2026 NPPES data Family Medicine Physician NPI 1245562685 M.D.
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SUMIRA KOIRALA, M.D.

Family Medicine Physician in BOARDMAN, Ohio. 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
3K
Medicare Part D claims · 169 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs

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 89% generic.

3K
Part D claims, 2023
89%
generic prescribing
Likely
board-certified (heuristic)

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.

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 Top 12% higher than 88% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

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 reported

NPI registry status

Active

Issued 02/10/2010

NPI 1245562685

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

2,817 18% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Ohio

How Family Medicine Physician compares to other specialties among Ohio providers

Ohio providers

Family Medicine Physician share within Ohio

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Ohio

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (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).

SUMIRA KOIRALA, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 8423 MARKET ST, BOARDMAN, OH, 44512, with a listed phone of (330) 729-8700. NPI 1245562685 was issued on 02/10/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOIRALA 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 2,817 prescription claims written by this provider, covering 169 Medicare beneficiaries and totaling roughly $177K in drug spend, split 11% brand-name and 89% 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

8423 MARKET ST
BOARDMAN, OH 44512

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%
Specialty average (est.)

11% brand-name claims vs 89% 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 / 89% 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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

147,640
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.

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.

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 89% generic drugs by claim count, with $124K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,640 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

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