2026 NPPES data Gastroenterology Physician NPI 1609964154 M.D.
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VIJAY AGARWAL, M.D.

Gastroenterology Physician in PALM SPRINGS, 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
35
Medicare Part D claims · Gastroenterology Physician avg: 833
MIPS score
80.1801/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$140.31
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: VIJAY AGARWAL, M.D. is a Gastroenterology Physician ([object Object]) practicing in PALM SPRINGS, California with a Medicare Part D prescribing footprint of 35 claims . Their CMS MIPS Final Score of 80.1801/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $140.31 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: VIJAY AGARWAL, M.D. reported a CMS MIPS final score of 80.1801 out of 100, below the 83.1 national average, and filed 35 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)

VIJAY AGARWAL, M.D. 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).

VIJAY AGARWAL, M.D. at a glance

Near national average

NPI registry status

Active

Issued 10/10/2006

NPI 1609964154

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

35 96% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

80.1801/100 2.9198999999999984% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Gastroenterology Physician compares to other specialties among California providers

California providers

Gastroenterology Physician share within California

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

Medicare quality performance — MIPS

VIJAY AGARWAL, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

Near national average
MIPS Final Score
80.1801/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 80.1801/100 vs national avg 83.1

0%100%National avg83%80.2%
MIPS final score (Gastroenterology Physician) — 80.1801/100 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).

VIJAY AGARWAL, M.D. is a Gastroenterology Physician provider practicing in PALM SPRINGS, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1609964154. 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.

VIJAY AGARWAL, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 1330 N INDIAN CANYON DR STE F, PALM SPRINGS, CA, 92262, with a listed phone of (505) 766-5471. NPI 1609964154 was issued on 10/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGARWAL 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 35 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $409 in drug spend. 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 80.1801/100 for the 2023 performance year (Quality 43.5343, Cost 75.2927), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

1330 N INDIAN CANYON DR STE F
PALM SPRINGS, CA 92262

Provider Details

NPI 1609964154
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 10/10/2006

CMS Quality Score (MIPS)

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

80.1801
Final Score
Avg: 83.1
43.5343
Quality
75.2927
Cost
87
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where VIJAY AGARWAL, 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.

BENEFIS HOSPITALS INC
★★☆☆☆ 2/5
GREAT FALLS, MT
Acute Care Hospitals
CMS CCN: 270012
HOMAN A ZADEH MD MPH INC
PALM SPRINGS, CA

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 VIJAY AGARWAL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$140

Largest payer

Boston Scientific Corporation

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 VIJAY AGARWAL, M.D.. To verify VIJAY AGARWAL, M.D.'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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

35
Total Claims
$409
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
81
Total Day Supply
2,252
Brand Drug Cost
$0
Generic Drug Cost
$409

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.48

Gastroenterology Physician Overview

How VIJAY AGARWAL, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

VIJAY AGARWAL, M.D.'s 35 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in California

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

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

Frequently Asked Questions

What is VIJAY AGARWAL, M.D.'s specialty?
VIJAY AGARWAL, M.D. specializes in Gastroenterology Physician and practices in PALM SPRINGS, California. Credentials: M.D..
How much does VIJAY AGARWAL, M.D. prescribe under Medicare Part D?
In 2023, VIJAY AGARWAL, M.D. wrote 35 Medicare Part D claims totaling $409 in drug costs for N/A beneficiaries.
What is VIJAY AGARWAL, M.D.'s Medicare quality score?
VIJAY AGARWAL, M.D. has a CMS MIPS Final Score of 80.1801/100 (Quality: 43.5343, Cost: 75.2927). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VIJAY AGARWAL, M.D. located?
VIJAY AGARWAL, M.D. is located at 1330 N INDIAN CANYON DR STE F, PALM SPRINGS, CA, 92262. Phone: (505) 766-5471.
What is VIJAY AGARWAL, M.D.'s NPI number?
VIJAY AGARWAL, M.D.'s National Provider Identifier (NPI) is 1609964154, issued on 10/10/2006.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
Does VIJAY AGARWAL, M.D. accept Medicare?
VIJAY AGARWAL, M.D. appears in CMS Medicare data with 35 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VIJAY AGARWAL, M.D.'s credentials?
VIJAY AGARWAL, M.D.'s NPI is 1609964154 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