2026 NPPES data Internal Medicine Physician NPI 1396979753 MD
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RACHNA GOYAL, MD

Internal Medicine Physician in WASHINGTON, District of Columbia. 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 · 143 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
47%
generic claims · 53% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.555/100
▼ 7 pts below national avg 83.1 · [object Object]

What the federal data shows

RACHNA GOYAL, MD reported a CMS MIPS final score of 76.555/100 — below the 83.1 national average — and filed 1,203 Medicare Part D claims in 2023.

76.555/100
MIPS score · -7 vs avg
1K
Part D claims, 2023
47%
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.

RACHNA GOYAL, MD's MIPS score vs every scored U.S. clinician

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

77 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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

Board certification likely (heuristic — not verified)

RACHNA GOYAL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 RACHNA GOYAL, MD?

Below national average

NPI registry status

Active

Issued 05/13/2009

NPI 1396979753

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,203 56% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

76.555/100 6.5449999999999875% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in District of Columbia

How Internal Medicine Physician compares to other specialties among District of Columbia providers

District of Columbia providers

Internal Medicine Physician share within District of Columbia

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within District of Columbia

Medicare quality performance — MIPS

RACHNA GOYAL, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
76.555/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 76.555/100 vs national avg 83.1

0%100%National avg83%76.6%
MIPS final score (Internal Medicine Physician) — 76.555/100 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).

RACHNA GOYAL, MD is a Internal Medicine Physician provider practicing in WASHINGTON, District of Columbia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1396979753. 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.

RACHNA GOYAL, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 110 IRVING ST NW, WASHINGTON, DC, 20010, with a listed phone of (202) 877-9137. NPI 1396979753 was issued on 05/13/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOYAL 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 1,203 prescription claims written by this provider, covering 143 Medicare beneficiaries and totaling roughly $801K in drug spend, split 53% brand-name and 47% 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 76.555/100 for the 2023 performance year (Quality 63.1616, Cost 55.9413), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

110 IRVING ST NW
WASHINGTON, DC 20010

Provider Details

NPI 1396979753
Specialty Internal Medicine Physician
Credentials MD
Gender Female
NPI Issued 05/13/2009

CMS Quality Score (MIPS)

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

76.555
Final Score
Avg: 83.1
63.1616
Quality
55.9413
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RACHNA GOYAL, MD 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.

MEDSTAR MEDICAL GROUP II LLC
WASHINGTON, DC
MGMC LLC
WASHINGTON, DC
SUBURBAN/NRH MEDICAL REHABILITATION INC
BETHESDA, 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).

Brand vs generic prescribing mix · Brand-heavy

RACHNA GOYAL, MD — brand share 53.0%
Specialty average (est.)

53% brand-name claims vs 47% generic, on 1,203 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.

1,203
Total Claims
$801K
Total Drug Cost
143
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,812
Total Day Supply
83,346
Brand vs Generic
53% brand / 47% generic
Brand Drug Cost
$770K
Generic Drug Cost
$17K

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
1.67
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Jardiance
Empagliflozin
124
Levothyroxine Sodium
82
Trulicity
Dulaglutide
76
Metformin Hcl
68
Atorvastatin Calcium
67
Ozempic
Semaglutide
55
Glipizide Er
Glipizide
37
Novolog Flexpen
Insulin Aspart
34
Tradjenta
Linagliptin
30
Lisinopril
29

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

Internal Medicine Physician Overview

How RACHNA GOYAL, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

RACHNA GOYAL, MD's 1,203 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in District of Columbia

Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as GOYAL.

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

Frequently Asked Questions

What is RACHNA GOYAL, MD's specialty?
RACHNA GOYAL, MD specializes in Internal Medicine Physician and practices in WASHINGTON, District of Columbia. Credentials: MD.
How much does RACHNA GOYAL, MD prescribe under Medicare Part D?
In 2023, RACHNA GOYAL, MD wrote 1,203 Medicare Part D claims totaling $801K in drug costs for 143 beneficiaries.
What is RACHNA GOYAL, MD's Medicare quality score?
RACHNA GOYAL, MD has a CMS MIPS Final Score of 76.555/100 (Quality: 63.1616, Cost: 55.9413). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RACHNA GOYAL, MD located?
RACHNA GOYAL, MD is located at 110 IRVING ST NW, WASHINGTON, DC, 20010. Phone: (202) 877-9137.
What is RACHNA GOYAL, MD's NPI number?
RACHNA GOYAL, MD's National Provider Identifier (NPI) is 1396979753, issued on 05/13/2009.
Does RACHNA GOYAL, MD prescribe more brand-name or generic drugs?
RACHNA GOYAL, MD's prescribing is 53% brand-name and 47% generic drugs by claim count, with $770K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does RACHNA GOYAL, MD prescribe most often?
Based on 2023 Medicare Part D data, RACHNA GOYAL, MD's most frequently prescribed drugs include Jardiance, Levothyroxine Sodium, Trulicity. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RACHNA GOYAL, MD accept Medicare?
RACHNA GOYAL, MD appears in CMS Medicare data with 1,203 Part D claims and 143 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RACHNA GOYAL, MD's credentials?
RACHNA GOYAL, MD's NPI is 1396979753 with credentials MD. 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