2026 NPPES data Rheumatology Physician NPI 1407816986 MD
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AKAVARAM REDDY, MD

Rheumatology Physician in BELFAST, Maine. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 304 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.858/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$13.41
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: AKAVARAM REDDY, MD is a Rheumatology Physician ([object Object]) practicing in BELFAST, Maine with a Medicare Part D prescribing footprint of 1K claims across 304 beneficiaries — 23% brand-name prescribing . Their CMS MIPS Final Score of 78.858/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $13.41 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: AKAVARAM REDDY, MD reported a CMS MIPS final score of 78.858 out of 100, below the 83.1 national average, and filed 1,020 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

AKAVARAM REDDY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

AKAVARAM REDDY, MD at a glance

Near national average

NPI registry status

Active

Issued 03/27/2006

NPI 1407816986

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

1,020 50% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

78.858/100 4.24199999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maine

How Rheumatology Physician compares to other specialties among Maine providers

Maine providers

Rheumatology Physician share within Maine

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within Maine

Medicare quality performance — MIPS

AKAVARAM REDDY, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average

Near national average
MIPS Final Score
78.858/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 78.858/100 vs national avg 83.1

0%100%National avg83%78.9%
MIPS final score (Rheumatology Physician) — 78.858/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

AKAVARAM REDDY, MD is a Rheumatology Physician provider practicing in BELFAST, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1407816986. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

AKAVARAM REDDY, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 116 NORTHPORT AVE STE 220, BELFAST, ME, 04915, with a listed phone of (207) 505-4015. NPI 1407816986 was issued on 03/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what REDDY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,020 prescription claims written by this provider, covering 304 Medicare beneficiaries and totaling roughly $929K in drug spend, split 23% brand-name and 77% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.858/100 for the 2023 performance year (Quality 81.5861, Cost 47.9407), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

116 NORTHPORT AVE STE 220
BELFAST, ME 04915

Provider Details

NPI 1407816986
Specialty Rheumatology Physician
Credentials MD
Gender Male
NPI Issued 03/27/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

78.858
Final Score
Avg: 83.1
81.5861
Quality
47.9407
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where AKAVARAM REDDY, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MINIDOKA MEMORIAL HOSPITAL
RUPERT, ID
Critical Access Hospitals
CMS CCN: 131319

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for AKAVARAM REDDY, MD. Source: openpaymentsdata.cms.gov.

Total received

$13

Largest payer

Novo Nordisk Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

AKAVARAM REDDY, MD — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 1,020 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,020
Total Claims
$929K
Total Drug Cost
304
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,927
Total Day Supply
56,250
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$888K
Generic Drug Cost
$41K

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.34
Gender Split
70% female / 30% male
Age Distribution
<65: 60, 65-74: 152, 75-84: 76, 85+: 16

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Hydroxychloroquine Sulfate
200
Prednisone
151
Methotrexate
Methotrexate Sodium
122
Cevimeline Hcl
55
Alendronate Sodium
52
Diclofenac Sodium
39
Sulfasalazine
39
Pilocarpine Hcl
38
Enbrel Sureclick
Etanercept
33
Rinvoq
Upadacitinib
26

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Rheumatology Physician Overview

How AKAVARAM REDDY, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

AKAVARAM REDDY, MD's 1,020 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Maine

Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as REDDY.

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is AKAVARAM REDDY, MD's specialty?
AKAVARAM REDDY, MD specializes in Rheumatology Physician and practices in BELFAST, Maine. Credentials: MD.
How much does AKAVARAM REDDY, MD prescribe under Medicare Part D?
In 2023, AKAVARAM REDDY, MD wrote 1,020 Medicare Part D claims totaling $929K in drug costs for 304 beneficiaries.
What is AKAVARAM REDDY, MD's Medicare quality score?
AKAVARAM REDDY, MD has a CMS MIPS Final Score of 78.858/100 (Quality: 81.5861, Cost: 47.9407). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is AKAVARAM REDDY, MD located?
AKAVARAM REDDY, MD is located at 116 NORTHPORT AVE STE 220, BELFAST, ME, 04915. Phone: (207) 505-4015.
What is AKAVARAM REDDY, MD's NPI number?
AKAVARAM REDDY, MD's National Provider Identifier (NPI) is 1407816986, issued on 03/27/2006.
Does AKAVARAM REDDY, MD prescribe more brand-name or generic drugs?
AKAVARAM REDDY, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $888K in brand drug costs.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does AKAVARAM REDDY, MD prescribe most often?
Based on 2023 Medicare Part D data, AKAVARAM REDDY, MD's most frequently prescribed drugs include Hydroxychloroquine Sulfate, Prednisone, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does AKAVARAM REDDY, MD accept Medicare?
AKAVARAM REDDY, MD appears in CMS Medicare data with 1,020 Part D claims and 304 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AKAVARAM REDDY, MD's credentials?
AKAVARAM REDDY, MD's NPI is 1407816986 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology