply
964
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
64.6 years
Avg HCC Risk Score
1.17
More Pain Medicine (Anesthesiology) Physician in CA → All providers in California → Compare specialties →

Pain Medicine (Anesthesiology) Physician Overview

How Priya Agrawal, DO fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,094
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,731
Avg Claims per Provider

Priya Agrawal, DO's 28 claims are below the specialty average of 1,731.

Nationwide Pain Medicine (Anesthesiology) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Agrawal, both outside California so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (91 here).

Alec Peniche 91 FL David Johnson 91.1 FL Thomas Martin 91 AL Satvinder Dhesi 91.1 WA

Same NPPES enumeration year (2013)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Robert Martin Lakeway, TX Antranig Kalaydjian Worcester, MA Jessica Valletta Pittsburgh, PA Meghan Nein Canton, OH

Nearby Pain Medicine (Anesthesiology) Physician Providers in California

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

One of 422 Pain Medicine (Anesthesiology) Physician providers enrolled in California, 5 are shown here.

Dr. Shahram Abbassi
MD
Arcata, CA
Dr. Chris Abrecht
M.D.
San Francisco, CA
Dr. Rishi Agarwal
M.D.
Pasadena, CA
Dr. Bashar Ahmed
M.D.
Santa Rosa, CA
Dr. Jane Ahn
M.D.
Stanford, CA

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Priya Agrawal, DO's specialty? ▼
Priya Agrawal, DO specializes in Pain Medicine (Anesthesiology) Physician and practices in Stanford, California. Credentials: DO.
How much does Priya Agrawal, DO prescribe under Medicare Part D? ▼
In 2024, Priya Agrawal, DO wrote 28 Medicare Part D claims totaling $2K in drug costs for 17 beneficiaries.
What is Priya Agrawal, DO's Medicare quality score? ▼
Priya Agrawal, DO has a CMS MIPS Final Score of 91/100 (Quality: 82.1, Cost: 64.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Priya Agrawal, DO located? ▼
Priya Agrawal, DO is located at 300 PASTEUR DR, Stanford, CA, 94305. Phone: (650) 723-4000.
What is Priya Agrawal, DO's NPI number? ▼
Priya Agrawal, DO's National Provider Identifier (NPI) is 1053758458, issued on 05/28/2013.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US? ▼
There are 4,094 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,731 Medicare Part D claims per year.
Does Priya Agrawal, DO accept Medicare? ▼
Priya Agrawal, DO appears in CMS Medicare data with 28 Part D claims and 17 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Priya Agrawal, DO's credentials? ▼
Priya Agrawal, DO's NPI is 1053758458 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

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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.