2026 NPPES data Cardiac Rehabilitation Registered Nurse NPI 1649486168 MD
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RAJIV AGARWAL, MD

Cardiac Rehabilitation Registered Nurse in HUMBLE, Texas. 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
10K
Medicare Part D claims · 2K beneficiaries · Cardiac Rehabilitation Registered Nurse avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$2.9K
138 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAJIV AGARWAL, MD is a Cardiac Rehabilitation Registered Nurse ([object Object]) practicing in HUMBLE, Texas with a Medicare Part D prescribing footprint of 10K claims across 2K beneficiaries — 15% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $2.9K across 138 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAJIV AGARWAL, MD reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 10,481 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

RAJIV AGARWAL, MD at a glance

Below national average

NPI registry status

Active

Issued 05/14/2007

NPI 1649486168

Primary specialty

Cardiac Rehabilitation Registered Nurse

Rare

174 US NPIs in this specialty

Medicare Part D claims

10,481 221% vs specialty avg

2023 prescription claims

Specialty avg: 3,268

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Cardiac Rehabilitation Registered Nurse compares to other specialties among Texas providers

Texas providers

Cardiac Rehabilitation Registered Nurse share within Texas

1. Cardiac Rehabilitation Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiac Rehabilitation Registered Nurse share within Texas

Medicare quality performance — MIPS

RAJIV AGARWAL, MD's 2023 MIPS final score plotted against the Cardiac Rehabilitation Registered Nurse national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiac Rehabilitation Registered Nurse) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Cardiac Rehabilitation Registered Nurse) — 75/100 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).

RAJIV AGARWAL, MD is a Cardiac Rehabilitation Registered Nurse provider practicing in HUMBLE, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1649486168. 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.

RAJIV AGARWAL, MD appears in the CMS NPPES registry as a Cardiac Rehabilitation Registered Nurse provider holding MD credentials at 18980 W MEMORIAL DR STE 100, HUMBLE, TX, 77338, with a listed phone of (832) 644-8930. NPI 1649486168 was issued on 05/14/2007. 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 10,481 prescription claims written by this provider, covering 1,573 Medicare beneficiaries and totaling roughly $1.7 million in drug spend, split 15% brand-name and 85% 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Cardiac Rehabilitation Registered Nurse is a narrow specialty nationwide, with 174 enrolled providers across 39 states and an average of 3,268 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

18980 W MEMORIAL DR STE 100
HUMBLE, TX 77338

Provider Details

NPI 1649486168
Specialty Cardiac Rehabilitation Registered Nurse
Credentials MD
Gender Male
NPI Issued 05/14/2007

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAJIV AGARWAL, 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.

RAJIV AGARWAL MD PA
HUMBLE, TX

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 RAJIV AGARWAL, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.9K

Largest payer

Boston Scientific Corporation

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to RAJIV AGARWAL, MD. To verify RAJIV AGARWAL, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

RAJIV AGARWAL, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 10,481 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.

10,481
Total Claims
$1.7M
Total Drug Cost
1,573
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
24,455
Total Day Supply
726,520
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$1.5M
Generic Drug Cost
$220K
Antibiotic Claims
43

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.69
Gender Split
55% female / 45% male
Age Distribution
<65: 126, 65-74: 795, 75-84: 528, 85+: 124

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metoprolol Succinate
879
Rosuvastatin Calcium
750
Atorvastatin Calcium
605
Carvedilol
562
Losartan Potassium
542
Clopidogrel
Clopidogrel Bisulfate
494
Ezetimibe
386
Amlodipine Besylate
369
Entresto
Sacubitril/Valsartan
352
Eliquis
Apixaban
345

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

Cardiac Rehabilitation Registered Nurse Overview

How RAJIV AGARWAL, MD fits within the Cardiac Rehabilitation Registered Nurse landscape nationally.

174
Cardiac Rehabilitation Registered Nurse Providers in US
39
States with Cardiac Rehabilitation Registered Nurse
3,268
Avg Claims per Provider

RAJIV AGARWAL, MD's 10,481 claims are above the specialty average of 3,268.

Nearby Cardiac Rehabilitation Registered Nurse Providers in Texas

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

Compare Cardiac Rehabilitation Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAJIV AGARWAL, MD's specialty?
RAJIV AGARWAL, MD specializes in Cardiac Rehabilitation Registered Nurse and practices in HUMBLE, Texas. Credentials: MD.
How much does RAJIV AGARWAL, MD prescribe under Medicare Part D?
In 2023, RAJIV AGARWAL, MD wrote 10,481 Medicare Part D claims totaling $1.7M in drug costs for 1,573 beneficiaries.
What is RAJIV AGARWAL, MD's Medicare quality score?
RAJIV AGARWAL, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAJIV AGARWAL, MD located?
RAJIV AGARWAL, MD is located at 18980 W MEMORIAL DR STE 100, HUMBLE, TX, 77338. Phone: (832) 644-8930.
What is RAJIV AGARWAL, MD's NPI number?
RAJIV AGARWAL, MD's National Provider Identifier (NPI) is 1649486168, issued on 05/14/2007.
Does RAJIV AGARWAL, MD prescribe more brand-name or generic drugs?
RAJIV AGARWAL, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $1.5M in brand drug costs.
How many Cardiac Rehabilitation Registered Nurse providers are there in the US?
There are 174 Cardiac Rehabilitation Registered Nurse providers across 39 states in the US. The average Cardiac Rehabilitation Registered Nurse provider writes 3,268 Medicare Part D claims per year.
What drugs does RAJIV AGARWAL, MD prescribe most often?
Based on 2023 Medicare Part D data, RAJIV AGARWAL, MD's most frequently prescribed drugs include Metoprolol Succinate, Rosuvastatin Calcium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAJIV AGARWAL, MD accept Medicare?
RAJIV AGARWAL, MD appears in CMS Medicare data with 10,481 Part D claims and 1,573 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAJIV AGARWAL, MD's credentials?
RAJIV AGARWAL, MD's NPI is 1649486168 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