Dr. Nihaal Prashant Karnik, MD

  • Plains Township, PA
  • Gastroenterologist
NPI1407384852PAC ID5294072054
Medicare services, 2024
92
Medicare patients, 2024
117
Part D claims, 2024
95
Hospital affiliations
3
Industry payments
$16,342
Practice address
1000 E Mountain Dr, Plains Township, PA 18702
Practice phone
Call (570) 826-7300
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Geisinger Wyoming Valley Medical Center

Plains Township, Pennsylvania

See all 6 affiliations

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Dr. Nihaal Prashant Karnik is a gastroenterologist in Plains Township, Pennsylvania

Dr. Karnik practices at Geisinger Wyoming Valley Medical Center in Plains Township, Pennsylvania.

Dr. Karnik's NPI, 1407384852, was assigned on May 30, 2017. Dr. Karnik holds Washington license MD61414810.

NPI and contact details
Medicare PAC ID
5294072054
NPI enumeration date
May 30, 2017
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(570) 826-7300
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
36
Medical school graduation
2016

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

Dr. Nihaal Prashant Karnik practices at Geisinger Wyoming Valley Medical Center in Plains Township, Pennsylvania

Dr. Karnik's primary practice is Geisinger Wyoming Valley Medical Center, at 1000 E Mountain Dr, Plains Township, PA 18702 in Luzerne County. The practice phone is (570) 826-7300.

  • Geisinger Wyoming Valley Medical Center
    1000 E Mountain Dr, Plains Township, PA 18702 · Luzerne CountyPhone(570) 826-7300

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Nihaal Prashant Karnik is affiliated with 4 sites of care and 2 medical groups

Dr. Karnik's primary practice is Geisinger Wyoming Valley Medical Center in Plains Township, Pennsylvania. Dr. Karnik is also affiliated with Geisinger Wyoming Valley Medical Center. The medical group on file is Geisinger. Dmand AI also links Dr. Karnik to 2 more hospitals and 1 medical group, each named with a free account.

See all 6 affiliations for Dr. Karnik

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Nihaal Prashant Karnik's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Karnik practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Geisinger Wyoming Valley Medical CenterAvailable with a free account
+3 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Nihaal Prashant Karnik is one of 899 gastroenterologists in Pennsylvania

Gastroenterology is Dr. Karnik's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Dmand AI has Dr. Karnik's licenses on file in 2 states: Washington and Pennsylvania.

Specialties and state licenses

  • Gastroenterology, WashingtonPrimaryLicense MD61414810 · taxonomy 207RG0100X
  • Internal medicine, PennsylvaniaLicense MT213556 · taxonomy 207R00000X

Gastroenterologists near Dr. Karnik

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

899gastroenterologists in Pennsylvania
6gastroenterologists in Plains Township

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

Dr. Nihaal Prashant Karnik billed Medicare for 92 services in 2024

CMS data shows 92 Medicare services from Dr. Karnik across 5 procedure codes in 2024, for 117 Medicare patients. Medicare paid $6,994 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 202492
Medicare patients117
Paid by Medicare$6,994
Procedure codes5

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

  • 2023
  • 2024
Office and hospital visits
2023: 452024: 5318%
Surgery
2023: 02024: 39

Dr. Karnik compared with the Pennsylvania median for gastroenterologists, 2024

  • Dr. Karnik
  • Pennsylvania median
Medicare services
92vs 40177% below
Medicare patients
117vs 29460% below
Part D claims
49vs 37587% below

Medians across 899 gastroenterologists in Pennsylvania with Dmand AI profiles that report each measure.

Dr. Karnik'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.

See all procedures by Dr. Karnik

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

Dr. Nihaal Prashant Karnik treated 117 Medicare patients in 2024, average age 75

CMS counts 117 Medicare patients who saw Dr. Karnik in 2024. The largest group is 75 to 84, with 44 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 21% are also on Medicaid. Their average risk score is 1.91, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Karnik's median patient age at 74, with 63% women.

Medicare patients, 2024117
Average age75
Average risk score1.91
Also on Medicaid21%

Dr. Karnik's Medicare patients by age, 2024

Dr. Karnik's Medicare patients by sex, 2024

  • Women6757%
  • Men5043%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis49%
  4. Ischemic heart disease45%
  5. Anxiety41%
  6. Chronic kidney disease40%
  7. Mood disorders36%
  8. Diabetes35%

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

Dr. Karnik's patients across all payers

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

Patient panel by age, all payers

Median age 74

Patient panel by sex, all payers

  • Women63%
  • Men37%

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

Dr. Nihaal Prashant Karnik wrote 95 Medicare Part D claims in 2024

In 2024, Dr. Karnik wrote 95 Medicare Part D claims for 63 patients. 88% of them were for generic drugs. CMS names the drug for 49 of them, across 3 drugs with 11 or more claims each, at $652 in total drug cost. In 2023, CMS named 51 claims across 3 drugs.

