NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1164600623 MD
Verify on CMS → Akhil Vallabhaneni, MD
Pulmonary Disease Physician in Canton, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,323 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 208 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
0%
generic claims · 56% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.2/100
▼ 11 pts below national avg 83.5 · Mid-tier
Industry payments
$662.24
34 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Akhil Vallabhaneni, MD reported a CMS MIPS final score of 72.2/100 - below the 83.5 national average - and filed 1,293 Medicare Part D claims in 2023.
- 72.2/100
- MIPS score · -11 vs avg
- 1K
- Part D claims, 2023
- 0%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Akhil Vallabhaneni, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
72 ≥ 10th percentile 10% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Akhil Vallabhaneni, MD sits
This provider among pulmonary disease physician peers
Across the 2,467 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Akhil Vallabhaneni, MD writes more Part D claims than 58% of them and scores higher on MIPS quality than 13% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Akhil Vallabhaneni, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Akhil Vallabhaneni, 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).
What does the federal data show about Akhil Vallabhaneni, MD?
Below national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
1,293 11% vs specialty avg
MIPS final score
72.2/100 11.3 pts vs avg
Specialty distribution in Georgia
How Pulmonary Disease Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Akhil Vallabhaneni, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 72.2/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 72.2/100 vs national avg 83.5
How MIPS and board certification work
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).
Akhil Vallabhaneni, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 460 NORTHSIDE CHEROKEE BLVD STE 130, Canton, GA, 30115, with a listed phone of (678) 493-2527. NPI 1164600623 was issued on 02/07/2008.
Medicare Part D records for calendar year 2023 show 1,293 prescription claims written by this provider, covering 208 Medicare beneficiaries and totaling roughly $551K in drug spend, split 56% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 72.2/100 for the 2023 performance year (Quality 68.8, Cost 51.1), compared with the 83.5 average among clinicians with a measured score.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,323 enrolled providers across 53 states and an average of 1,457 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
Provider Details
| NPI | 1164600623 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/07/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
72.1872
Final Score
Measured-score avg: 83.5
68.755
Quality
51.0591
Cost
76
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Akhil Vallabhaneni, 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.
Northside Primary Care Professional Services,llc
Suwanee, GA
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 Akhil Vallabhaneni, MD. Source: openpaymentsdata.cms.gov.
Total received
$662
Largest payer
AstraZeneca Pharmaceuticals LP
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 · Brand-heavy
Akhil Vallabhaneni, MD - brand share 56.0%
Pulmonary Disease Physician average
56% brand-name claims vs 0% generic, on 1,293 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.
1,293
Total Claims
$551K
Total Drug Cost
208
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,680
- Total Day Supply
- 45,557
- Brand vs Generic
- 56% brand / 0% generic
- Brand Drug Cost
- $528K
- Antibiotic Claims
- 71
Patient Demographics
- Average Patient Age
- 73.4 years
- Avg HCC Risk Score
- 1.70
- Gender Split
- 63% female / 38% male
- Age Distribution
- <65: 19, 65-74: 94, 75-84: 82, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Akhil Vallabhaneni, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
171 claims
- Trelegy Ellipta
Trelegy Ellipta
151 claims
- Breo Ellipta
Breo Ellipta
124 claims
- Prednisone
Prednisone
82 claims
- Symbicort
Symbicort
78 claims
- Montelukast Sodium
Montelukast Sodium
76 claims
- Azelastine Hcl 43
Azelastine Hcl
43 claims
- Azithromycin 43
Azithromycin
43 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 171 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 151 |
| Breo Ellipta Fluticasone/Vilanterol | 124 |
| Prednisone | 82 |
| Symbicort Budesonide/Formoterol Fumarate | 78 |
| Montelukast Sodium | 76 |
| Azelastine Hcl | 43 |
| Azithromycin | 43 |
| Zolpidem Tartrate | 40 |
| Roflumilast | 35 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Akhil Vallabhaneni, MD fits within the Pulmonary Disease Physician landscape nationally.
9,323
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Akhil Vallabhaneni, MD's 1,293 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Vallabhaneni.
Dr. Israel Acosta Sanchez
M.D.
Augusta, GA
Dr. Samuel Aguayo
M.D.
Decatur, GA
Dr. Masood Ahmed
M. D.
Savannah, GA
Dr. Sisir Akkineni
M.D.
Atlanta, GA
Dr. Igor Aksenov
M.D.
Savannah, GA
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Akhil Vallabhaneni, MD's specialty? ▼
Akhil Vallabhaneni, MD specializes in Pulmonary Disease Physician and practices in Canton, Georgia. Credentials: MD.
How much does Akhil Vallabhaneni, MD prescribe under Medicare Part D? ▼
In 2023, Akhil Vallabhaneni, MD wrote 1,293 Medicare Part D claims totaling $551K in drug costs for 208 beneficiaries.
What is Akhil Vallabhaneni, MD's Medicare quality score? ▼
Akhil Vallabhaneni, MD has a CMS MIPS Final Score of 72.2/100 (Quality: 68.8, Cost: 51.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Akhil Vallabhaneni, MD located? ▼
Akhil Vallabhaneni, MD is located at 460 NORTHSIDE CHEROKEE BLVD STE 130, Canton, GA, 30115. Phone: (678) 493-2527.
What is Akhil Vallabhaneni, MD's NPI number? ▼
Akhil Vallabhaneni, MD's National Provider Identifier (NPI) is 1164600623, issued on 02/07/2008.
Does Akhil Vallabhaneni, MD prescribe more brand-name or generic drugs? ▼
Akhil Vallabhaneni, MD's prescribing is 56% brand-name and 0% generic drugs by claim count, with $528K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,323 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Akhil Vallabhaneni, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Akhil Vallabhaneni, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Breo Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Akhil Vallabhaneni, MD accept Medicare? ▼
Akhil Vallabhaneni, MD appears in CMS Medicare data with 1,293 Part D claims and 208 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Akhil Vallabhaneni, MD's credentials? ▼
Akhil Vallabhaneni, MD's NPI is 1164600623 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.