NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1952751703 MBBS
Verify on CMS → Amna Batool, MBBS
Rheumatology Physician in Lexington, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,181 in Rheumatology 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
679
Medicare Part D claims · 157 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.4/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$234.39
11 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Amna Batool, MBBS reported a CMS MIPS final score of 90.4/100 - above the 83.1 national average - and filed 679 Medicare Part D claims in 2023.
- 90.4/100
- MIPS score · +7 vs avg
- 679
- Part D claims, 2023
- 92%
- 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.
Amna Batool, MBBS's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 40% higher than 60% of 477,587 scored providers
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
Where Amna Batool, MBBS sits
This provider among rheumatology physician peers
Across the 2,181 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Amna Batool, MBBS writes more Part D claims than 17% of them and scores higher on MIPS quality than 62% - placing this provider in the lower-volume, high-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 rheumatology physician peer from a representative sample of 60; the gold marker is Amna Batool, MBBS. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Amna Batool, MBBS 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 Amna Batool, MBBS?
High performer (top quartile)Primary specialty
Rheumatology Physician
Medicare Part D claims
679 67% vs specialty avg
MIPS final score
90.4/100 7.3 pts vs avg
Specialty distribution in Kentucky
How Rheumatology Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Amna Batool, MBBS's 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 90.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Rheumatology Physician) - 90.4/100 vs national avg 83.1
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).
Amna Batool, MBBS appears in the CMS NPPES registry as a Rheumatology Physician provider holding MBBS credentials at 740 S LIMESTONE ST J511 KY CLINIC, Lexington, KY, 40536, with a listed phone of (859) 323-4939. NPI 1952751703 was issued on 06/13/2016.
Medicare Part D records for calendar year 2023 show 679 prescription claims written by this provider, covering 157 Medicare beneficiaries and totaling roughly $371K in drug spend, split 8% brand-name and 92% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.4/100 for the 2023 performance year (Quality 80.8), 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
Provider Details
| NPI | 1952751703 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | MBBS |
| Gender | Female |
| NPI Issued | 06/13/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Amna Batool, MBBS 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.
Summit Medical Group Inc
Crestview Hills, KY
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 Amna Batool, MBBS. Source: openpaymentsdata.cms.gov.
Total received
$234
Largest payer
ABBVIE 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 · Generic-heavy
Amna Batool, MBBS - brand share 8.0%
Rheumatology Physician average
8% brand-name claims vs 92% generic, on 679 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.
679
Total Claims
$371K
Total Drug Cost
157
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,195
- Total Day Supply
- 34,157
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $348K
- Generic Drug Cost
- $23K
Patient Demographics
- Average Patient Age
- 69.2 years
- Avg HCC Risk Score
- 1.71
- Gender Split
- 77% female / 23% male
- Age Distribution
- <65: 33, 65-74: 76, 75-84: 36, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Amna Batool, MBBS prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
92 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
88 claims
- Methotrexate
Methotrexate
84 claims
- Duloxetine Hcl
Duloxetine Hcl
80 claims
- Alendronate Sodium
Alendronate Sodium
54 claims
- Cyclobenzaprine Hcl 34
Cyclobenzaprine Hcl
34 claims
- Leflunomide 28
Leflunomide
28 claims
- Gabapentin 24
Gabapentin
24 claims
| Drug | Claims |
|---|---|
| Prednisone | 92 |
| Hydroxychloroquine Sulfate | 88 |
| Methotrexate Methotrexate Sodium | 84 |
| Duloxetine Hcl | 80 |
| Alendronate Sodium | 54 |
| Cyclobenzaprine Hcl | 34 |
| Leflunomide | 28 |
| Gabapentin | 24 |
| Diclofenac Sodium | 18 |
| Allopurinol | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Amna Batool, MBBS 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
Amna Batool, MBBS's 679 claims are below the specialty average of 2,054.
Nearby Rheumatology Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Batool.
Dr. Syed Abbas
M.D.
Lexington, KY
Dr. Elaine Alexander
M.D.
Lexington, KY
Dr. Reem Alkilany
MD
Lexington, KY
Dr. Izabela Antic
DO
Lexington, KY
Dr. Billy Bailey
MD
Paducah, KY
Compare Rheumatology 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 Kentucky medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology 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 Amna Batool, MBBS's specialty? ▼
Amna Batool, MBBS specializes in Rheumatology Physician and practices in Lexington, Kentucky. Credentials: MBBS.
How much does Amna Batool, MBBS prescribe under Medicare Part D? ▼
In 2023, Amna Batool, MBBS wrote 679 Medicare Part D claims totaling $371K in drug costs for 157 beneficiaries.
What is Amna Batool, MBBS's Medicare quality score? ▼
Amna Batool, MBBS has a CMS MIPS Final Score of 90.4/100 (Quality: 80.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Amna Batool, MBBS located? ▼
Amna Batool, MBBS is located at 740 S LIMESTONE ST J511 KY CLINIC, Lexington, KY, 40536. Phone: (859) 323-4939.
What is Amna Batool, MBBS's NPI number? ▼
Amna Batool, MBBS's National Provider Identifier (NPI) is 1952751703, issued on 06/13/2016.
Does Amna Batool, MBBS prescribe more brand-name or generic drugs? ▼
Amna Batool, MBBS's prescribing is 8% brand-name and 92% generic drugs by claim count, with $348K 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 Amna Batool, MBBS prescribe most often? ▼
Based on 2023 Medicare Part D data, Amna Batool, MBBS's most frequently prescribed drugs include Prednisone, Hydroxychloroquine Sulfate, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Amna Batool, MBBS accept Medicare? ▼
Amna Batool, MBBS appears in CMS Medicare data with 679 Part D claims and 157 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Amna Batool, MBBS's credentials? ▼
Amna Batool, MBBS's NPI is 1952751703 with credentials MBBS. 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
Compiled from official public sources by the PlainDoctor editorial team.