NPI registry status
Active
2026 NPPES data Hematology & Oncology Physician NPI 1003801689 MD
Verify on CMS → Utpal Bhanja, MD
Hematology & Oncology Physician in Gallipolis, 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 11,215 in Hematology & Oncology 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
292
Medicare Part D claims · 106 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.4/100
▼ 2 pts below national avg 83.1 · Above neutral
Industry payments
$424.34
20 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Utpal Bhanja, MD reported a CMS MIPS final score of 81.4/100 - below the 83.1 national average - and filed 292 Medicare Part D claims in 2023.
- 81.4/100
- MIPS score · -2 vs avg
- 292
- Part D claims, 2023
- 80%
- 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.
Utpal Bhanja, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
81 36th percentile higher than 36% of 477,587 scored providers
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
Where Utpal Bhanja, MD sits
This provider among hematology & oncology physician peers
Across the 4,233 hematology & oncology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Utpal Bhanja, MD writes more Part D claims than 22% of them and scores higher on MIPS quality than 36% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one hematology & oncology physician peer from a representative sample of 60; the gold marker is Utpal Bhanja, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Utpal Bhanja, MD 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 Utpal Bhanja, MD?
Near national averagePrimary specialty
Hematology & Oncology Physician
Medicare Part D claims
292 66% vs specialty avg
MIPS final score
81.4/100 1.7 pts vs avg
Specialty distribution in Ohio
How Hematology & Oncology Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Utpal Bhanja, MD's 2023 MIPS final score plotted against the Hematology & Oncology Physician national average
- MIPS Final Score
- 81.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hematology & Oncology Physician) - 81.4/100 vs national avg 83.1
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).
Utpal Bhanja, MD appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding MD credentials at 170 JACKSON PIKE, Gallipolis, OH, 45631, with a listed phone of (855) 446-5937. NPI 1003801689 was issued on 09/20/2005.
Medicare Part D records for calendar year 2023 show 292 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $423K in drug spend, split 20% brand-name and 80% generic by claim count, with an opioid prescribing rate of 13.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.4/100 for the 2023 performance year (Quality 69.3, Cost 58), compared with the national average of 83.1.
Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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
Provider Details
| NPI | 1003801689 |
|---|---|
| Specialty | Hematology & Oncology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/20/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.4298
Final Score
Avg: 83.1
69.2848
Quality
57.964
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Utpal Bhanja, MD 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.
Holzer Clinic LLC
Gallipolis, 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).
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 Utpal Bhanja, MD. Source: openpaymentsdata.cms.gov.
Total received
$424
Largest payer
Janssen Biotech, 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 - 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 Utpal Bhanja, MD. To verify Utpal Bhanja, MD'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
Utpal Bhanja, MD - brand share 20.0%
Hematology & Oncology Physician average
20% brand-name claims vs 80% generic, on 292 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.
292
Total Claims
$423K
Total Drug Cost
106
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 413
- Total Day Supply
- 11,315
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $370K
- Generic Drug Cost
- $53K
- Opioid Claims
- 40 (13.7% rate)
- Antibiotic Claims
- 13
Patient Demographics
- Average Patient Age
- 73.7 years
- Avg HCC Risk Score
- 2.14
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 16, 65-74: 39, 75-84: 38, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Utpal Bhanja, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Anastrozole
Anastrozole
31 claims
- Eliquis
Eliquis
30 claims
- Letrozole
Letrozole
18 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
14 claims
- Dexamethasone
Dexamethasone
13 claims
- Omeprazole
Omeprazole
13 claims
- Hydroxyurea 12
Hydroxyurea
12 claims
| Drug | Claims |
|---|---|
| Anastrozole | 31 |
| Eliquis Apixaban | 30 |
| Letrozole | 18 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 14 |
| Dexamethasone | 13 |
| Omeprazole | 13 |
| Hydroxyurea | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hematology & Oncology Physician Overview
How Utpal Bhanja, MD fits within the Hematology & Oncology Physician landscape nationally.
11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider
Utpal Bhanja, MD's 292 claims are below the specialty average of 847.
Nearby Hematology & Oncology Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Bhanja.
Dr. Vivek Abhyankar
MD
Marietta, OH
Dr. David Adelstein
M.D.
Cleveland, OH
Dr. Faisal Adhami
M.D., PH.D.
Cincinnati, OH
Dr. Mahmoud Afifi
MD
Bryan, OH
Dr. Farouq Ahmed
M.D.
Massillon, OH
Compare Hematology & Oncology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hematology & Oncology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Utpal Bhanja, MD's specialty? ▼
Utpal Bhanja, MD specializes in Hematology & Oncology Physician and practices in Gallipolis, Ohio. Credentials: MD.
How much does Utpal Bhanja, MD prescribe under Medicare Part D? ▼
In 2023, Utpal Bhanja, MD wrote 292 Medicare Part D claims totaling $423K in drug costs for 106 beneficiaries.
What is Utpal Bhanja, MD's Medicare quality score? ▼
Utpal Bhanja, MD has a CMS MIPS Final Score of 81.4/100 (Quality: 69.3, Cost: 58). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Utpal Bhanja, MD located? ▼
Utpal Bhanja, MD is located at 170 JACKSON PIKE, Gallipolis, OH, 45631. Phone: (855) 446-5937.
What is Utpal Bhanja, MD's NPI number? ▼
Utpal Bhanja, MD's National Provider Identifier (NPI) is 1003801689, issued on 09/20/2005.
Does Utpal Bhanja, MD prescribe more brand-name or generic drugs? ▼
Utpal Bhanja, MD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $370K in brand drug costs.
Does Utpal Bhanja, MD prescribe opioids? ▼
Yes, Utpal Bhanja, MD had 40 opioid claims in 2023 with an opioid prescribing rate of 13.7%.
How many Hematology & Oncology Physician providers are there in the US? ▼
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does Utpal Bhanja, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Utpal Bhanja, MD's most frequently prescribed drugs include Anastrozole, Eliquis, Letrozole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Utpal Bhanja, MD accept Medicare? ▼
Utpal Bhanja, MD appears in CMS Medicare data with 292 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Utpal Bhanja, MD's credentials? ▼
Utpal Bhanja, MD's NPI is 1003801689 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
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
Compiled from official public sources by the PlainDoctor editorial team.