Nikhil Agarwal, M.D.
NPI 1124173513ActiveIndividual· Internal Medicine· Cedar Park, TX
Internal Medicine (M.D.) with Legacy Healthcare Services Inc and 1 other group, practicing in Cedar Park, Texas. Their prescriptions cost Medicare Part D more than their services did: $900,007 for 8,074 claims, against $22,526 paid for services in 2024. Exact Sciences Corporation was the largest of 3 companies reporting payments in 2025, $160.47 in all, mostly food and beverage.
Overview
| NPI | 1124173513 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 24, 2007 |
| Last updated in NPPES | Jan 16, 2024 |
| Certified by provider | Jan 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | N9669 | TX |
| Internal Medicine | 207R00000X | 40637 | AZ |
| Internal Medicine | 207R00000X | P20421 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 121 |
|---|---|
| Services billed | 374 across 15 procedure codes |
| Paid by Medicare | $22,526 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,074 · 18,814 30-day fills |
|---|---|
| Patients | 697 |
| Total drug cost | $900,007 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
- Wellmed Medical Group PASan Antonio, TX · 646 clinicians
Other facilities
- Hana Care TexasHome health agency · Austin, TX
Industry payments (Open Payments)
- 2025$160.47 · 5 payments from 3 companies
- 2024$10,913 · 19 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $76.32 | 3 |
| Phathom Pharmaceuticals, Inc. | $43.55 | 1 |
| Biotronik Inc. | $40.60 | 1 |
What the 2025 payments were for
- Food and Beverage$116.92 · 4 payments
- Travel and Lodging$43.55 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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