PlainDoctor

2026 NPPES data Diagnostic Radiology Physician NPI 1053799585 M.D
Verify on CMS →

Alex Pavidapha, M.D

Diagnostic Radiology Physician in Reston, Virginia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,433 in Diagnostic Radiology 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
420
Medicare Part D claims · 149 beneficiaries · Diagnostic Radiology Physician avg: 68
MIPS score
80.8/100
▼ 3 pts below national avg 83.5 · Above neutral
Industry payments
$5.5K
15 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Alex Pavidapha, M.D reported a CMS MIPS final score of 80.8/100 - below the 83.5 national average - and filed 420 Medicare Part D claims in 2024.

80.8/100
MIPS score · -3 vs avg
420
Part D claims, 2024
Likely
board-certified (heuristic)
≥30th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Alex Pavidapha, M.D

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1053799585), first enumerated 05/17/2015.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 420 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 80.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $5.5K in reported industry payments (15 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1053799585 · Diagnostic Radiology Physician

NPI-10 · ENUM-MID · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1053799585
  • ENUM-MID 2015
  • TAX-MID 40K Diagnostic Radiology
  • MIPS-INLINE 80.8/100
  • RX-LIGHT 420
  • BOOK-LIGHT 1,030 in Virginia
  • PHOTO-FINISH Brennan Barrett, D.O. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Alex Pavidapha, M.D'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.

81 ≥ 30th percentile 30% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Alex Pavidapha, M.D sits

This provider among diagnostic radiology physician peers

Across the 945 diagnostic radiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Alex Pavidapha, M.D writes more Part D claims than 98% of them and scores higher on MIPS quality than 36% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100021.843.665.487.2Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 43Alex Pavidapha, M.D, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 36
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one diagnostic radiology physician peer from a representative sample of 60; the gold marker is Alex Pavidapha, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Alex Pavidapha, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Alex Pavidapha, M.D?

Near national average

NPI registry status

Active

Issued 05/17/2015

NPI 1053799585

Primary specialty

Diagnostic Radiology Physician

Mid-sized

40,433 US NPIs in this specialty

Medicare Part D claims

420 6× vs specialty avg

2024 prescription claims

Specialty avg: 68

MIPS final score

80.8/100 2.7 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Virginia

How Diagnostic Radiology Physician compares to other specialties among Virginia providers

Virginia providers
Behavior Technician5.5%Clinical Social Worker5.2%Student in an Organized Heal…4.7%Physical Therapist4.6%Pharmacist4.4%Professional Counselor4%Diagnostic Radiology Physici…0.7%
Largest specialties in Virginia (% of in-state providers)

Medicare quality performance, MIPS

Alex Pavidapha, M.D's 2023 MIPS final score plotted against the Diagnostic Radiology Physician national average

Near national average
MIPS Final Score
80.8/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%80.8%
MIPS final score (Diagnostic Radiology Physician) - 80.8/100 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).

Practice Address

1801 ROBERT FULTON DRIVE, SUITE 510
Reston, VA 20191
(703) 783-5355

Provider Details

NPI 1053799585
Specialty Diagnostic Radiology Physician
Credentials M.D
Gender Male
NPI Issued 05/17/2015

CMS Quality Score (MIPS)

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

80.826
Final Score
Measured-score avg: 83.5
61.6323
Quality
74.4545
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Alex Pavidapha, M.D 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.

Gastroenterology Associates OF Northern Virginia, LLC
Fairfax, VA
Potomac Urology Center, LLC
Falls Church, VA

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 Alex Pavidapha, M.D. Source: openpaymentsdata.cms.gov.

Total received

$5.5K

Largest payer

Merit Medical Systems 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

420
Total Claims
$2K
Total Drug Cost
149
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
424
Total Day Supply
2,486
Generic Drug Cost
$1K
Antibiotic Claims
139

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
1.14

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Alex Pavidapha, M.D prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
127
Methylprednisolone
 110
Famotidine
 82
Ibuprofen
 59
Prednisone
 13

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

More Diagnostic Radiology Physician in VA → All providers in Virginia → Compare specialties →

Diagnostic Radiology Physician Overview

How Alex Pavidapha, M.D fits within the Diagnostic Radiology Physician landscape nationally.

40,433
Diagnostic Radiology Physician Providers in US
56
States with Diagnostic Radiology Physician
68
Avg Claims per Provider

Alex Pavidapha, M.D's 420 claims are above the specialty average of 68.

Nationwide Diagnostic Radiology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Pavidapha, both outside Virginia so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (80.8 here).

Brennan Barrett 80.8 IL Joseph Carre 80.8 IL David De Bruin 80.8 IA Erica Guzalo 80.8 IL

Same NPPES enumeration year (2015)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

David Kimball Urbana, IL Nicholas Voutsinas Nashville, TN David Ballard Saint Louis, MO Laura Cadogan Burlington, MA

Nearby Diagnostic Radiology Physician Providers in Virginia

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

One of 1,030 Diagnostic Radiology Physician providers enrolled in Virginia, 5 are shown here.

Dr. Jessica Abbott
D.O.
Hampton, VA
David Abdullah
Charlottesville, VA
Dr. Monica Abghari
M.D.
Fairfax, VA
Dr. Nathaniel Adamson
M.D.
Harrisonburg, VA
Dr. Raghav Agarwal
MD
Richmond, VA

Compare Diagnostic Radiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Alex Pavidapha, M.D's specialty? ▼
Alex Pavidapha, M.D specializes in Diagnostic Radiology Physician and practices in Reston, Virginia. Credentials: M.D.
How much does Alex Pavidapha, M.D prescribe under Medicare Part D? ▼
In 2024, Alex Pavidapha, M.D wrote 420 Medicare Part D claims totaling $2K in drug costs for 149 beneficiaries.
What is Alex Pavidapha, M.D's Medicare quality score? ▼
Alex Pavidapha, M.D has a CMS MIPS Final Score of 80.8/100 (Quality: 61.6, Cost: 74.5). 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 Alex Pavidapha, M.D located? ▼
Alex Pavidapha, M.D is located at 1801 ROBERT FULTON DRIVE, SUITE 510, Reston, VA, 20191. Phone: (703) 783-5355.
What is Alex Pavidapha, M.D's NPI number? ▼
Alex Pavidapha, M.D's National Provider Identifier (NPI) is 1053799585, issued on 05/17/2015.
How many Diagnostic Radiology Physician providers are there in the US? ▼
There are 40,433 Diagnostic Radiology Physician providers across 56 states in the US. The average Diagnostic Radiology Physician provider writes 68 Medicare Part D claims per year.
What drugs does Alex Pavidapha, M.D prescribe most often? ▼
Based on 2024 Medicare Part D data, Alex Pavidapha, M.D's most frequently prescribed drugs include Sulfamethoxazole-Trimethoprim, Methylprednisolone, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Alex Pavidapha, M.D accept Medicare? ▼
Alex Pavidapha, M.D appears in CMS Medicare data with 420 Part D claims and 149 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Alex Pavidapha, M.D's credentials? ▼
Alex Pavidapha, M.D's NPI is 1053799585 with credentials M.D. 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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

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 August 2026.