SABITA POKHREL, NP
Acute Care Nurse Practitioner in LEXINGTON, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
SABITA POKHREL, NP reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 744 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 744
- Part D claims, 2023
- 72%
- generic prescribing
- $36.02
- 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.
SABITA POKHREL, NP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
100 Top 7% higher than 93% of 477,587 scored providers
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 SABITA POKHREL, NP?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Kentucky
How Acute Care Nurse Practitioner compares to other specialties among Kentucky providers
Acute Care Nurse Practitioner share within Kentucky
Acute Care Nurse Practitioner is one of the more visible NUCC categories in Kentucky
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
SABITA POKHREL, NP's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Acute Care Nurse Practitioner) — 100/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Specialty volume Acute Care Nurse Practitioner US NPIs
100/100 MIPS final score — 16.9 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Acute Care Nurse Practitioner.
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).
SABITA POKHREL, NP appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider holding NP credentials at UK DIVISION OF HEMATOLOGY BMT, LEXINGTON, KY, 40536, with a listed phone of (859) 257-1000. NPI 1245524966 was issued on 05/31/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what POKHREL 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 744 prescription claims written by this provider, covering 130 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 28% brand-name and 72% 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 100/100 for the 2023 performance year, compared with the national average of 83.1.
Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,583 enrolled providers across 53 states and an average of 576 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 | 1245524966 |
|---|---|
| Specialty | Acute Care Nurse Practitioner |
| Credentials | NP |
| Gender | Female |
| NPI Issued | 05/31/2011 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm SABITA POKHREL, NP's current license status, disciplinary history, and board certifications with the Kentucky Board of Medical Licensure in Kentucky before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where SABITA POKHREL, NP 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.
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 SABITA POKHREL, NP. Source: openpaymentsdata.cms.gov.
Total received
$36
Largest payer
Madrigal Pharmaceuticals
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
28% brand-name claims vs 72% generic, on 744 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.
Prescribing Breakdown
- 30-Day Fills
- 1,020
- Total Day Supply
- 29,762
- Brand vs Generic
- 28% brand / 72% generic
- Brand Drug Cost
- $1.1M
- Generic Drug Cost
- $33K
- Antibiotic Claims
- 167
Patient Demographics
- Average Patient Age
- 62.1 years
- Avg HCC Risk Score
- 2.26
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 60, 65-74: 59, 75-84: 11, 85+: 0
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What SABITA POKHREL, NP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Xifaxan
Xifaxan
153 claims
- Spironolactone
Spironolactone
72 claims
- Lactulose
Lactulose
67 claims
- Furosemide 60
Furosemide
60 claims
- Entecavir 52
Entecavir
52 claims
- Pantoprazole Sodium 47
Pantoprazole Sodium
47 claims
- Nadolol 34
Nadolol
34 claims
- Ursodiol 33
Ursodiol
33 claims
| Drug | Claims |
|---|---|
| Xifaxan Rifaximin | 153 |
| Spironolactone | 72 |
| Lactulose | 67 |
| Furosemide | 60 |
| Entecavir | 52 |
| Pantoprazole Sodium | 47 |
| Nadolol | 34 |
| Ursodiol | 33 |
| Omeprazole | 25 |
| Epclusa Sofosbuvir/Velpatasvir | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Acute Care Nurse Practitioner Overview
How SABITA POKHREL, NP fits within the Acute Care Nurse Practitioner landscape nationally.
SABITA POKHREL, NP's 744 claims are above the specialty average of 576.
Nearby Acute Care Nurse Practitioner Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as POKHREL.
Compare Acute Care Nurse Practitioner nationally: see state-by-state distribution →
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
Explore Kentucky
Frequently Asked Questions
What is SABITA POKHREL, NP's specialty? ▼
How much does SABITA POKHREL, NP prescribe under Medicare Part D? ▼
What is SABITA POKHREL, NP's Medicare quality score? ▼
Where is SABITA POKHREL, NP located? ▼
What is SABITA POKHREL, NP's NPI number? ▼
Does SABITA POKHREL, NP prescribe more brand-name or generic drugs? ▼
How many Acute Care Nurse Practitioner providers are there in the US? ▼
What drugs does SABITA POKHREL, NP prescribe most often? ▼
Does SABITA POKHREL, NP accept Medicare? ▼
How can I verify SABITA POKHREL, NP's credentials? ▼
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