NPI registry status
Active
2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1487946562 M.D.
Verify on CMS → Puniya Khatiwada, M.D.
Endocrinology, Diabetes & Metabolism Physician in York, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 7,852 in Endocrinology, Diabetes & Metabolism 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
1K
Medicare Part D claims · 255 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
43%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$123.05
6 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Puniya Khatiwada, M.D. filed 1,287 Medicare Part D claims in 2023 as a Endocrinology, Diabetes & Metabolism Physician in York, Pennsylvania, prescribing 43% generic.
- 1K
- Part D claims, 2023
- 43%
- 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.
Puniya Khatiwada, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,287 Top 22% higher than 78% of 1,370,886 prescribers
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)
Puniya Khatiwada, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - 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 Puniya Khatiwada, M.D.?
Quality data not reportedPrimary specialty
Endocrinology, Diabetes & Metabolism Physician
Medicare Part D claims
1,287 51% vs specialty avg
Specialty distribution in Pennsylvania
How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Endocrinology, Diabetes & Metabolism Physician. Verify directly:
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).
Puniya Khatiwada, M.D. appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider holding M.D. credentials at 292 SAINT CHARLES WAY, York, PA, 17402, with a listed phone of (717) 851-6231. NPI 1487946562 was issued on 05/09/2011.
Medicare Part D records for calendar year 2023 show 1,287 prescription claims written by this provider, covering 255 Medicare beneficiaries and totaling roughly $585K in drug spend, split 48% brand-name and 43% generic by claim count.
Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 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
Provider Details
| NPI | 1487946562 |
|---|---|
| Specialty | Endocrinology, Diabetes & Metabolism Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 05/09/2011 |
Hospital and facility affiliations
Facilities where Puniya Khatiwada, 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.
Privia Medical Group, LLC
Lanham, MD
Wellspan Medical Group
York, PA
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 Puniya Khatiwada, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$123
Largest payer
Boehringer Ingelheim Pharmaceuticals, 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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Puniya Khatiwada, M.D.. To verify Puniya Khatiwada, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Puniya Khatiwada, M.D. - brand share 48.0%
Endocrinology, Diabetes & Metabolism Physician average
48% brand-name claims vs 43% generic, on 1,287 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.
1,287
Total Claims
$585K
Total Drug Cost
255
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,550
- Total Day Supply
- 74,975
- Brand vs Generic
- 48% brand / 43% generic
- Brand Drug Cost
- $561K
- Generic Drug Cost
- $12K
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 1.59
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 27, 65-74: 113, 75-84: 91, 85+: 24
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Puniya Khatiwada, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
142 claims
- Ozempic
Ozempic
90 claims
- Metformin Hcl
Metformin Hcl
59 claims
- Synthroid
Synthroid
57 claims
- Metformin Hcl Er 52
Metformin Hcl Er
52 claims
- Rybelsus 49
Rybelsus
49 claims
- Glimepiride 45
Glimepiride
45 claims
- Farxiga 41
Farxiga
41 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 142 |
| Ozempic Semaglutide | 90 |
| Metformin Hcl | 59 |
| Synthroid Levothyroxine Sodium | 57 |
| Metformin Hcl Er Metformin Hcl | 52 |
| Rybelsus Semaglutide | 49 |
| Glimepiride | 45 |
| Farxiga Dapagliflozin Propanediol | 41 |
| Jardiance Empagliflozin | 41 |
| Alendronate Sodium | 39 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Endocrinology, Diabetes & Metabolism Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Endocrinology, Diabetes & Metabolism Physician Overview
How Puniya Khatiwada, M.D. fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.
7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider
Puniya Khatiwada, M.D.'s 1,287 claims are below the specialty average of 2,639.
Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Khatiwada.
Dr. Munira Abbasi
MD
Pittsburgh, PA
Dr. Jana Abraham
MD
Berwyn, PA
Dr. Rachel Abramczyk
DO
Parkesburg, PA
Dr. Michael Adler
M.D.
Lewisburg, PA
Shivani Agarwal
Philadelphia, PA
Compare Endocrinology, Diabetes & Metabolism Physician 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Endocrinology, Diabetes & Metabolism Physician 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Puniya Khatiwada, M.D.'s specialty? ▼
Puniya Khatiwada, M.D. specializes in Endocrinology, Diabetes & Metabolism Physician and practices in York, Pennsylvania. Credentials: M.D..
How much does Puniya Khatiwada, M.D. prescribe under Medicare Part D? ▼
In 2023, Puniya Khatiwada, M.D. wrote 1,287 Medicare Part D claims totaling $585K in drug costs for 255 beneficiaries.
Where is Puniya Khatiwada, M.D. located? ▼
Puniya Khatiwada, M.D. is located at 292 SAINT CHARLES WAY, York, PA, 17402. Phone: (717) 851-6231.
What is Puniya Khatiwada, M.D.'s NPI number? ▼
Puniya Khatiwada, M.D.'s National Provider Identifier (NPI) is 1487946562, issued on 05/09/2011.
Does Puniya Khatiwada, M.D. prescribe more brand-name or generic drugs? ▼
Puniya Khatiwada, M.D.'s prescribing is 48% brand-name and 43% generic drugs by claim count, with $561K in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US? ▼
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does Puniya Khatiwada, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Puniya Khatiwada, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Ozempic, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Puniya Khatiwada, M.D. accept Medicare? ▼
Puniya Khatiwada, M.D. appears in CMS Medicare data with 1,287 Part D claims and 255 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Puniya Khatiwada, M.D.'s credentials? ▼
Puniya Khatiwada, M.D.'s NPI is 1487946562 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.