NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1093955320
Verify on CMS → Surbhi Agarwal
Family Medicine Physician in Butler, Pennsylvania.
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 · 221 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
90%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.5/100
▼ 5 pts below national avg 83.5 · Above neutral
Industry payments
$36.29
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Surbhi Agarwal reported a CMS MIPS final score of 78.5/100 - below the 83.5 national average - and filed 2,769 Medicare Part D claims in 2023.
- 78.5/100
- MIPS score · -5 vs avg
- 3K
- Part D claims, 2023
- 90%
- 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.
CMS NPPES provider registry desk
NPI 1093955320 · Family Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-BELOW · RX-MID · BOOK-MID · PHOTO-FINISH
- NPI-10 1093955320
- ENUM-MID 2009
- TAX-MEGA 148K Family Medicine
- MIPS-BELOW 78.5/100
- RX-MID 2,769
- BOOK-MID 7,200 in Pennsylvania
- PHOTO-FINISH Matthew Fisher · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Agarwal · this p…
Agarwal · this provider
78.5 MIPS pts
- Mark Stabile · h…
Mark Stabile
78.5 MIPS pts
- Matthew Fisher ·…
Matthew Fisher
78.5 MIPS pts
- Jeffrey Jackson …
Jeffrey Jackson
78.5 MIPS pts
- Margaret Moon · …
Margaret Moon
78.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Surbhi Agarwal's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
79 ≥ 23rd percentile 23% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Surbhi Agarwal sits
This provider among family medicine physician peers
Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Surbhi Agarwal writes more Part D claims than 52% of them and scores higher on MIPS quality than 24% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Surbhi Agarwal. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Surbhi Agarwal practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Surbhi Agarwal?
Near national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
2,769 19% vs specialty avg
MIPS final score
78.5/100 5 pts vs avg
Specialty distribution in Pennsylvania
How Family Medicine Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Surbhi Agarwal's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 78.5/100
- vs 83.5 national avg · 2023 performance year
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 | 1093955320 |
|---|---|
| Specialty | Family Medicine Physician |
| Gender | Female |
| NPI Issued | 02/26/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.5339
Final Score
Measured-score avg: 83.5
74.6181
Quality
53.8283
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Surbhi Agarwal 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.
Falconer Inc
Cranberry Township, PA
Upmc Community Medicine Inc
Pittsburgh, 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).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Surbhi Agarwal. Source: openpaymentsdata.cms.gov.
Total received
$36
Largest payer
PFIZER INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
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 Surbhi Agarwal. To verify Surbhi Agarwal'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 · Generic-heavy
Surbhi Agarwal - brand share 9.0%
Family Medicine Physician average
9% brand-name claims vs 90% generic, on 2,769 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.
2,769
Total Claims
$188K
Total Drug Cost
221
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,014
- Total Day Supply
- 176,274
- Brand vs Generic
- 9% brand / 90% generic
- Brand Drug Cost
- $126K
- Generic Drug Cost
- $61K
- Opioid Claims
- 11 (0.4% rate)
- Antibiotic Claims
- 52
Patient Demographics
- Average Patient Age
- 72.4 years
- Avg HCC Risk Score
- 1.10
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 23, 65-74: 113, 75-84: 57, 85+: 28
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Surbhi Agarwal prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
179 claims
- Atorvastatin Calcium
Atorvastatin Calcium
138 claims
- Amlodipine Besylate
Amlodipine Besylate
119 claims
- Lisinopril
Lisinopril
107 claims
- Omeprazole
Omeprazole
95 claims
- Gabapentin
Gabapentin
93 claims
- Losartan Potassium
Losartan Potassium
87 claims
- Simvastatin
Simvastatin
83 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 179 |
| Atorvastatin Calcium | 138 |
| Amlodipine Besylate | 119 |
| Lisinopril | 107 |
| Omeprazole | 95 |
| Gabapentin | 93 |
| Losartan Potassium | 87 |
| Simvastatin | 83 |
| Rosuvastatin Calcium | 73 |
| Famotidine | 70 |
* 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 Surbhi Agarwal 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
Surbhi Agarwal's 2,769 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 Agarwal, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (78.5 here).
Same NPPES enumeration year (2009)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Agarwal.
One of 7,200 Family Medicine Physician providers enrolled in Pennsylvania, 5 are shown here.
Christopher Aaron
Cresson, PA
Dr. Jose Abad
MD
Pittsburgh, PA
Dr. Ray Abarintos
MD
Philadelphia, PA
Dr. Jasim Abbasi
DO
Erie, PA
Dr. Alyssa Abbott
CRNP
Hermitage, PA
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Surbhi Agarwal's specialty? ▼
Surbhi Agarwal specializes in Family Medicine Physician and practices in Butler, Pennsylvania.
How much does Surbhi Agarwal prescribe under Medicare Part D? ▼
In 2023, Surbhi Agarwal wrote 2,769 Medicare Part D claims totaling $188K in drug costs for 221 beneficiaries.
What is Surbhi Agarwal's Medicare quality score? ▼
Surbhi Agarwal has a CMS MIPS Final Score of 78.5/100 (Quality: 74.6, Cost: 53.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Surbhi Agarwal located? ▼
Surbhi Agarwal is located at 911 E BRADY ST, Butler, PA, 16001. Phone: (724) 285-0823.
What is Surbhi Agarwal's NPI number? ▼
Surbhi Agarwal's National Provider Identifier (NPI) is 1093955320, issued on 02/26/2009.
Does Surbhi Agarwal prescribe more brand-name or generic drugs? ▼
Surbhi Agarwal's prescribing is 9% brand-name and 90% generic drugs by claim count, with $126K in brand drug costs.
Does Surbhi Agarwal prescribe opioids? ▼
Yes, Surbhi Agarwal had 11 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
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 Surbhi Agarwal prescribe most often? ▼
Based on 2023 Medicare Part D data, Surbhi Agarwal's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Surbhi Agarwal accept Medicare? ▼
Surbhi Agarwal appears in CMS Medicare data with 2,769 Part D claims and 221 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Surbhi Agarwal's credentials? ▼
Surbhi Agarwal's NPI is 1093955320. 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.
- 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
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.