NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1245562685 M.D.
Verify on CMS → Sumira Koirala, M.D.
Family Medicine Physician in Boardman, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, 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
3K
Medicare Part D claims · 169 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 11% 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
Sumira Koirala, M.D. filed 2,817 Medicare Part D claims in 2023 as a Family Medicine Physician in Boardman, Ohio, prescribing 88% generic.
- 3K
- Part D claims, 2023
- 88%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥88th
- 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 1245562685 · Family Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · RX-MID · BOOK-MID · PHOTO-ENUM
- NPI-10 1245562685
- ENUM-MID 2010
- TAX-MEGA 148K Family Medicine
- RX-MID 2,817
- BOOK-MID 5,295 in Ohio
- PHOTO-ENUM Todd Cowdery · 2010
Sumira Koirala, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
2,817 ≥ 88th percentile 88% 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
✓
Board certification likely (heuristic, not verified)
Sumira Koirala, 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).
What does the federal data show about Sumira Koirala, M.D.?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
2,817 18% vs specialty avg
Specialty distribution in Ohio
How Family Medicine Physician compares to other specialties among Ohio 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 Family Medicine Physician. 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 | 1245562685 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 02/10/2010 |
Hospital and facility affiliations
Facilities where Sumira Koirala, 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.
Mercy Health Physicians Youngstown, LLC
Youngstown, OH
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 - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Sumira Koirala, M.D.. To verify Sumira Koirala, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Sumira Koirala, M.D. - brand share 11.0%
Family Medicine Physician average
11% brand-name claims vs 88% generic, on 2,817 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.
2,817
Total Claims
$177K
Total Drug Cost
169
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 5,653
- Total Day Supply
- 164,642
- Brand vs Generic
- 11% brand / 88% generic
- Brand Drug Cost
- $124K
- Generic Drug Cost
- $51K
- Antibiotic Claims
- 28
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 1.45
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 27, 65-74: 79, 75-84: 52, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sumira Koirala, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amlodipine Besylate
Amlodipine Besylate
222 claims
- Atorvastatin Calcium
Atorvastatin Calcium
221 claims
- Levothyroxine Sodium
Levothyroxine Sodium
132 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
101 claims
- Losartan Potassium
Losartan Potassium
95 claims
- Metoprolol Succinate 87
Metoprolol Succinate
87 claims
- Lisinopril 85
Lisinopril
85 claims
- Pantoprazole Sodium 76
Pantoprazole Sodium
76 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 222 |
| Atorvastatin Calcium | 221 |
| Levothyroxine Sodium | 132 |
| Rosuvastatin Calcium | 101 |
| Losartan Potassium | 95 |
| Metoprolol Succinate | 87 |
| Lisinopril | 85 |
| Pantoprazole Sodium | 76 |
| Potassium Chloride | 63 |
| Metformin Hcl | 62 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Sumira Koirala, M.D. fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Sumira Koirala, M.D.'s 2,817 claims are below the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Koirala, both outside Ohio so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Koirala.
One of 5,295 Family Medicine Physician providers enrolled in Ohio, 5 are shown here.
Dr. John Philamer Abad
M.D.
Westerville, OH
Dr. Katarina Abadie
M.D.
Solon, OH
Dr. Heeran Abawi
M.D.
Fairfield, OH
Zena Abd-Alahad
Toledo, OH
Dr. Ghassan Abdallah
M.D.
Middleburg Heights, OH
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Sumira Koirala, M.D.'s specialty? ▼
Sumira Koirala, M.D. specializes in Family Medicine Physician and practices in Boardman, Ohio. Credentials: M.D..
How much does Sumira Koirala, M.D. prescribe under Medicare Part D? ▼
In 2023, Sumira Koirala, M.D. wrote 2,817 Medicare Part D claims totaling $177K in drug costs for 169 beneficiaries.
Where is Sumira Koirala, M.D. located? ▼
Sumira Koirala, M.D. is located at 8423 MARKET ST, Boardman, OH, 44512. Phone: (330) 729-8700.
What is Sumira Koirala, M.D.'s NPI number? ▼
Sumira Koirala, M.D.'s National Provider Identifier (NPI) is 1245562685, issued on 02/10/2010.
Does Sumira Koirala, M.D. prescribe more brand-name or generic drugs? ▼
Sumira Koirala, M.D.'s prescribing is 11% brand-name and 88% generic drugs by claim count, with $124K in brand drug costs.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Sumira Koirala, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Sumira Koirala, M.D.'s most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sumira Koirala, M.D. accept Medicare? ▼
Sumira Koirala, M.D. appears in CMS Medicare data with 2,817 Part D claims and 169 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sumira Koirala, M.D.'s credentials? ▼
Sumira Koirala, M.D.'s NPI is 1245562685 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.