2026 NPPES data Hospitalist Physician NPI 1457387409 MD
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RISHI GARG, MD

Hospitalist Physician in FALLS CHURCH, Virginia. 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
64
Medicare Part D claims · 52 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
0%
generic claims · 100% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.283/100
▼ 2 pts below national avg 83.1 · [object Object]
What the federal data reveals: RISHI GARG, MD is a Hospitalist Physician ([object Object]) practicing in FALLS CHURCH, Virginia with a Medicare Part D prescribing footprint of 64 claims across 52 beneficiaries — 100% brand-name prescribing . Their CMS MIPS Final Score of 81.283/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: RISHI GARG, MD reported a CMS MIPS final score of 81.283 out of 100, below the 83.1 national average, and filed 64 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RISHI GARG, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

RISHI GARG, MD at a glance

Near national average

NPI registry status

Active

Issued 06/23/2006

NPI 1457387409

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

64 93% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

81.283/100 1.816999999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Hospitalist Physician compares to other specialties among Virginia providers

Virginia providers

Hospitalist Physician share within Virginia

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Virginia

Medicare quality performance — MIPS

RISHI GARG, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average

Near national average
MIPS Final Score
81.283/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 81.283/100 vs national avg 83.1

0%100%National avg83%81.3%
MIPS final score (Hospitalist Physician) — 81.283/100 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).

RISHI GARG, MD is a Hospitalist Physician provider practicing in FALLS CHURCH, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1457387409. 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.

RISHI GARG, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 3300 GALLOWS RD, FALLS CHURCH, VA, 22042, with a listed phone of (703) 776-2545. NPI 1457387409 was issued on 06/23/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARG 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 64 prescription claims written by this provider, covering 52 Medicare beneficiaries and totaling roughly $18K in drug spend, split 100% brand-name and 0% 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 81.283/100 for the 2023 performance year (Quality 70.77, Cost 66.84), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

3300 GALLOWS RD
FALLS CHURCH, VA 22042

Provider Details

NPI 1457387409
Specialty Hospitalist Physician
Credentials MD
Gender Male
NPI Issued 06/23/2006

CMS Quality Score (MIPS)

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

81.283
Final Score
Avg: 83.1
70.77
Quality
66.84
Cost
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Brand-heavy

RISHI GARG, MD — brand share 100.0%
Specialty average (est.)

100% brand-name claims vs 0% generic, on 64 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.

64
Total Claims
$18K
Total Drug Cost
52
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
64
Total Day Supply
64
Brand vs Generic
100% brand / 0% generic
Brand Drug Cost
$18K
Generic Drug Cost
$0

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.50
Gender Split
54% female / 46% 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
Shingrix
Varicella-Zoster Ge/As01b/Pf
18
Abrysvo
"Rsv Vacc
N/A

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

Hospitalist Physician Overview

How RISHI GARG, MD fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

RISHI GARG, MD's 64 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Virginia

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

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RISHI GARG, MD's specialty?
RISHI GARG, MD specializes in Hospitalist Physician and practices in FALLS CHURCH, Virginia. Credentials: MD.
How much does RISHI GARG, MD prescribe under Medicare Part D?
In 2023, RISHI GARG, MD wrote 64 Medicare Part D claims totaling $18K in drug costs for 52 beneficiaries.
What is RISHI GARG, MD's Medicare quality score?
RISHI GARG, MD has a CMS MIPS Final Score of 81.283/100 (Quality: 70.77, Cost: 66.84). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RISHI GARG, MD located?
RISHI GARG, MD is located at 3300 GALLOWS RD, FALLS CHURCH, VA, 22042. Phone: (703) 776-2545.
What is RISHI GARG, MD's NPI number?
RISHI GARG, MD's National Provider Identifier (NPI) is 1457387409, issued on 06/23/2006.
Does RISHI GARG, MD prescribe more brand-name or generic drugs?
RISHI GARG, MD's prescribing is 100% brand-name and 0% generic drugs by claim count, with $18K in brand drug costs.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does RISHI GARG, MD prescribe most often?
Based on 2023 Medicare Part D data, RISHI GARG, MD's most frequently prescribed drugs include Shingrix, Abrysvo. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RISHI GARG, MD accept Medicare?
RISHI GARG, MD appears in CMS Medicare data with 64 Part D claims and 52 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RISHI GARG, MD's credentials?
RISHI GARG, MD's NPI is 1457387409 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