VISHAL KHATRI, MD
Orthopaedic Surgery of the Spine Physician in BLOOMFIELD, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What stands out: VISHAL KHATRI, MD reported a CMS MIPS final score of 94.9574 out of 100, above the 83.1 national average, and filed 239 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.
VISHAL KHATRI, 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).
VISHAL KHATRI, MD at a glance
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New Jersey
How Orthopaedic Surgery of the Spine Physician compares to other specialties among New Jersey providers
Orthopaedic Surgery of the Spine Physician share within New Jersey
Orthopaedic Surgery of the Spine Physician is one of the more visible NUCC categories in New Jersey
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
VISHAL KHATRI, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average
- MIPS Final Score
- 94.9574/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 94.9574/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Orthopaedic Surgery of the Spine Physician US NPIs
94.9574/100 MIPS final score — 11.9 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Orthopaedic Surgery of the Spine Physician. Quality dim: 87.2651.
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).
VISHAL KHATRI, MD is a Orthopaedic Surgery of the Spine Physician provider practicing in BLOOMFIELD, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1740683275. 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.
VISHAL KHATRI, MD appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding MD credentials at 1455 BROAD ST STE 250, BLOOMFIELD, NJ, 07003, with a listed phone of (877) 532-7837. NPI 1740683275 was issued on 09/29/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KHATRI 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 239 prescription claims written by this provider, covering 114 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 8.4%. 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 94.9574/100 for the 2023 performance year (Quality 87.2651), compared with the national average of 83.1.
Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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 | 1740683275 |
|---|---|
| Specialty | Orthopaedic Surgery of the Spine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/29/2014 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm VISHAL KHATRI, MD's current license status, disciplinary history, and board certifications with the New Jersey State Board of Medical Examiners in New Jersey before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where VISHAL KHATRI, 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.
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 VISHAL KHATRI, MD. Source: openpaymentsdata.cms.gov.
Total received
$779
Largest payer
Alphatec Spine, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 250
- Total Day Supply
- 5,998
- Generic Drug Cost
- $3K
- Opioid Claims
- 20 (8.4% rate)
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 1.28
- Gender Split
- 58% female / 42% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Gabapentin | 76 |
| Methylprednisolone | 30 |
| Naproxen | 27 |
| Cyclobenzaprine Hcl | 23 |
| Diclofenac Sodium | 20 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Surgery of the Spine Physician Overview
How VISHAL KHATRI, MD fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.
VISHAL KHATRI, MD's 239 claims are below the specialty average of 362.
Nearby Orthopaedic Surgery of the Spine Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as KHATRI.
Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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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