Part D claims, 202495
Drugs named by CMS3
Total drug cost$652
Part D patients63

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

  • Generic84 claims88%
  • Brand-name11 claims12%

Dr. Karnik'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. Karnik's Part D claims, 2024

  • Antibiotics17%16 of 95 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: 512024: 494%

Drugs named by CMS: 3 in 2024, 3 in 2023.

See all prescribing by Dr. Karnik

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. Nihaal Prashant Karnik ranks in the 94th percentile for upper gastrointestinal (gi) endoscopy for acid reflux in Medicare

Dr. Karnik accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 259 procedures of upper gastrointestinal (gi) endoscopy for acid reflux by Dr. Karnik, more than 94% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Where Dr. Karnik ranks in Medicare procedure volume

Upper gastrointestinal (GI) endoscopy for acid reflux
94th percentile259 procedures
Colonoscopy
72nd percentile73 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. Nihaal Prashant Karnik received $16,342 in industry payments from 2018 to 2025

CMS Open Payments shows 32 general payments to Dr. Karnik from 10 drug and device companies from 2018 to 2025. Grants make up the largest share, 76% of the total. Boston Scientific Corporation paid the most, $13,400.

General payments to Dr. Karnik by program year, 2018 to 2025

General payments to Dr. Karnik by kind, 2018 to 2025

$16.3Kin total
  • Grants$12,50076%
  • Food and beverage$2,25514%
  • Travel and lodging$1,4879%
  • Education$1001%

Companies that paid Dr. Karnik the most, 2018 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Karnik

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

Sources for Dr. Nihaal Prashant Karnik'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 phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand 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)
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. Nihaal Prashant Karnik

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. Nihaal Prashant Karnik's NPI number?

Dr. Nihaal Prashant Karnik's NPI number is 1407384852. It was assigned on May 30, 2017, and it is active in the NPI Registry.

What kind of doctor is Dr. Nihaal Prashant Karnik?

Dr. Nihaal Prashant Karnik is a gastroenterologist in Plains Township, Pennsylvania. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).

Where does Dr. Nihaal Prashant Karnik practice?

Dr. Karnik practices at 1000 E Mountain Dr, Plains Township, PA 18702. Dr. Karnik's primary practice is Geisinger Wyoming Valley Medical Center in Plains Township, Pennsylvania. Dmand AI also links Dr. Karnik to 2 hospitals and 1 medical group.

What is Dr. Nihaal Prashant Karnik's office phone number?

The practice phone on file for Dr. Karnik is (570) 826-7300.

What is Dr. Nihaal Prashant Karnik's medical license number?

Dr. Karnik holds Washington license MD61414810, one of the licenses on file in 2 states.

Which states has Dr. Nihaal Prashant Karnik been licensed in?

Dmand AI has state licenses on file for Dr. Karnik in Washington and Pennsylvania.

Which hospitals is Dr. Nihaal Prashant Karnik affiliated with?

Dr. Karnik is affiliated with Geisinger Wyoming Valley Medical Center. Dmand AI links Dr. Karnik to 2 more hospitals.

What medical group is Dr. Nihaal Prashant Karnik part of?

Dr. Karnik is linked to Geisinger. Dmand AI links Dr. Karnik to 1 more medical group.

Does Dr. Nihaal Prashant Karnik accept Medicare?

Yes. CMS data shows Dr. Karnik billed Medicare for 92 services in 2024, and Dr. Karnik accepts Medicare assignment.

How many Medicare patients does Dr. Nihaal Prashant Karnik see?

CMS counts 117 Medicare patients who saw Dr. Karnik in 2024, with an average age of 75.

Show 4 more questionsShow fewer questions

What services does Dr. Nihaal Prashant Karnik bill to Medicare?

In 2024, Dr. Karnik's most billed Medicare services were surgery: digestive system (43239), hospital inpatient care (99222) and hospital inpatient care (99232).

What drugs does Dr. Nihaal Prashant Karnik prescribe most?

In 2024 Medicare Part D data, Dr. Karnik's most prescribed drugs by claims were Omeprazole, Peg 3350-Electrolyte and Levofloxacin.

Has Dr. Nihaal Prashant Karnik received payments from drug or device companies?

CMS Open Payments shows $16,342 in general payments to Dr. Karnik from 10 companies from 2018 to 2025. The largest total came from Boston Scientific Corporation.

How long has Dr. Nihaal Prashant Karnik been practicing?

Dr. Karnik graduated from medical school in 2016, 10 years ago.

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