2026 NPPES data Specialist NPI 1871568162
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SHASHIKALA SARMA

Specialist in NATRONA HEIGHTS, Pennsylvania. 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 · 762 beneficiaries · Specialist avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.5339/100
▼ 5 pts below national avg 83.1 · [object Object]

What the federal data shows

SHASHIKALA SARMA reported a CMS MIPS final score of 78.5339/100 — below the 83.1 national average — and filed 10,135 Medicare Part D claims in 2023.

78.5339/100
MIPS score · -5 vs avg
10K
Part D claims, 2023
88%
generic prescribing

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.

SHASHIKALA SARMA's MIPS score vs every scored U.S. clinician

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

79 27th percentile higher than 27% 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

What does the federal data show about SHASHIKALA SARMA?

Near national average

NPI registry status

Active

Issued 02/21/2006

NPI 1871568162

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

10,135 588% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

78.5339/100 4.566099999999992% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Specialist compares to other specialties among Pennsylvania providers

Pennsylvania providers

Specialist share within Pennsylvania

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Pennsylvania

Medicare quality performance — MIPS

SHASHIKALA SARMA's 2023 MIPS final score plotted against the Specialist national average

Near national average
MIPS Final Score
78.5339/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 78.5339/100 vs national avg 83.1

0%100%National avg83%78.5%
MIPS final score (Specialist) — 78.5339/100 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).

SHASHIKALA SARMA appears in the CMS NPPES registry as a Specialist provider at 1604 BURTNER RD, NATRONA HEIGHTS, PA, 15065, with a listed phone of (724) 230-3099. NPI 1871568162 was issued on 02/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SARMA 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 10,135 prescription claims written by this provider, covering 762 Medicare beneficiaries and totaling roughly $893K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 0.7%. 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 78.5339/100 for the 2023 performance year (Quality 74.6181, Cost 53.8283), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

1604 BURTNER RD
NATRONA HEIGHTS, PA 15065

Provider Details

NPI 1871568162
Specialty Specialist
Gender Female
NPI Issued 02/21/2006

CMS Quality Score (MIPS)

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

78.5339
Final Score
Avg: 83.1
74.6181
Quality
53.8283
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SHASHIKALA SARMA 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.

UPMC COMMUNITY MEDICINE INC
NATRONA HEIGHTS, 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).

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 SHASHIKALA SARMA. To verify SHASHIKALA SARMA'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 · Typical

SHASHIKALA SARMA — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 10,135 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.

10,135
Total Claims
$893K
Total Drug Cost
762
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
22,855
Total Day Supply
670,236
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$709K
Generic Drug Cost
$180K
Opioid Claims
72 (0.7% rate)
Antibiotic Claims
195

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.26
Gender Split
69% female / 31% male
Age Distribution
<65: 81, 65-74: 331, 75-84: 252, 85+: 98

Top Prescribed Drugs (Medicare Part D)

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

What SHASHIKALA SARMA prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
669
Amlodipine Besylate
555
Lisinopril
502
Pravastatin Sodium
485
Atorvastatin Calcium
435
Losartan Potassium
367
Omeprazole
354
Metoprolol Succinate
312
Metformin Hcl Er
Metformin Hcl
226
Famotidine
215

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

Specialist Overview

How SHASHIKALA SARMA fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

SHASHIKALA SARMA's 10,135 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Pennsylvania

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHASHIKALA SARMA's specialty?
SHASHIKALA SARMA specializes in Specialist and practices in NATRONA HEIGHTS, Pennsylvania.
How much does SHASHIKALA SARMA prescribe under Medicare Part D?
In 2023, SHASHIKALA SARMA wrote 10,135 Medicare Part D claims totaling $893K in drug costs for 762 beneficiaries.
What is SHASHIKALA SARMA's Medicare quality score?
SHASHIKALA SARMA has a CMS MIPS Final Score of 78.5339/100 (Quality: 74.6181, Cost: 53.8283). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHASHIKALA SARMA located?
SHASHIKALA SARMA is located at 1604 BURTNER RD, NATRONA HEIGHTS, PA, 15065. Phone: (724) 230-3099.
What is SHASHIKALA SARMA's NPI number?
SHASHIKALA SARMA's National Provider Identifier (NPI) is 1871568162, issued on 02/21/2006.
Does SHASHIKALA SARMA prescribe more brand-name or generic drugs?
SHASHIKALA SARMA's prescribing is 12% brand-name and 88% generic drugs by claim count, with $709K in brand drug costs.
Does SHASHIKALA SARMA prescribe opioids?
Yes, SHASHIKALA SARMA had 72 opioid claims in 2023 with an opioid prescribing rate of 0.7%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does SHASHIKALA SARMA prescribe most often?
Based on 2023 Medicare Part D data, SHASHIKALA SARMA's most frequently prescribed drugs include Levothyroxine Sodium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHASHIKALA SARMA accept Medicare?
SHASHIKALA SARMA appears in CMS Medicare data with 10,135 Part D claims and 762 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHASHIKALA SARMA's credentials?
SHASHIKALA SARMA's NPI is 1871568162. 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