2026 NPPES data Gastroenterology Physician NPI 1477525103 M.D.
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BABU RAO, M.D.

Gastroenterology Physician in JACKSON, Tennessee. 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
804
Medicare Part D claims · 249 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
95.7321/100
▲ 13 pts above national avg 83.1 · [object Object]

What the federal data shows

BABU RAO, M.D. reported a CMS MIPS final score of 95.7321/100 — above the 83.1 national average — and filed 804 Medicare Part D claims in 2023.

95.7321/100
MIPS score · +13 vs avg
804
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.

BABU RAO, 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

96 Top 21% higher than 79% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

BABU RAO, M.D. 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 BABU RAO, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 02/06/2006

NPI 1477525103

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

804 3% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

95.7321/100 12.632100000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Gastroenterology Physician compares to other specialties among Tennessee providers

Tennessee providers

Gastroenterology Physician share within Tennessee

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

Medicare quality performance — MIPS

BABU RAO, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
95.7321/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 95.7321/100 vs national avg 83.1

0%100%National avg83%95.7%
MIPS final score (Gastroenterology Physician) — 95.7321/100 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).

BABU RAO, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 241 STONEBRIDGE BLVD, JACKSON, TN, 38305, with a listed phone of (731) 660-3500. NPI 1477525103 was issued on 02/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAO 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 804 prescription claims written by this provider, covering 249 Medicare beneficiaries and totaling roughly $499K 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 95.7321/100 for the 2023 performance year (Quality 84.3955), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

241 STONEBRIDGE BLVD
JACKSON, TN 38305

Provider Details

NPI 1477525103
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 02/06/2006

CMS Quality Score (MIPS)

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

95.7321
Final Score
Avg: 83.1
84.3955
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where BABU RAO, 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.

COMMONWEALTH HEALTH CORPORATION, INC.
BOWLING GREEN, 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).

Medicare Part D Prescribing Data

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

804
Total Claims
$499K
Total Drug Cost
249
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,082
Total Day Supply
25,443
Generic Drug Cost
$22K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.52
Gender Split
66% female / 34% male
Age Distribution
<65: 49, 65-74: 123, 75-84: 64, 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 BABU RAO, 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
Ondansetron Hcl
143
Omeprazole
78
Pantoprazole Sodium
75
Linzess
Linaclotide
60
Promethazine Hcl
54
Diphenhydramine Hcl
52
Dicyclomine Hcl
40
Azathioprine
27
Famotidine
24
Cholestyramine
Cholestyramine (With Sugar)
22

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

Gastroenterology Physician Overview

How BABU RAO, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

BABU RAO, M.D.'s 804 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Tennessee

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

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

Frequently Asked Questions

What is BABU RAO, M.D.'s specialty?
BABU RAO, M.D. specializes in Gastroenterology Physician and practices in JACKSON, Tennessee. Credentials: M.D..
How much does BABU RAO, M.D. prescribe under Medicare Part D?
In 2023, BABU RAO, M.D. wrote 804 Medicare Part D claims totaling $499K in drug costs for 249 beneficiaries.
What is BABU RAO, M.D.'s Medicare quality score?
BABU RAO, M.D. has a CMS MIPS Final Score of 95.7321/100 (Quality: 84.3955). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BABU RAO, M.D. located?
BABU RAO, M.D. is located at 241 STONEBRIDGE BLVD, JACKSON, TN, 38305. Phone: (731) 660-3500.
What is BABU RAO, M.D.'s NPI number?
BABU RAO, M.D.'s National Provider Identifier (NPI) is 1477525103, issued on 02/06/2006.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does BABU RAO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, BABU RAO, M.D.'s most frequently prescribed drugs include Ondansetron Hcl, Omeprazole, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BABU RAO, M.D. accept Medicare?
BABU RAO, M.D. appears in CMS Medicare data with 804 Part D claims and 249 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BABU RAO, M.D.'s credentials?
BABU RAO, M.D.'s NPI is 1477525103 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