Dr. Sudhir K. Agarwal, MD

  • Hackettstown, NJ
  • Gastroenterologist
NPI1215006275PAC ID9537116744
Medicare services, 2024
1,325
Medicare patients, 2024
727
Part D claims, 2024
1,639
Hospital affiliations
3
Industry payments
$1,323
Practice address
57 Route 46, Suite 104, Hackettstown, NJ 07840
Practice phone
Call (908) 813-9600
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Emmaus Surgical Center

Surgery Center - Medicare-Certified · Hackettstown, New Jersey

See all 6 affiliations

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Dr. Sudhir K. Agarwal is a gastroenterologist in Hackettstown, New Jersey

Dr. Agarwal practices at Emmaus Surgical Center in Hackettstown, New Jersey.

Dr. Agarwal's NPI, 1215006275, was assigned on November 6, 2006. Dr. Agarwal graduated from Sawai Man Singh Medical College in 1983. Dr. Agarwal's New Jersey license number on file is MA 54139.

NPI and contact details
Medicare PAC ID
9537116744
NPI enumeration date
November 6, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(908) 813-9600
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
66
Medical school graduation
1983

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Sudhir K. Agarwal practices at Emmaus Surgical Center in Hackettstown, New Jersey

Dr. Agarwal's primary practice is Emmaus Surgical Center, at 57 Route 46, Suite 104, Hackettstown, NJ 07840. The practice phone is (908) 813-9600.

  • Emmaus Surgical Center
    57 Route 46, Suite 104, Hackettstown, NJ 07840Phone(908) 813-9600

Source: Dmand AI Affiliation Data

Dr. Sudhir K. Agarwal is affiliated with 5 sites of care and 1 medical group

Dr. Agarwal's primary practice is Emmaus Surgical Center in Hackettstown, New Jersey. Dr. Agarwal is also affiliated with Hackettstown Medical Center. The medical group on file is Advocare. Dmand AI also links Dr. Agarwal to 2 more hospitals and 1 group practice or clinic, each named with a free account.

See all 6 affiliations for Dr. Agarwal

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Sudhir K. Agarwal's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Agarwal practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Emmaus Surgical CenterAvailable with a free account
+4 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Sudhir K. Agarwal is one of 691 gastroenterologists in New Jersey

Gastroenterology is Dr. Agarwal's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Dr. Agarwal is board certified in gastroenterology by the American Board of Internal Medicine. Dmand AI has Dr. Agarwal's licenses on file in 3 states: New Jersey, Florida and New York.

Specialties and state licenses

  • Gastroenterology, New JerseyPrimaryLicense MA 54139 · 1989 to 2025 · taxonomy 207RG0100X
  • Florida license1993 to 2000
  • New York license1991 to 1998

Clinical focus

Dmand AI lists acid reflux, acute gastroduodenitis, chronic inflammatory bowel disease (IBD), cirrhosis of the liver, colonoscopy, gastroenteritis, gastrointestinal bleeding and gastrointestinal inflammation among the conditions Dr. Agarwal treats.

Gastroenterologists near Dr. Agarwal

Counts of gastroenterologists with a Dmand AI profile, by place and practice. Each opens the list.

691gastroenterologists in New Jersey
3gastroenterologists in Hackettstown

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Sudhir K. Agarwal billed Medicare for 1,325 services in 2024

CMS data shows 1,325 Medicare services from Dr. Agarwal across 12 procedure codes in 2024, for 727 Medicare patients. Medicare paid $135,773 for them.

Medicare services, 20241,325
Medicare patients727
Paid by Medicare$135,773
Procedure codes12

Dr. Agarwal's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1,1542024: 99014%
Surgery
2023: 3692024: 29121%
Other services
2023: 332024: 4433%

Where Dr. Agarwal's Medicare services took place, 2024

  • In an office92370%
  • In a facility40230%

Dr. Agarwal compared with the New Jersey median for gastroenterologists, 2024

  • Dr. Agarwal
  • New Jersey median
Medicare services
1,325vs 68593% above
Medicare patients
727vs 37594% above
Part D claims
1,511vs 6112.5 times

Medians across 674 gastroenterologists in New Jersey with Dmand AI profiles that report each measure.

Dr. Agarwal's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Sudhir K. Agarwal treated 727 Medicare patients in 2024, average age 74

CMS counts 727 Medicare patients who saw Dr. Agarwal in 2024. The largest group is 65 to 74, with 391 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 4% are also on Medicaid. Their average risk score is 1.05, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Agarwal's median patient age at 61, with 55% women.

Medicare patients, 2024727
Average age74
Average risk score1.05
Also on Medicaid4%

Dr. Agarwal's Medicare patients by age, 2024

Dr. Agarwal's Medicare patients by sex, 2024

  • Women43560%
  • Men29240%

Chronic conditions among Dr. Agarwal's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis43%
  4. Ischemic heart disease37%
  5. Diabetes26%
  6. Anxiety22%
  7. Osteoporosis22%
  8. Chronic kidney disease21%

Share of Medicare patients with each condition. A patient can have several.

Dr. Agarwal's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 61

Patient panel by sex, all payers

  • Women55%
  • Men43%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Sudhir K. Agarwal wrote 1,639 Medicare Part D claims in 2024

In 2024, Dr. Agarwal wrote 1,639 Medicare Part D claims for 689 patients. 89% of them were for generic drugs. CMS names the drug for 1,511 of them, across 17 drugs with 11 or more claims each, at $177,602 in total drug cost. In 2023, CMS named 1,459 claims across 22 drugs.

