2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1720242340 M.D.
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Priyanka Pathania, M.D.

Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. 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
1K
Medicare Part D claims · 213 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
52%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.2/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$4.2K
15 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Priyanka Pathania, M.D. reported a CMS MIPS final score of 91.2/100 — above the 83.1 national average — and filed 1,113 Medicare Part D claims in 2023.

91.2/100
MIPS score · +8 vs avg
1K
Part D claims, 2023
52%
generic prescribing
$4.2K
industry payments (Sunshine Act)

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.

Priyanka Pathania, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 Top 37% higher than 63% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

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

What does the federal data show about Priyanka Pathania, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/13/2008

NPI 1720242340

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

1,113 142% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

91.2/100 8.1 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Oklahoma

How Student in an Organized Health Care Education/Training Program compares to other specialties among Oklahoma providers

Oklahoma providers

Student in an Organized Health Care Education/Training Program share within Oklahoma

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within Oklahoma

Medicare quality performance — MIPS

Priyanka Pathania, M.D.'s 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

High performer (top quartile)
MIPS Final Score
91.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 91.2/100 vs national avg 83.1

0%100%National avg83%91.2%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 91.2/100 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).

Priyanka Pathania, M.D. appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding M.D. credentials at 1725 E 19TH ST STE 200, Tulsa, OK, 74104, with a listed phone of (860) 593-1044. NPI 1720242340 was issued on 07/13/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Pathania 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 1,113 prescription claims written by this provider, covering 213 Medicare beneficiaries and totaling roughly $358K in drug spend, split 48% brand-name and 52% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.2/100 for the 2023 performance year (Quality 74.1), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

1725 E 19TH ST STE 200
Tulsa, OK 74104

Provider Details

NPI 1720242340
Specialty Student in an Organized Health Care Education/Training Program
Credentials M.D.
Gender Female
NPI Issued 07/13/2008

CMS Quality Score (MIPS)

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

91.2403
Final Score
Avg: 83.1
74.1347
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Priyanka Pathania, M.D. 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.

St John Physicians Inc
Tulsa, OK

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 Priyanka Pathania, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$4.2K

Largest payer

INTUITIVE SURGICAL, 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 · Above average

Priyanka Pathania, M.D. — brand share 48.0%
Specialty average (est.)

48% brand-name claims vs 52% generic, on 1,113 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.

1,113
Total Claims
$358K
Total Drug Cost
213
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,427
Total Day Supply
37,135
Brand vs Generic
48% brand / 52% generic
Brand Drug Cost
$338K
Generic Drug Cost
$20K
Antibiotic Claims
81

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
1.70
Gender Split
61% female / 39% male
Age Distribution
<65: 28, 65-74: 100, 75-84: 66, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

What Priyanka Pathania, M.D. 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
Montelukast Sodium
159
Prednisone
99
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
99
Albuterol Sulfate Hfa
Albuterol Sulfate
86
Symbicort
Budesonide/Formoterol Fumarate
75
Azithromycin
73
Advair Diskus
Fluticasone Propion/Salmeterol
58
Fluticasone Propionate
47
Zolpidem Tartrate
42
Breo Ellipta
Fluticasone/Vilanterol
36

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

Student in an Organized Health Care Education/Training Program Overview

How Priyanka Pathania, M.D. fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

Priyanka Pathania, M.D.'s 1,113 claims are above the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Oklahoma

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

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Oklahoma medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Student in an Organized Health Care Education/Training Program peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Priyanka Pathania, M.D.'s specialty?
Priyanka Pathania, M.D. specializes in Student in an Organized Health Care Education/Training Program and practices in Tulsa, Oklahoma. Credentials: M.D..
How much does Priyanka Pathania, M.D. prescribe under Medicare Part D?
In 2023, Priyanka Pathania, M.D. wrote 1,113 Medicare Part D claims totaling $358K in drug costs for 213 beneficiaries.
What is Priyanka Pathania, M.D.'s Medicare quality score?
Priyanka Pathania, M.D. has a CMS MIPS Final Score of 91.2/100 (Quality: 74.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Priyanka Pathania, M.D. located?
Priyanka Pathania, M.D. is located at 1725 E 19TH ST STE 200, Tulsa, OK, 74104. Phone: (860) 593-1044.
What is Priyanka Pathania, M.D.'s NPI number?
Priyanka Pathania, M.D.'s National Provider Identifier (NPI) is 1720242340, issued on 07/13/2008.
Does Priyanka Pathania, M.D. prescribe more brand-name or generic drugs?
Priyanka Pathania, M.D.'s prescribing is 48% brand-name and 52% generic drugs by claim count, with $338K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Priyanka Pathania, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Priyanka Pathania, M.D.'s most frequently prescribed drugs include Montelukast Sodium, Prednisone, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Priyanka Pathania, M.D. accept Medicare?
Priyanka Pathania, M.D. appears in CMS Medicare data with 1,113 Part D claims and 213 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Priyanka Pathania, M.D.'s credentials?
Priyanka Pathania, M.D.'s NPI is 1720242340 with credentials M.D.. 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