2026 NPPES data Hospitalist Physician NPI 1164663852 M.D
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SWATHI PASHAM, M.D

Hospitalist Physician in GROSSE POINTE, Michigan. 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
449
Medicare Part D claims · 159 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.691/100
▲ 4 pts above national avg 83.1 · [object Object]

What the federal data shows

SWATHI PASHAM, M.D reported a CMS MIPS final score of 86.691/100 — above the 83.1 national average — and filed 449 Medicare Part D claims in 2023.

86.691/100
MIPS score · +4 vs avg
449
Part D claims, 2023
88%
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.

SWATHI PASHAM, M.D's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

87 Top 48% higher than 52% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

SWATHI PASHAM, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 SWATHI PASHAM, M.D?

High performer (top quartile)

NPI registry status

Active

Issued 03/10/2009

NPI 1164663852

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

449 49% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

86.691/100 3.591000000000008% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Hospitalist Physician compares to other specialties among Michigan providers

Michigan providers

Hospitalist Physician share within Michigan

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

Medicare quality performance — MIPS

SWATHI PASHAM, M.D's 2023 MIPS final score plotted against the Hospitalist Physician national average

High performer (top quartile)
MIPS Final Score
86.691/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 86.691/100 vs national avg 83.1

0%100%National avg83%86.7%
MIPS final score (Hospitalist Physician) — 86.691/100 vs national avg 83.1

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).

SWATHI PASHAM, M.D is a Hospitalist Physician provider practicing in GROSSE POINTE, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D. NPI: 1164663852. 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.

SWATHI PASHAM, M.D appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D credentials at 22101 MOROSS RD, GROSSE POINTE, MI, 48236, with a listed phone of (734) 464-0887. NPI 1164663852 was issued on 03/10/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PASHAM 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 449 prescription claims written by this provider, covering 159 Medicare beneficiaries and totaling roughly $27K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 2.9%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.691/100 for the 2023 performance year (Quality 91.9174, Cost 63.7194), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

22101 MOROSS RD
GROSSE POINTE, MI 48236

Provider Details

NPI 1164663852
Specialty Hospitalist Physician
Credentials M.D
Gender Female
NPI Issued 03/10/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

86.691
Final Score
Avg: 83.1
91.9174
Quality
63.7194
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SWATHI PASHAM, 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.

INDEPENDENT HOSPITALIST PHYSICIANS PLLC
SOUTHFIELD, MI

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 — Michigan MI-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 ~41K Michigan medical licensees in 2023 — they are NOT specific to SWATHI PASHAM, M.D. To verify SWATHI PASHAM, M.D's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

SWATHI PASHAM, M.D — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 449 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.

449
Total Claims
$27K
Total Drug Cost
159
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
521
Total Day Supply
12,722
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$22K
Generic Drug Cost
$5K
Opioid Claims
13 (2.9% rate)
Antibiotic Claims
43

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
2.47
Gender Split
53% female / 47% male
Age Distribution
<65: 15, 65-74: 67, 75-84: 51, 85+: 26

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Pantoprazole Sodium
26
Furosemide
22
Metoprolol Tartrate
21
Atorvastatin Calcium
18
Losartan Potassium
17
Prednisone
17
Metoprolol Succinate
14
Cefuroxime
Cefuroxime Axetil
13
Levothyroxine Sodium
13
Clopidogrel
Clopidogrel Bisulfate
12

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

Hospitalist Physician Overview

How SWATHI PASHAM, M.D fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

SWATHI PASHAM, M.D's 449 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Michigan

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

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SWATHI PASHAM, M.D's specialty?
SWATHI PASHAM, M.D specializes in Hospitalist Physician and practices in GROSSE POINTE, Michigan. Credentials: M.D.
How much does SWATHI PASHAM, M.D prescribe under Medicare Part D?
In 2023, SWATHI PASHAM, M.D wrote 449 Medicare Part D claims totaling $27K in drug costs for 159 beneficiaries.
What is SWATHI PASHAM, M.D's Medicare quality score?
SWATHI PASHAM, M.D has a CMS MIPS Final Score of 86.691/100 (Quality: 91.9174, Cost: 63.7194). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SWATHI PASHAM, M.D located?
SWATHI PASHAM, M.D is located at 22101 MOROSS RD, GROSSE POINTE, MI, 48236. Phone: (734) 464-0887.
What is SWATHI PASHAM, M.D's NPI number?
SWATHI PASHAM, M.D's National Provider Identifier (NPI) is 1164663852, issued on 03/10/2009.
Does SWATHI PASHAM, M.D prescribe more brand-name or generic drugs?
SWATHI PASHAM, M.D's prescribing is 12% brand-name and 88% generic drugs by claim count, with $22K in brand drug costs.
Does SWATHI PASHAM, M.D prescribe opioids?
Yes, SWATHI PASHAM, M.D had 13 opioid claims in 2023 with an opioid prescribing rate of 2.9%.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does SWATHI PASHAM, M.D prescribe most often?
Based on 2023 Medicare Part D data, SWATHI PASHAM, M.D's most frequently prescribed drugs include Pantoprazole Sodium, Furosemide, Metoprolol Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SWATHI PASHAM, M.D accept Medicare?
SWATHI PASHAM, M.D appears in CMS Medicare data with 449 Part D claims and 159 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SWATHI PASHAM, M.D's credentials?
SWATHI PASHAM, M.D's NPI is 1164663852 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.
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