Part D claims, 20241,639
Drugs named by CMS17
Total drug cost$177,602
Part D patients689

Dr. Agarwal's Part D claims by kind of drug, 2024

  • Generic1,466 claims89%
  • Brand-name173 claims11%

Dr. Agarwal's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Agarwal's Part D claims, 2024

  • Antibiotics6%105 of 1,639 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,4592024: 1,5114%

Drugs named by CMS: 17 in 2024, 22 in 2023.

See all prescribing by Dr. Agarwal

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Sudhir K. Agarwal ranks in the 97th percentile for colonoscopy in Medicare

Dr. Agarwal accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 268 procedures of colonoscopy by Dr. Agarwal, more than 97% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Where Dr. Agarwal ranks in Medicare procedure volume

Colonoscopy
97th percentile268 procedures
Upper gastrointestinal (GI) endoscopy for acid reflux
77th percentile104 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)

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Dr. Sudhir K. Agarwal received $1,323 in industry payments from 2016 to 2025

CMS Open Payments shows 21 general payments to Dr. Agarwal from 12 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 99% of the total. Abbvie Inc. paid the most, $413.

General payments to Dr. Agarwal by program year, 2016 to 2025

General payments to Dr. Agarwal by kind, 2016 to 2025

$1.3Kin total
  • Food and beverage$1,30499%
  • Education$181%

Companies that paid Dr. Agarwal the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Agarwal

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Sudhir K. Agarwal graduated from Sawai Man Singh Medical College

Dr. Agarwal graduated from Sawai Man Singh Medical College in 1983.

  1. Medical schoolSawai Man Singh Medical College
  2. Board certified in gastroenterologyAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Sudhir K. Agarwal accepts plans from 12 insurance carriers

Dr. Agarwal is in network with 12 carriers, including Aetna, Elevance and United Healthcare. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • United Healthcare
  • Cigna
  • Horizon Blue Cross Blue Shield of New Jersey
  • Blue Cross Blue Shield of Massachusetts
  • Blue Cross Blue Shield of Michigan
  • HCSC
  • +4 more carriersWith a free account

Plan types Dr. Agarwal accepts, by number of carriers

  1. Medicare9
  2. PPO9
  3. HMO6
  4. POS4
  5. EPO3

Source: Dmand AI Insurance Network Data

Sources for Dr. Sudhir K. Agarwal's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Sudhir K. Agarwal

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Sudhir K. Agarwal's NPI number?

Dr. Sudhir K. Agarwal's NPI number is 1215006275. It was assigned on November 6, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Sudhir K. Agarwal?

Dr. Sudhir K. Agarwal is a gastroenterologist in Hackettstown, New Jersey. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).

Where does Dr. Sudhir K. Agarwal practice?

Dr. Agarwal practices at 57 Route 46, Suite 104, Hackettstown, NJ 07840. Dr. Agarwal's primary practice is Emmaus Surgical Center in Hackettstown, New Jersey. Dmand AI also links Dr. Agarwal to 2 hospitals and 1 group practice or clinic.

What is Dr. Sudhir K. Agarwal's office phone number?

The practice phone on file for Dr. Agarwal is (908) 813-9600.

What is Dr. Sudhir K. Agarwal's medical license number?

Dr. Agarwal's New Jersey license number on file is MA 54139, one of the licenses on file in 3 states.

Which states has Dr. Sudhir K. Agarwal been licensed in?

Dmand AI has state licenses on file for Dr. Agarwal in New Jersey (1989 to 2025), Florida (1993 to 2000) and New York (1991 to 1998).

Which hospitals is Dr. Sudhir K. Agarwal affiliated with?

Dr. Agarwal is affiliated with Hackettstown Medical Center. Dmand AI links Dr. Agarwal to 2 more hospitals.

What medical group is Dr. Sudhir K. Agarwal part of?

Dr. Agarwal is linked to Advocare.

Does Dr. Sudhir K. Agarwal accept Medicare?

Yes. CMS data shows Dr. Agarwal billed Medicare for 1,325 services in 2024, and Dr. Agarwal accepts Medicare assignment.

How many Medicare patients does Dr. Sudhir K. Agarwal see?

CMS counts 727 Medicare patients who saw Dr. Agarwal in 2024, with an average age of 74.

Show 7 more questionsShow fewer questions

Is Dr. Sudhir K. Agarwal board certified?

Yes. Dr. Agarwal is board certified in gastroenterology by the American Board of Internal Medicine.

What services does Dr. Sudhir K. Agarwal bill to Medicare?

In 2024, Dr. Agarwal's most billed Medicare services were office visit, established patient (99213), office visit, new patient (99203) and surgery: digestive system (45385).

Where did Dr. Sudhir K. Agarwal go to medical school?

Dr. Agarwal graduated from Sawai Man Singh Medical College in 1983.

What drugs does Dr. Sudhir K. Agarwal prescribe most?

In 2024 Medicare Part D data, Dr. Agarwal's most prescribed drugs by claims were Pantoprazole Sodium, Sod Sulf-Potass Sulf-Mag Sulf and Famotidine.

Has Dr. Sudhir K. Agarwal received payments from drug or device companies?

CMS Open Payments shows $1,323 in general payments to Dr. Agarwal from 12 companies from 2016 to 2025. The largest total came from Abbvie Inc.

How long has Dr. Sudhir K. Agarwal been practicing?

Dr. Agarwal graduated from medical school in 1983, 43 years ago.

What insurance does Dr. Sudhir K. Agarwal accept?

Dr. Agarwal is in network with 12 carriers, including Aetna, Elevance and United Healthcare. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

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