NPI registry status
Active
2026 NPPES data Sleep Medicine (Psychiatry & Neurology) Physician NPI 1598850083 M.D.
Verify on CMS → Baldev Rai, M.D.
Sleep Medicine (Psychiatry & Neurology) Physician in Riverside, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 389 in Sleep Medicine (Psychiatry & Neurology) 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 · 279 beneficiaries · Sleep Medicine (Psychiatry & Neurology) Physician avg: 981
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$1.4K
16 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Baldev Rai, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 1,322 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 1K
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥79th
- pct by Part D claim volume (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 Baldev Rai, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1598850083), first enumerated 10/03/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,322 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)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
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.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$1.4K in reported industry payments (16 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
California statewide board action statistics are published annually — these figures describe aggregate state activity, not Baldev Rai, M.D.'s individual license status. Verify directly with the state medical board.
Source: MBC annual report 2023
- 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 1598850083 · Sleep Medicine (Psychiatry & Neurology) Physician
NPI-10 · ENUM-LEGACY · TAX-TRACE · MIPS-NEUTRAL · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1598850083
- ENUM-LEGACY 2006
- TAX-TRACE 389
- MIPS-NEUTRAL 75/100
- RX-MID 1,322
- BOOK-THIN 44 in California
- PHOTO-ENUM Carmen Dohmeier, M.D. · 2006
Baldev Rai, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
1,322 ≥ 79th percentile 79% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Baldev Rai, 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 Baldev Rai, M.D.?
CMS neutral score, not measuredPrimary specialty
Sleep Medicine (Psychiatry & Neurology) Physician
Medicare Part D claims
1,322 35% vs specialty avg
MIPS final score
75/100
Specialty distribution in California
How Sleep Medicine (Psychiatry & Neurology) Physician compares to other specialties among California providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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
Provider Details
| NPI | 1598850083 |
|---|---|
| Specialty | Sleep Medicine (Psychiatry & Neurology) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 10/03/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where Baldev Rai, 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.
Baldev S Rai MD Inc
Redlands, CA
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 Baldev Rai, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.4K
Largest payer
Philips North America LLC
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.
License & disciplinary context - California MBC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Baldev Rai, M.D.. To verify Baldev Rai, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
1,322
Total Claims
$96K
Total Drug Cost
279
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,659.667
- Total Day Supply
- 79,166
- Generic Drug Cost
- $48K
- Opioid Claims
- 13 (1.0% rate)
Patient Demographics
- Average Patient Age
- 69.3 years
- Avg HCC Risk Score
- 1.79
- Gender Split
- 57% female / 43% male
- Age Distribution
- <65: 66, 65-74: 118, 75-84: 76, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Baldev Rai, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Nortriptyline Hcl
Nortriptyline Hcl
189 claims
- Divalproex Sodium Er
Divalproex Sodium Er
130 claims
- Gabapentin
Gabapentin
130 claims
- Topiramate
Topiramate
128 claims
- Carbidopa-Levodopa…
Carbidopa-Levodopa Er
88 claims
- Clonazepam 69
Clonazepam
69 claims
- Levetiracetam 55
Levetiracetam
55 claims
- Primidone 55
Primidone
55 claims
| Drug | Claims |
|---|---|
| Nortriptyline Hcl | 189 |
| Divalproex Sodium Er Divalproex Sodium | 130 |
| Gabapentin | 130 |
| Topiramate | 128 |
| Carbidopa-Levodopa Er Carbidopa/Levodopa | 88 |
| Clonazepam | 69 |
| Levetiracetam | 55 |
| Primidone | 55 |
| Amantadine Amantadine Hcl | 39 |
| Amitriptyline Hcl | 36 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sleep Medicine (Psychiatry & Neurology) Physician in CA →
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Sleep Medicine (Psychiatry & Neurology) Physician Overview
How Baldev Rai, M.D. fits within the Sleep Medicine (Psychiatry & Neurology) Physician landscape nationally.
389
Sleep Medicine (Psychiatry & Neurology) Physician Providers in US
47
States with Sleep Medicine (Psychiatry & Neurology) Physician
981
Avg Claims per Provider
Baldev Rai, M.D.'s 1,322 claims are above the specialty average of 981.
Nationwide Sleep Medicine (Psychiatry & Neurology) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Rai, both outside California so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Sleep Medicine (Psychiatry & Neurology) Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Rai.
One of 44 Sleep Medicine (Psychiatry & Neurology) Physician providers enrolled in California, 5 are shown here.
Frequently Asked Questions
What is Baldev Rai, M.D.'s specialty? ▼
Baldev Rai, M.D. specializes in Sleep Medicine (Psychiatry & Neurology) Physician and practices in Riverside, California. Credentials: M.D..
How much does Baldev Rai, M.D. prescribe under Medicare Part D? ▼
In 2024, Baldev Rai, M.D. wrote 1,322 Medicare Part D claims totaling $96K in drug costs for 279 beneficiaries.
What is Baldev Rai, M.D.'s Medicare quality score? ▼
Baldev Rai, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. 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 Baldev Rai, M.D. located? ▼
Baldev Rai, M.D. is located at 4234 RIVERWALK PKWY, Riverside, CA, 92505. Phone: (951) 785-7190.
What is Baldev Rai, M.D.'s NPI number? ▼
Baldev Rai, M.D.'s National Provider Identifier (NPI) is 1598850083, issued on 10/03/2006.
Does Baldev Rai, M.D. prescribe opioids? ▼
Yes, Baldev Rai, M.D. had 13 opioid claims in 2024 with an opioid prescribing rate of 1.0%.
How many Sleep Medicine (Psychiatry & Neurology) Physician providers are there in the US? ▼
There are 389 Sleep Medicine (Psychiatry & Neurology) Physician providers across 47 states in the US. The average Sleep Medicine (Psychiatry & Neurology) Physician provider writes 981 Medicare Part D claims per year.
What drugs does Baldev Rai, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Baldev Rai, M.D.'s most frequently prescribed drugs include Nortriptyline Hcl, Divalproex Sodium Er, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Baldev Rai, M.D. accept Medicare? ▼
Baldev Rai, M.D. appears in CMS Medicare data with 1,322 Part D claims and 279 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Baldev Rai, M.D.'s credentials? ▼
Baldev Rai, M.D.'s NPI is 1598850083 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
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.