2026 NPPES data Diagnostic Radiology Physician NPI 1053799585 M.D
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ALEX PAVIDAPHA, M.D

Diagnostic Radiology Physician in RESTON, Virginia. 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
386
Medicare Part D claims · 118 beneficiaries · Diagnostic Radiology Physician avg: 63
MIPS score
80.826/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$5.5K
15 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ALEX PAVIDAPHA, M.D reported a CMS MIPS final score of 80.826/100 — below the 83.1 national average — and filed 386 Medicare Part D claims in 2023.

80.826/100
MIPS score · -2 vs avg
386
Part D claims, 2023
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.

ALEX PAVIDAPHA, M.D's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

81 33rd percentile higher than 33% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 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

39,474 US NPIs in this specialty

Medicare Part D claims

386 513% vs specialty avg

2023 prescription claims

Specialty avg: 63

MIPS final score

80.826/100 2.274000000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Diagnostic Radiology Physician compares to other specialties among Virginia providers

Virginia providers

Diagnostic Radiology Physician share within Virginia

1. Diagnostic Radiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Diagnostic Radiology Physician share within Virginia

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
80.826/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Diagnostic Radiology Physician) — 80.826/100 vs national avg 83.1

0%100%National avg83%80.8%
MIPS final score (Diagnostic Radiology Physician) — 80.826/100 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).

ALEX PAVIDAPHA, M.D appears in the CMS NPPES registry as a Diagnostic Radiology Physician provider holding M.D credentials at 1801 ROBERT FULTON DRIVE, SUITE 510, RESTON, VA, 20191, with a listed phone of (703) 783-5355. NPI 1053799585 was issued on 05/17/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PAVIDAPHA 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 386 prescription claims written by this provider, covering 118 Medicare beneficiaries and totaling roughly $3K in drug spend. 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 80.826/100 for the 2023 performance year (Quality 61.6323, Cost 74.4545), compared with the national average of 83.1.

Diagnostic Radiology Physician is a mid-sized specialty nationwide, with 39,474 enrolled providers across 56 states and an average of 63 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

1801 ROBERT FULTON DRIVE, SUITE 510
RESTON, VA 20191

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
Avg: 83.1
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 2023.

386
Total Claims
$3K
Total Drug Cost
118
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
392
Total Day Supply
2,741
Generic Drug Cost
$2K
Antibiotic Claims
105

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.06

Top Prescribed Drugs (Medicare Part D)

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

What ALEX PAVIDAPHA, M.D prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Methylprednisolone
94
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
87
Famotidine
84
Ibuprofen
81
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
11

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

Diagnostic Radiology Physician Overview

How ALEX PAVIDAPHA, M.D fits within the Diagnostic Radiology Physician landscape nationally.

39,474
Diagnostic Radiology Physician Providers in US
56
States with Diagnostic Radiology Physician
63
Avg Claims per Provider

ALEX PAVIDAPHA, M.D's 386 claims are above the specialty average of 63.

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.

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 2023, ALEX PAVIDAPHA, M.D wrote 386 Medicare Part D claims totaling $3K in drug costs for 118 beneficiaries.
What is ALEX PAVIDAPHA, M.D's Medicare quality score?
ALEX PAVIDAPHA, M.D has a CMS MIPS Final Score of 80.826/100 (Quality: 61.6323, Cost: 74.4545). The national average MIPS Final Score is 83.1. 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 39,474 Diagnostic Radiology Physician providers across 56 states in the US. The average Diagnostic Radiology Physician provider writes 63 Medicare Part D claims per year.
What drugs does ALEX PAVIDAPHA, M.D prescribe most often?
Based on 2023 Medicare Part D data, ALEX PAVIDAPHA, M.D's most frequently prescribed drugs include Methylprednisolone, Nitrofurantoin Mono-Macro, 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 386 Part D claims and 118 Medicare beneficiaries in 2023. 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

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