2026 NPPES data Pulmonary Disease Physician NPI 1063995694 MD
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YAGHOUB NIKON, MD

Pulmonary Disease Physician in YORK, Pennsylvania. 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
2K
Medicare Part D claims · 305 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
47%
generic claims · 53% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.5421/100
▼ 1 pts below national avg 83.1 · [object Object]

What the federal data shows

YAGHOUB NIKON, MD reported a CMS MIPS final score of 82.5421/100 — below the 83.1 national average — and filed 2,135 Medicare Part D claims in 2023.

82.5421/100
MIPS score · -1 vs avg
2K
Part D claims, 2023
47%
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.

YAGHOUB NIKON, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

83 39th percentile higher than 39% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

YAGHOUB NIKON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 YAGHOUB NIKON, MD?

Near national average

NPI registry status

Active

Issued 09/10/2018

NPI 1063995694

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

2,135 47% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

82.5421/100 0.5578999999999894% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Pulmonary Disease Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pulmonary Disease Physician share within Pennsylvania

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Pennsylvania

Medicare quality performance — MIPS

YAGHOUB NIKON, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

Near national average
MIPS Final Score
82.5421/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 82.5421/100 vs national avg 83.1

0%100%National avg83%82.5%
MIPS final score (Pulmonary Disease Physician) — 82.5421/100 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).

YAGHOUB NIKON, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 1703 INNOVATION DR STE 4120, YORK, PA, 17408, with a listed phone of (717) 632-9263. NPI 1063995694 was issued on 09/10/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NIKON 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 2,135 prescription claims written by this provider, covering 305 Medicare beneficiaries and totaling roughly $807K in drug spend, split 53% brand-name and 47% 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 82.5421/100 for the 2023 performance year (Quality 76.6258, Cost 65.1813), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

1703 INNOVATION DR STE 4120
YORK, PA 17408

Provider Details

NPI 1063995694
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 09/10/2018

CMS Quality Score (MIPS)

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

82.5421
Final Score
Avg: 83.1
76.6258
Quality
65.1813
Cost
100
Promoting Interoperability

Reporting: Group practice

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 YAGHOUB NIKON, MD. To verify YAGHOUB NIKON, MD'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 · Brand-heavy

YAGHOUB NIKON, MD — brand share 53.0%
Specialty average (est.)

53% brand-name claims vs 47% generic, on 2,135 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.

2,135
Total Claims
$807K
Total Drug Cost
305
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,563
Total Day Supply
65,829
Brand vs Generic
53% brand / 47% generic
Brand Drug Cost
$636K
Generic Drug Cost
$171K
Antibiotic Claims
190

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.79
Gender Split
57% female / 43% male
Age Distribution
<65: 55, 65-74: 140, 75-84: 98, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What YAGHOUB NIKON, MD 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
Montelukast Sodium
378
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
378
Prednisone
233
Albuterol Sulfate Hfa
Albuterol Sulfate
194
Breo Ellipta
Fluticasone/Vilanterol
145
Symbicort
Budesonide/Formoterol Fumarate
115
Azithromycin
89
Ventolin Hfa
Albuterol Sulfate
81
Doxycycline Hyclate
75
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
66

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

Pulmonary Disease Physician Overview

How YAGHOUB NIKON, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

YAGHOUB NIKON, MD's 2,135 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Pennsylvania

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is YAGHOUB NIKON, MD's specialty?
YAGHOUB NIKON, MD specializes in Pulmonary Disease Physician and practices in YORK, Pennsylvania. Credentials: MD.
How much does YAGHOUB NIKON, MD prescribe under Medicare Part D?
In 2023, YAGHOUB NIKON, MD wrote 2,135 Medicare Part D claims totaling $807K in drug costs for 305 beneficiaries.
What is YAGHOUB NIKON, MD's Medicare quality score?
YAGHOUB NIKON, MD has a CMS MIPS Final Score of 82.5421/100 (Quality: 76.6258, Cost: 65.1813). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is YAGHOUB NIKON, MD located?
YAGHOUB NIKON, MD is located at 1703 INNOVATION DR STE 4120, YORK, PA, 17408. Phone: (717) 632-9263.
What is YAGHOUB NIKON, MD's NPI number?
YAGHOUB NIKON, MD's National Provider Identifier (NPI) is 1063995694, issued on 09/10/2018.
Does YAGHOUB NIKON, MD prescribe more brand-name or generic drugs?
YAGHOUB NIKON, MD's prescribing is 53% brand-name and 47% generic drugs by claim count, with $636K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does YAGHOUB NIKON, MD prescribe most often?
Based on 2023 Medicare Part D data, YAGHOUB NIKON, MD's most frequently prescribed drugs include Montelukast Sodium, Trelegy Ellipta, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does YAGHOUB NIKON, MD accept Medicare?
YAGHOUB NIKON, MD appears in CMS Medicare data with 2,135 Part D claims and 305 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify YAGHOUB NIKON, MD's credentials?
YAGHOUB NIKON, MD's NPI is 1063995694 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

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