NPI registry status
Active
2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1891926085 M.D.
Verify on CMS → Shivani Sethi, M.D.
Student in an Organized Health Care Education/Training Program in Summit, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 331,274 in Student in an Organized Health Care Education/Training Program, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 268 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
83%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Shivani Sethi, M.D. filed 1,469 Medicare Part D claims in 2023 as a Student in an Organized Health Care Education/Training Program in Summit, New Jersey, prescribing 83% generic.
- 1K
- Part D claims, 2023
- 83%
- generic prescribing
- ≥80th
- pct by Part D claim volume (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1891926085 · Student in an Organized Health Care Education/Training Program
NPI-10 · ENUM-MID · TAX-MEGA · RX-MID · BOOK-MID · PHOTO-ENUM
- NPI-10 1891926085
- ENUM-MID 2009
- TAX-MEGA 331K Student in
- RX-MID 1,469
- BOOK-MID 8,702 in New Jersey
- PHOTO-ENUM Susie Papel · 2009
Shivani Sethi, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,469 ≥ 80th percentile 80% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Shivani Sethi, M.D.?
Quality data not reportedPrimary specialty
Student in an Organized Health Care Education/Training Program
Medicare Part D claims
1,469 220% vs specialty avg
Specialty distribution in New Jersey
How Student in an Organized Health Care Education/Training Program compares to other specialties among New Jersey providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Student in an Organized Health Care Education/Training Program. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1891926085 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 08/05/2009 |
Hospital and facility affiliations
Facilities where Shivani Sethi, 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.
Permanente Medical Group Inc
Santa Clara, 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).
Brand vs generic prescribing mix · Generic-heavy
Shivani Sethi, M.D. - brand share 9.0%
Student in an Organized Health Care Education/Training Program average
9% brand-name claims vs 83% generic, on 1,469 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.
1,469
Total Claims
$79K
Total Drug Cost
268
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,415
- Total Day Supply
- 96,434
- Brand vs Generic
- 9% brand / 83% generic
- Brand Drug Cost
- $54K
- Generic Drug Cost
- $23K
- Opioid Claims
- 40 (2.7% rate)
- Antibiotic Claims
- 41
Patient Demographics
- Average Patient Age
- 73.5 years
- Avg HCC Risk Score
- 0.93
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 11, 65-74: 143, 75-84: 85, 85+: 29
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Shivani Sethi, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
95 claims
- Paxlovid (Eua)
Paxlovid (Eua)
93 claims
- Atorvastatin Calcium
Atorvastatin Calcium
75 claims
- Amlodipine Besylate
Amlodipine Besylate
63 claims
- Losartan Potassium
Losartan Potassium
44 claims
- Atenolol
Atenolol
43 claims
- Hydrochlorothiazide
Hydrochlorothiazide
41 claims
- Simvastatin
Simvastatin
40 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 95 |
| Paxlovid (Eua) Nirmatrelvir/Ritonavir | 93 |
| Atorvastatin Calcium | 75 |
| Amlodipine Besylate | 63 |
| Losartan Potassium | 44 |
| Atenolol | 43 |
| Hydrochlorothiazide | 41 |
| Simvastatin | 40 |
| Lorazepam | 38 |
| Lisinopril | 34 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Student in an Organized Health Care Education/Training Program in NJ →
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Student in an Organized Health Care Education/Training Program Overview
How Shivani Sethi, M.D. fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
331,274
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider
Shivani Sethi, M.D.'s 1,469 claims are above the specialty average of 459.
Nationwide Student in an Organized Health Care Education/Training Program peers with similar MIPS or enrollment year
Two federal-record peer sets for Sethi, both outside New Jersey so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2009)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Student in an Organized Health Care Education/Training Program Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Sethi.
One of 8,702 Student in an Organized Health Care Education/Training Program providers enrolled in New Jersey, 5 are shown here.
Frequently Asked Questions
What is Shivani Sethi, M.D.'s specialty? ▼
Shivani Sethi, M.D. specializes in Student in an Organized Health Care Education/Training Program and practices in Summit, New Jersey. Credentials: M.D..
How much does Shivani Sethi, M.D. prescribe under Medicare Part D? ▼
In 2023, Shivani Sethi, M.D. wrote 1,469 Medicare Part D claims totaling $79K in drug costs for 268 beneficiaries.
Where is Shivani Sethi, M.D. located? ▼
Shivani Sethi, M.D. is located at 33 OVERLOOK RD, Summit, NJ, 07901. Phone: (908) 522-5700.
What is Shivani Sethi, M.D.'s NPI number? ▼
Shivani Sethi, M.D.'s National Provider Identifier (NPI) is 1891926085, issued on 08/05/2009.
Does Shivani Sethi, M.D. prescribe more brand-name or generic drugs? ▼
Shivani Sethi, M.D.'s prescribing is 9% brand-name and 83% generic drugs by claim count, with $54K in brand drug costs.
Does Shivani Sethi, M.D. prescribe opioids? ▼
Yes, Shivani Sethi, M.D. had 40 opioid claims in 2023 with an opioid prescribing rate of 2.7%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 331,274 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Shivani Sethi, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Shivani Sethi, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Paxlovid (Eua), Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Shivani Sethi, M.D. accept Medicare? ▼
Shivani Sethi, M.D. appears in CMS Medicare data with 1,469 Part D claims and 268 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Shivani Sethi, M.D.'s credentials? ▼
Shivani Sethi, M.D.'s NPI is 1891926085 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.