Dr. Rupal Kothari , DO
Internal Medicine - Gastroenterology • Malvern, PA
325 Central Ave, 2nd Floor
Malvern, PA 193553265
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dr. Rupal Kothari is listed in NPPES under Internal Medicine - Gastroenterology.
-
NPI assigned on February 28, 2006; this date does not establish years in practice.
-
Published CMS data list 5,593 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- J3380 — Injection, vedolizumab, intravenous, 1 mg: 4,500 service units.
- 45385 — Removal of polyps or growths of large bowel using an endoscope with mechanical snare: 255 service units.
- 99231 — Subsequent hospital care with straightforward or low level of medical decision making, per day: 143 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 17 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 642 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Omeprazole — 185 prescription fills, including refills.
- Pantoprazole Sodium — 157 prescription fills, including refills.
- Famotidine — 46 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 16 records in the table · Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 60% of clinicians listed under Internal Medicine - Gastroenterology in Malvern, PA (2024, 11 clinicians with data). Median for this group: 4,834. Middle half: 668 to 5,829.
More Medicare Part B services than 95% of clinicians listed under Internal Medicine - Gastroenterology in Pennsylvania (2024, 745 clinicians with data). Median for this group: 466. Middle half: 255 to 805.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 4,854 in 2020 to 5,593 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
325 Central Ave
2nd Floor
Malvern, PA 193553265
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Regional Gastroenterology Associates Of Lancaster, Ltd.. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Philadelphia College Of Osteopathic Medicine
1997
What Public CMS Data Show
Internal Medicine - Gastroenterology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
721 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $248,505 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $200,445 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
1,399 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$919,130 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $10,979.22 across 114 records.
By nature of payment
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program: $8,550.00 across 5 records.
- Food and Beverage: $2,429.22 across 109 records.
Reporting-company totals (3 largest of 21)
- ABBVIE INC.: $9,062.53 across 26 records.
- Janssen Pharmaceuticals, Inc: $376.80 across 18 records.
- Takeda Pharmaceuticals U.S.A., Inc.: $343.70 across 15 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
29 years (graduated 1997)
CMS Doctors and Clinicians data list 1997 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Kothari has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Kothari as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Malvern and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Internal Medicine - Gastroenterology in Malvern, PA (2024, 11 clinicians with data). Median for this group: 4,834. Middle half: 668 to 5,829.
More Medicare Part B services than 95% of clinicians listed under Internal Medicine - Gastroenterology in Pennsylvania (2024, 745 clinicians with data). Median for this group: 466. Middle half: 255 to 805.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Internal Medicine - Gastroenterology in Malvern, PA (2024, 11 clinicians with data). Median for this group: $137,393. Middle half: $85,816 to $234,207.
A higher Medicare-allowed amount than 95% of clinicians listed under Internal Medicine - Gastroenterology in Pennsylvania (2024, 745 clinicians with data). Median for this group: $59,423. Middle half: $30,801 to $97,317.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Internal Medicine - Gastroenterology in Malvern, PA (2024, 11 clinicians with data). Median for this group: $111,058. Middle half: $68,726 to $188,957.
A higher Medicare payment amount than 95% of clinicians listed under Internal Medicine - Gastroenterology in Pennsylvania (2024, 745 clinicians with data). Median for this group: $46,644. Middle half: $23,860 to $75,378.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Internal Medicine - Gastroenterology in Malvern, PA (2024, 12 clinicians with data). Median for this group: 509. Middle half: 298 to 665.
More Part D prescriptions than 60% of clinicians listed under Internal Medicine - Gastroenterology in Pennsylvania (2024, 790 clinicians with data). Median for this group: 476. Middle half: 179 to 844.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Internal Medicine - Gastroenterology in Malvern, PA (2024, 12 clinicians with data). Median for this group: $102,422. Middle half: $29,677 to $971,503.
A higher Part D drug cost than 90% of clinicians listed under Internal Medicine - Gastroenterology in Pennsylvania (2024, 790 clinicians with data). Median for this group: $82,027. Middle half: $13,860 to $348,657.
14 active clinicians are listed under Internal Medicine - Gastroenterology with a practice address in Malvern, PA (1,050 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Malvern
0% of these 14 clinicians have the CMS telehealth indicator.
92.9% of these 14 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services increased 15% from 4,854 in 2020 to 5,593 in 2024.
- 2020: 4,854
- 2021: 1,087
- 2022: 7,151
- 2023: 6,089
- 2024: 5,593
-
Medicare-allowed amount
Medicare-allowed amount increased 21% from $205,734 in 2020 to $248,505 in 2024.
- 2020: $205,734
- 2021: $157,859
- 2022: $284,004
- 2023: $243,838
- 2024: $248,505
-
Paid by Medicare
Paid by Medicare increased 23% from $163,056 in 2020 to $200,445 in 2024.
- 2020: $163,056
- 2021: $125,893
- 2022: $224,646
- 2023: $195,134
- 2024: $200,445
-
Medicare Part D prescriptions
Medicare Part D prescriptions decreased 10% from 710 in 2020 to 642 in 2024.
- 2020: 710
- 2021: 738
- 2022: 680
- 2023: 557
- 2024: 642
-
30-day fills
30-day fills stayed about the same: 1,415 in 2020 and 1,399 in 2024.
- 2020: 1,415
- 2021: 1,516
- 2022: 1,378
- 2023: 1,245
- 2024: 1,399
-
Part D drug cost
Part D drug cost increased 425% from $174,994 in 2020 to $919,130 in 2024.
