What is Nicola Gathaiya's specialty?

Nicola Gathaiya (NPI 1154513752) is a Medicare-billing provider whose primary specialty is Endocrinology in Springfield, MO.

Where does Nicola Gathaiya practice?

Nicola Gathaiya practices in Springfield, MO, based on the location reported in the CMS Medicare provider datasets for NPI 1154513752.

How much does Medicare pay Nicola Gathaiya?

Nicola Gathaiya (NPI 1154513752) received approximately $86K in total Medicare Part B payments, serving 486 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1154513752

Nicola GathaiyaMD

EndocrinologySpringfield, MOI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,461

Unique beneficiaries

—

Total services

1,688

Distinct HCPCS

Medicare payment

$60K

Peer benchmark

Total Medicare services vs. 144 Endocrinology providers in MO — near median (cohort median 929).

PRESCRIBING · PART D · 2024

Total Rx claims

1,993

Beneficiaries

—

Total drug cost

$524K

Distinct drugs

Brand share

39.8%

Top prescribed drugs

Levothyroxine Sodium338 claims

Levothyroxine Sodium173 claims

Tirzepatide130 claims

Metformin Hcl128 claims

Insulin Glargine,hum.Rec.Anlog97 claims

QUALITY · MIPS · 2024

Final MIPS score

85.8

Quality

74.4

Cost

78.2

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.45%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$913

Payment records

By payment type

Food and Beverage$913

Top paying entities

Food and Beverage$913

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 260040

Hospital

CCN 260094

Hospital

CCN 261329

Hospital

REFERRAL NETWORK

Where Nicola Gathaiya's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 5 inbound referrers · 13 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
LESTER E COX MEDICAL CENTERS	141	563
SGOH ACQUISITION INC	15	40
Terrence Coulter Pulmonary Disease · Springfield, MO	12	52
Mark Anderson Interventional Cardiology · Springfield, MO	11	27
Linda Macgorman Internal Medicine · Springfield, MO	11	42

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
LESTER E COX MEDICAL CENTERS	105	340
SKAGGS COMMUNITY HOSPITAL ASSOCIATION	74	490
Kelley Jenkins Nurse Practitioner · Springfield, MO	30	82
Jacqueline Cook Nurse Practitioner · Springfield, MO	30	59
Labone Llc Clinical Laboratory · Lenexa, KS	16	44
MERCY HOSPITAL SPRINGFIELD	14	43
Kevin Baehl Diagnostic Radiology · Springfield, MO	13	21
SGOH ACQUISITION INC	12	26
SKAGGS COMMUNITY HOSPITAL ASSOCIATION	11	27
KHIR, NADIR	11	27
HAWKINS, CALVIN	11	23
Stephen Kuehn Interventional Cardiology · Washington, MO	11	30

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history