2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1225584543 M.D.
Verify on CMS →

Vijaya Basarahalli, M.D.

Student in an Organized Health Care Education/Training Program in Harrisburg, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 331,274 in Student in an Organized Health Care Education/Training Program, 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
6K
Medicare Part D claims · 500 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
86%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
71.2/100
▼ 12 pts below national avg 83.5 · Mid-tier

What the federal data shows

Vijaya Basarahalli, M.D. reported a CMS MIPS final score of 71.2/100 - below the 83.5 national average - and filed 6,443 Medicare Part D claims in 2023.

71.2/100
MIPS score · -12 vs avg
6K
Part D claims, 2023
86%
generic prescribing
≥9th
pct among measured MIPS (lower-bound band)

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.

CMS NPPES provider registry desk

NPI 1225584543 · Student in an Organized Health Care Education/Training Program

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-LOW · RX-MID · BOOK-MID · PHOTO-FINISH

  • NPI-10 1225584543
  • ENUM-MID 2016
  • TAX-MEGA 331K Student in
  • MIPS-LOW 71.2/100
  • RX-MID 6,443
  • BOOK-MID 14,418 in Pennsylvania
  • PHOTO-FINISH Smitha Kuppalli · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Vijaya Basarahalli, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

71 ≥ 9th percentile 9% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

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

Where Vijaya Basarahalli, M.D. sits

This provider among student in an organized health care education/training program peers

Across the 12,177 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, Vijaya Basarahalli, M.D. writes more Part D claims than 98% of them and scores higher on MIPS quality than 6% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 17Vijaya Basarahalli, M.D., Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 6
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one student in an organized health care education/training program peer from a representative sample of 60; the gold marker is Vijaya Basarahalli, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Vijaya Basarahalli, M.D.?

Below national average

NPI registry status

Active

Issued 08/28/2016

NPI 1225584543

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,274 US NPIs in this specialty

Medicare Part D claims

6,443 14× vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

71.2/100 12.3 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Pennsylvania

How Student in an Organized Health Care Education/Training Program compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Heal…5.6%Pharmacist5%Physical Therapist4.9%Mental Health Counselor3.9%Internal Medicine Physician3.3%Professional Counselor3.2%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Vijaya Basarahalli, M.D.'s 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

Below national average
MIPS Final Score
71.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%71.2%
MIPS final score (Student in an Organized Health Care Education/Training Program) - 71.2/100 vs national avg 83.5
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).

Practice Address

4230 CRUMS MILL RD
Harrisburg, PA 17112

Provider Details

NPI 1225584543
Specialty Student in an Organized Health Care Education/Training Program
Credentials M.D.
Gender Female
NPI Issued 08/28/2016

CMS Quality Score (MIPS)

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

71.1774
Final Score
Measured-score avg: 83.5
46.0539
Quality
58.7042
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Vijaya Basarahalli, 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.

Penn State Health Medical Group LLC
Hershey, PA

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 - Pennsylvania PA-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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Vijaya Basarahalli, M.D.. To verify Vijaya Basarahalli, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Vijaya Basarahalli, M.D. - brand share 12.0%
Student in an Organized Health Care Education/Training Program average

12% brand-name claims vs 86% generic, on 6,443 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.

6,443
Total Claims
$551K
Total Drug Cost
500
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,797
Total Day Supply
313,833
Brand vs Generic
12% brand / 86% generic
Brand Drug Cost
$433K
Generic Drug Cost
$113K
Opioid Claims
29 (0.5% rate)
Antibiotic Claims
75

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.31
Gender Split
62% female / 38% male
Age Distribution
<65: 91, 65-74: 247, 75-84: 127, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

What Vijaya Basarahalli, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
562
Amlodipine Besylate
240
Famotidine
218
Lisinopril
215
Gabapentin
212
Metformin Hcl
183
Levothyroxine Sodium
182
Pantoprazole Sodium
160
Losartan Potassium
157
Albuterol Sulfate Hfa
Albuterol Sulfate
155

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

Student in an Organized Health Care Education/Training Program Overview

How Vijaya Basarahalli, M.D. fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,274
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

Vijaya Basarahalli, M.D.'s 6,443 claims are above the specialty average of 459.

Nationwide Student in an Organized Health Care Education/Training Program peers with similar MIPS or enrollment year

Two federal-record peer sets for Basarahalli, both outside Pennsylvania so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (71.2 here).

Same NPPES enumeration year (2016)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Student in an Organized Health Care Education/Training Program Providers in Pennsylvania

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

One of 14,418 Student in an Organized Health Care Education/Training Program providers enrolled in Pennsylvania, 5 are shown here.

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is Vijaya Basarahalli, M.D.'s specialty?
Vijaya Basarahalli, M.D. specializes in Student in an Organized Health Care Education/Training Program and practices in Harrisburg, Pennsylvania. Credentials: M.D..
How much does Vijaya Basarahalli, M.D. prescribe under Medicare Part D?
In 2023, Vijaya Basarahalli, M.D. wrote 6,443 Medicare Part D claims totaling $551K in drug costs for 500 beneficiaries.
What is Vijaya Basarahalli, M.D.'s Medicare quality score?
Vijaya Basarahalli, M.D. has a CMS MIPS Final Score of 71.2/100 (Quality: 46.1, Cost: 58.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Vijaya Basarahalli, M.D. located?
Vijaya Basarahalli, M.D. is located at 4230 CRUMS MILL RD, Harrisburg, PA, 17112. Phone: (717) 233-6171.
What is Vijaya Basarahalli, M.D.'s NPI number?
Vijaya Basarahalli, M.D.'s National Provider Identifier (NPI) is 1225584543, issued on 08/28/2016.
Does Vijaya Basarahalli, M.D. prescribe more brand-name or generic drugs?
Vijaya Basarahalli, M.D.'s prescribing is 12% brand-name and 86% generic drugs by claim count, with $433K in brand drug costs.
Does Vijaya Basarahalli, M.D. prescribe opioids?
Yes, Vijaya Basarahalli, M.D. had 29 opioid claims in 2023 with an opioid prescribing rate of 0.5%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,274 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Vijaya Basarahalli, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Vijaya Basarahalli, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Vijaya Basarahalli, M.D. accept Medicare?
Vijaya Basarahalli, M.D. appears in CMS Medicare data with 6,443 Part D claims and 500 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Vijaya Basarahalli, M.D.'s credentials?
Vijaya Basarahalli, M.D.'s NPI is 1225584543 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

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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.