- 2020: $174,994
- 2021: $158,802
- 2022: $948,802
- 2023: $865,184
- 2024: $919,130
-
Industry payments (Open Payments)
Industry payments (Open Payments) increased 224% from $3,383.74 in 2021 to $10,979.22 in 2025.
- 2021: $3,383.74
- 2022: $9,469.02
- 2023: $8,866.75
- 2024: $19,333.21
- 2025: $10,979.22
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 114 records totaling $10,979.22.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
SKYRIZI | General | $2,375.00 |
| ABBVIE INC. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
RINVOQ | General | $2,375.00 |
| ABBVIE INC. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
SKYRIZI | General | $1,425.00 |
| ABBVIE INC. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
RINVOQ | General | $1,425.00 |
| ABBVIE INC. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
SKYRIZI | General | $950.00 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $121.60 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $100.70 |
| QOL Medical, LLC |
Food and Beverage
In-kind items and services
|
Sucraid | General | $44.17 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $39.00 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $37.10 |
| QOL Medical, LLC |
Food and Beverage
In-kind items and services
|
Sucraid | General | $36.37 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
|
ENTYVIO | General | $34.90 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $31.60 |
| QOL Medical, LLC |
Food and Beverage
In-kind items and services
|
Sucraid | General | $31.11 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $30.42 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $29.74 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
|
ENTYVIO | General | $29.68 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
|
ENTYVIO | General | $29.68 |
| Daiichi Sankyo Inc. |
Food and Beverage
In-kind items and services
|
INJECTAFER | General | $29.38 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $29.37 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $29.15 |
| Daiichi Sankyo Inc. |
Food and Beverage
In-kind items and services
|
INJECTAFER | General | $28.41 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $28.03 |
| QOL Medical, LLC |
Food and Beverage
In-kind items and services
|
Sucraid | General | $27.87 |
| QOL Medical, LLC |
Food and Beverage
In-kind items and services
|
Sucraid | General | $27.54 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J3380
Injection, vedolizumab, intravenous, 1 mg
|
4,500 | 13 | $60.00 | $22.09 |
|
45385
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
|
255 | 251 | $1025.00 | $255.14 |
|
99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
|
143 | 95 | $85.00 | $50.03 |
|
43239
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
|
118 | 114 | $645.00 | $100.03 |
|
99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
|
101 | 93 | $240.00 | $131.90 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
94 | 86 | $185.00 | $93.22 |
|
45380
Biopsy of large bowel using a flexible endoscope
|
67 | 66 | $875.00 | $107.52 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
67 | 62 | $270.00 | $131.11 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
56 | 38 | $120.00 | $79.29 |
|
99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
|
51 | 51 | $150.00 | $83.76 |
|
G0105
Colorectal cancer screening; colonoscopy on individual at high risk
|
44 | 44 | $750.00 | $172.83 |
|
43235
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
|
19 | 18 | $530.00 | $110.65 |
|
G0121
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
|
18 | 18 | $750.00 | $159.73 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
17 | 17 | $120.00 | $58.15 |
|
96365
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
|
16 | 14 | $325.00 | $57.52 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
15 | 15 | $410.00 | $161.86 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
12 | 12 | $270.00 | $114.83 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Omeprazole | Omeprazole | 185 | 13,566 | $2,255.50 | 57 |
| Pantoprazole Sodium | Pantoprazole Sodium | 157 | 11,177 | $1,694.51 | 55 |
| Famotidine | Famotidine | 46 | 3,357 | $544.39 | 15 |
| Mesalamine | Mesalamine | 32 | 1,920 | $16,128.63 | — |
| Linzess | Linaclotide | 31 | 2,490 | $42,151.38 | 13 |
| Stelara | Ustekinumab | 26 | 1,456 | $754,932.70 | — |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 23 | 246 | $207.30 | 18 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 20 | 1,620 | $523.70 | — |
| Metronidazole | Metronidazole | 18 | 201 | $92.53 | 17 |
| Lansoprazole | Lansoprazole | 17 | 693 | $235.71 | — |
| Balsalazide Disodium | Balsalazide Disodium | 16 | 405 | $748.24 | — |
| Cholestyramine | Cholestyramine (With Sugar) | 15 | 780 | $1,809.27 | — |
| Colesevelam Hcl | Colesevelam Hcl | 15 | 690 | $1,399.47 | — |
| Mesalamine Er | Mesalamine | 15 | 870 | $5,570.83 | — |
| Azathioprine | Azathioprine | 13 | 1,170 | $936.29 | — |
| Humira(Cf) Pen | Adalimumab | 13 | 364 | $89,899.55 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207RG0100X
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GASTROENTEROLOGY
I20100525001030
PA
9830113539
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Regional Gastroenterology Associates Of Lancaster, Ltd.
650 Carnegie Blvd, Malvern, PA 193558519
Phone: 6106446755
Regional Gastroenterology Associates Of Lancaster, Ltd.
2112 Harrisburg Pike, Lancaster, PA 176012644
Phone: 7178694600
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Gastroenterology
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Internal Medicine - Gastroenterology
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine - Gastroenterology
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant - Medical
Physician Assistant (Certified)
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated February 28, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Internal Medicine - Gastroenterology Specialists in Malvern
- Dr. Maura Barr, DO
- Dr. Norman Callahan, DO
- Dr. Takahiro Nakamura, MD
- Margaret Lewis
- Dr. Nicole Albert, DO
- Dr. Anil Sharma, MD
Mailing Address
Po Box 350
Sellersville, PA 189600350
Phone: 2157232333