2026 NPPES data Internal Medicine Physician NPI 1326499773 M.D., M.P.H.
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VIBHA AMBLIHALLI, M.D., M.P.H.

Internal Medicine Physician in PIKEVILLE, Kentucky. 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
267
Medicare Part D claims · 105 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.8615/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$471.57
24 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: VIBHA AMBLIHALLI, M.D., M.P.H. is a Internal Medicine Physician ([object Object]) practicing in PIKEVILLE, Kentucky with a Medicare Part D prescribing footprint of 267 claims across 105 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 86.8615/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $471.57 across 24 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: VIBHA AMBLIHALLI, M.D., M.P.H. reported a CMS MIPS final score of 86.8615 out of 100, above the 83.1 national average, and filed 267 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)

VIBHA AMBLIHALLI, M.D., M.P.H. 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).

VIBHA AMBLIHALLI, M.D., M.P.H. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/27/2016

NPI 1326499773

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

267 90% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

86.8615/100 3.7615000000000123% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Internal Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Internal Medicine Physician share within Kentucky

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

Medicare quality performance — MIPS

VIBHA AMBLIHALLI, M.D., M.P.H.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
86.8615/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 86.8615/100 vs national avg 83.1

0%100%National avg83%86.9%
MIPS final score (Internal Medicine Physician) — 86.8615/100 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).

VIBHA AMBLIHALLI, M.D., M.P.H. is a Internal Medicine Physician provider practicing in PIKEVILLE, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D., M.P.H.. NPI: 1326499773. 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.

VIBHA AMBLIHALLI, M.D., M.P.H. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D., M.P.H. credentials at 911 BYPASS RD BLDG A, PIKEVILLE, KY, 41501, with a listed phone of (606) 430-2201. NPI 1326499773 was issued on 06/27/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AMBLIHALLI 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 267 prescription claims written by this provider, covering 105 Medicare beneficiaries and totaling roughly $23K in drug spend, split 13% brand-name and 87% 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 86.8615/100 for the 2023 performance year (Quality 72.3904, Cost 70.6553), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

911 BYPASS RD BLDG A
PIKEVILLE, KY 41501

Provider Details

NPI 1326499773
Specialty Internal Medicine Physician
Credentials M.D., M.P.H.
Gender Female
NPI Issued 06/27/2016

CMS Quality Score (MIPS)

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

86.8615
Final Score
Avg: 83.1
72.3904
Quality
70.6553
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where VIBHA AMBLIHALLI, M.D., M.P.H. 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.

PIKEVILLE MEDICAL CENTER INC
PIKEVILLE, KY

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 VIBHA AMBLIHALLI, M.D., M.P.H.. Source: openpaymentsdata.cms.gov.

Total received

$472

Largest payer

Abbott Laboratories

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.

Brand vs generic prescribing mix · Typical

VIBHA AMBLIHALLI, M.D., M.P.H. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 267 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.

267
Total Claims
$23K
Total Drug Cost
105
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
379
Total Day Supply
11,047
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$20K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
68.6 years
Avg HCC Risk Score
1.15
Gender Split
53% female / 47% male
Age Distribution
<65: 35, 65-74: 41, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
41
Amlodipine Besylate
28
Carvedilol
20
Eliquis
Apixaban
20
Isosorbide Mononitrate Er
Isosorbide Mononitrate
20
Metoprolol Succinate
18
Furosemide
14
Rosuvastatin Calcium
13
Losartan Potassium
12
Potassium Chloride
12

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

Internal Medicine Physician Overview

How VIBHA AMBLIHALLI, M.D., M.P.H. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

VIBHA AMBLIHALLI, M.D., M.P.H.'s 267 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Kentucky

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is VIBHA AMBLIHALLI, M.D., M.P.H.'s specialty?
VIBHA AMBLIHALLI, M.D., M.P.H. specializes in Internal Medicine Physician and practices in PIKEVILLE, Kentucky. Credentials: M.D., M.P.H..
How much does VIBHA AMBLIHALLI, M.D., M.P.H. prescribe under Medicare Part D?
In 2023, VIBHA AMBLIHALLI, M.D., M.P.H. wrote 267 Medicare Part D claims totaling $23K in drug costs for 105 beneficiaries.
What is VIBHA AMBLIHALLI, M.D., M.P.H.'s Medicare quality score?
VIBHA AMBLIHALLI, M.D., M.P.H. has a CMS MIPS Final Score of 86.8615/100 (Quality: 72.3904, Cost: 70.6553). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VIBHA AMBLIHALLI, M.D., M.P.H. located?
VIBHA AMBLIHALLI, M.D., M.P.H. is located at 911 BYPASS RD BLDG A, PIKEVILLE, KY, 41501. Phone: (606) 430-2201.
What is VIBHA AMBLIHALLI, M.D., M.P.H.'s NPI number?
VIBHA AMBLIHALLI, M.D., M.P.H.'s National Provider Identifier (NPI) is 1326499773, issued on 06/27/2016.
Does VIBHA AMBLIHALLI, M.D., M.P.H. prescribe more brand-name or generic drugs?
VIBHA AMBLIHALLI, M.D., M.P.H.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $20K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does VIBHA AMBLIHALLI, M.D., M.P.H. prescribe most often?
Based on 2023 Medicare Part D data, VIBHA AMBLIHALLI, M.D., M.P.H.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VIBHA AMBLIHALLI, M.D., M.P.H. accept Medicare?
VIBHA AMBLIHALLI, M.D., M.P.H. appears in CMS Medicare data with 267 Part D claims and 105 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VIBHA AMBLIHALLI, M.D., M.P.H.'s credentials?
VIBHA AMBLIHALLI, M.D., M.P.H.'s NPI is 1326499773 with credentials M.D., M.P.H.. 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