2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1396003257 MD
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TISHANGI AGRAWAL, MD

Advanced Heart Failure and Transplant Cardiology Physician in SOUTH PASADENA, California. 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 · 400 beneficiaries · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.7971/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$3.3K
47 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TISHANGI AGRAWAL, MD is a Advanced Heart Failure and Transplant Cardiology Physician ([object Object]) practicing in SOUTH PASADENA, California with a Medicare Part D prescribing footprint of 3K claims across 400 beneficiaries — 35% brand-name prescribing . Their CMS MIPS Final Score of 99.7971/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $3.3K across 47 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TISHANGI AGRAWAL, MD reported a CMS MIPS final score of 99.7971 out of 100, above the 83.1 national average, and filed 2,557 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

TISHANGI AGRAWAL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

TISHANGI AGRAWAL, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/30/2012

NPI 1396003257

Primary specialty

Advanced Heart Failure and Transplant Cardiology Physician

Niche

510 US NPIs in this specialty

Medicare Part D claims

2,557 45% vs specialty avg

2023 prescription claims

Specialty avg: 1,762

MIPS final score

99.7971/100 16.697100000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among California providers

California providers

Advanced Heart Failure and Transplant Cardiology Physician share within California

1. Advanced Heart Failure and Transplant Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Heart Failure and Transplant Cardiology Physician share within California

Medicare quality performance — MIPS

TISHANGI AGRAWAL, MD's 2023 MIPS final score plotted against the Advanced Heart Failure and Transplant Cardiology Physician national average

High performer (top quartile)
MIPS Final Score
99.7971/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) — 99.7971/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) — 99.7971/100 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).

TISHANGI AGRAWAL, MD is a Advanced Heart Failure and Transplant Cardiology Physician provider practicing in SOUTH PASADENA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1396003257. 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.

TISHANGI AGRAWAL, MD appears in the CMS NPPES registry as a Advanced Heart Failure and Transplant Cardiology Physician provider holding MD credentials at 1416 EL CENTRO ST STE 300, SOUTH PASADENA, CA, 91030, with a listed phone of (626) 898-9858. NPI 1396003257 was issued on 04/30/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGRAWAL 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 2,557 prescription claims written by this provider, covering 400 Medicare beneficiaries and totaling roughly $2.4 million in drug spend, split 35% brand-name and 65% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 99.7971/100 for the 2023 performance year (Quality 88.0613), compared with the national average of 83.1.

Advanced Heart Failure and Transplant Cardiology Physician is a narrow specialty nationwide, with 510 enrolled providers across 48 states and an average of 1,762 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

1416 EL CENTRO ST STE 300
SOUTH PASADENA, CA 91030

Provider Details

NPI 1396003257
Specialty Advanced Heart Failure and Transplant Cardiology Physician
Credentials MD
Gender Female
NPI Issued 04/30/2012

CMS Quality Score (MIPS)

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

99.7971
Final Score
Avg: 83.1
88.0613
Quality
95
Promoting Interoperability

Reporting: Group practice

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 TISHANGI AGRAWAL, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.3K

Largest payer

Actelion Pharmaceuticals US, 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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to TISHANGI AGRAWAL, MD. To verify TISHANGI AGRAWAL, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

TISHANGI AGRAWAL, MD — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 2,557 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.

2,557
Total Claims
$2.4M
Total Drug Cost
400
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,103
Total Day Supply
182,534
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$2.3M
Generic Drug Cost
$65K

Patient Demographics

Average Patient Age
77.0 years
Avg HCC Risk Score
2.54
Gender Split
54% female / 47% male
Age Distribution
<65: 14, 65-74: 145, 75-84: 166, 85+: 75

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Entresto
Sacubitril/Valsartan
331
Carvedilol
283
Spironolactone
259
Jardiance
Empagliflozin
240
Atorvastatin Calcium
152
Rosuvastatin Calcium
142
Furosemide
138
Eliquis
Apixaban
93
Bumetanide
81
Metoprolol Succinate
81

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

Advanced Heart Failure and Transplant Cardiology Physician Overview

How TISHANGI AGRAWAL, MD fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.

510
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,762
Avg Claims per Provider

TISHANGI AGRAWAL, MD's 2,557 claims are above the specialty average of 1,762.

Nearby Advanced Heart Failure and Transplant Cardiology Physician Providers in California

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

Compare Advanced Heart Failure and Transplant Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TISHANGI AGRAWAL, MD's specialty?
TISHANGI AGRAWAL, MD specializes in Advanced Heart Failure and Transplant Cardiology Physician and practices in SOUTH PASADENA, California. Credentials: MD.
How much does TISHANGI AGRAWAL, MD prescribe under Medicare Part D?
In 2023, TISHANGI AGRAWAL, MD wrote 2,557 Medicare Part D claims totaling $2.4M in drug costs for 400 beneficiaries.
What is TISHANGI AGRAWAL, MD's Medicare quality score?
TISHANGI AGRAWAL, MD has a CMS MIPS Final Score of 99.7971/100 (Quality: 88.0613). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TISHANGI AGRAWAL, MD located?
TISHANGI AGRAWAL, MD is located at 1416 EL CENTRO ST STE 300, SOUTH PASADENA, CA, 91030. Phone: (626) 898-9858.
What is TISHANGI AGRAWAL, MD's NPI number?
TISHANGI AGRAWAL, MD's National Provider Identifier (NPI) is 1396003257, issued on 04/30/2012.
Does TISHANGI AGRAWAL, MD prescribe more brand-name or generic drugs?
TISHANGI AGRAWAL, MD's prescribing is 35% brand-name and 65% generic drugs by claim count, with $2.3M in brand drug costs.
How many Advanced Heart Failure and Transplant Cardiology Physician providers are there in the US?
There are 510 Advanced Heart Failure and Transplant Cardiology Physician providers across 48 states in the US. The average Advanced Heart Failure and Transplant Cardiology Physician provider writes 1,762 Medicare Part D claims per year.
What drugs does TISHANGI AGRAWAL, MD prescribe most often?
Based on 2023 Medicare Part D data, TISHANGI AGRAWAL, MD's most frequently prescribed drugs include Entresto, Carvedilol, Spironolactone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TISHANGI AGRAWAL, MD accept Medicare?
TISHANGI AGRAWAL, MD appears in CMS Medicare data with 2,557 Part D claims and 400 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TISHANGI AGRAWAL, MD's credentials?
TISHANGI AGRAWAL, MD's NPI is 1396003257 with credentials MD. 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