2026 NPPES data Geriatric Medicine (Family Medicine) Physician NPI 1518493626 M.D.
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SHIVALI AGARWAL, M.D.

Geriatric Medicine (Family Medicine) Physician in FRESNO, California. 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
135
Medicare Part D claims · 57 beneficiaries · Geriatric Medicine (Family Medicine) Physician avg: 5K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: SHIVALI AGARWAL, M.D. is a Geriatric Medicine (Family Medicine) Physician ([object Object]) practicing in FRESNO, California with a Medicare Part D prescribing footprint of 135 claims across 57 beneficiaries — 9% brand-name prescribing .

What stands out: SHIVALI AGARWAL, M.D. filed 135 Medicare Part D claims in 2023 across FRESNO, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SHIVALI AGARWAL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SHIVALI AGARWAL, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 05/10/2017

NPI 1518493626

Primary specialty

Geriatric Medicine (Family Medicine) Physician

Niche

1,779 US NPIs in this specialty

Medicare Part D claims

135 97% vs specialty avg

2023 prescription claims

Specialty avg: 4,854

Specialty distribution in California

How Geriatric Medicine (Family Medicine) Physician compares to other specialties among California providers

California providers

Geriatric Medicine (Family Medicine) Physician share within California

1. Geriatric Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Geriatric Medicine (Family Medicine) Physician share within California

Specialty board-certification context

Estimated specialty board-certified rate — Geriatric Medicine (Family Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Geriatric Medicine (Family Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Geriatric Medicine (Family Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Geriatric Medicine (Family Medicine) Physician) — ABMS / AOA estimate

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).

SHIVALI AGARWAL, M.D. is a Geriatric Medicine (Family Medicine) Physician provider practicing in FRESNO, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1518493626. 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.

SHIVALI AGARWAL, M.D. appears in the CMS NPPES registry as a Geriatric Medicine (Family Medicine) Physician provider holding M.D. credentials at 155 N FRESNO ST, FRESNO, CA, 93701, with a listed phone of (559) 499-6450. NPI 1518493626 was issued on 05/10/2017. 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 135 prescription claims written by this provider, covering 57 Medicare beneficiaries and totaling roughly $9K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 34.8%. 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.

Geriatric Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 1,779 enrolled providers across 52 states and an average of 4,854 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

155 N FRESNO ST
FRESNO, CA 93701

Provider Details

NPI 1518493626
Specialty Geriatric Medicine (Family Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 05/10/2017

Hospital and facility affiliations

Facilities where SHIVALI AGARWAL, M.D. 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.

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
RIVERSIDE, CA

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to SHIVALI AGARWAL, M.D.. To verify SHIVALI AGARWAL, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

SHIVALI AGARWAL, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 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.

135
Total Claims
$9K
Total Drug Cost
57
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
211
Total Day Supply
5,918
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$6K
Generic Drug Cost
$3K
Opioid Claims
47 (34.8% rate)

Patient Demographics

Average Patient Age
79.0 years
Avg HCC Risk Score
1.71
Gender Split
67% female / 33% 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
Memantine Hcl
15
Morphine Sulfate
12
Oxycodone Hcl
12
Quetiapine Fumarate
12
Trazodone Hcl
11

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

Geriatric Medicine (Family Medicine) Physician Overview

How SHIVALI AGARWAL, M.D. fits within the Geriatric Medicine (Family Medicine) Physician landscape nationally.

1,779
Geriatric Medicine (Family Medicine) Physician Providers in US
52
States with Geriatric Medicine (Family Medicine) Physician
4,854
Avg Claims per Provider

SHIVALI AGARWAL, M.D.'s 135 claims are below the specialty average of 4,854.

Nearby Geriatric Medicine (Family Medicine) Physician Providers in California

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

Compare Geriatric Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHIVALI AGARWAL, M.D.'s specialty?
SHIVALI AGARWAL, M.D. specializes in Geriatric Medicine (Family Medicine) Physician and practices in FRESNO, California. Credentials: M.D..
How much does SHIVALI AGARWAL, M.D. prescribe under Medicare Part D?
In 2023, SHIVALI AGARWAL, M.D. wrote 135 Medicare Part D claims totaling $9K in drug costs for 57 beneficiaries.
Where is SHIVALI AGARWAL, M.D. located?
SHIVALI AGARWAL, M.D. is located at 155 N FRESNO ST, FRESNO, CA, 93701. Phone: (559) 499-6450.
What is SHIVALI AGARWAL, M.D.'s NPI number?
SHIVALI AGARWAL, M.D.'s National Provider Identifier (NPI) is 1518493626, issued on 05/10/2017.
Does SHIVALI AGARWAL, M.D. prescribe more brand-name or generic drugs?
SHIVALI AGARWAL, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $6K in brand drug costs.
Does SHIVALI AGARWAL, M.D. prescribe opioids?
Yes, SHIVALI AGARWAL, M.D. had 47 opioid claims in 2023 with an opioid prescribing rate of 34.8%.
How many Geriatric Medicine (Family Medicine) Physician providers are there in the US?
There are 1,779 Geriatric Medicine (Family Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Family Medicine) Physician provider writes 4,854 Medicare Part D claims per year.
What drugs does SHIVALI AGARWAL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SHIVALI AGARWAL, M.D.'s most frequently prescribed drugs include Memantine Hcl, Morphine Sulfate, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHIVALI AGARWAL, M.D. accept Medicare?
SHIVALI AGARWAL, M.D. appears in CMS Medicare data with 135 Part D claims and 57 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHIVALI AGARWAL, M.D.'s credentials?
SHIVALI AGARWAL, M.D.'s NPI is 1518493626 with credentials M.D.. 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.
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