NPI registry status
Active
2026 NPPES data Nephrology Physician NPI 1568792604 MD
Verify on CMS → Bhavani Adusumilli, MD
Nephrology Physician in Springfield, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,534 in Nephrology 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
3K
Medicare Part D claims · 622 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$315.1
10 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
Bhavani Adusumilli, MD reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 3,347 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 3K
- Part D claims, 2023
- 91%
- 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.
Bhavani Adusumilli, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
75 15th percentile higher than 15% 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 Bhavani Adusumilli, MD sits
This provider among nephrology physician peers
Across the 2,476 nephrology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Bhavani Adusumilli, MD writes more Part D claims than 90% of them and scores higher on MIPS quality than 24% - placing this provider in the high-volume, lower-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 nephrology physician peer from a representative sample of 60; the gold marker is Bhavani Adusumilli, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Bhavani Adusumilli, MD 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 Bhavani Adusumilli, MD?
Below national averagePrimary specialty
Nephrology Physician
Medicare Part D claims
3,347 130% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in Illinois
How Nephrology Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Bhavani Adusumilli, MD's 2023 MIPS final score plotted against the Nephrology Physician national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nephrology Physician) - 75/100 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).
Bhavani Adusumilli, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 350 W CARPENTER ST, Springfield, IL, 62702, with a listed phone of (217) 528-7541. NPI 1568792604 was issued on 01/13/2010.
Medicare Part D records for calendar year 2023 show 3,347 prescription claims written by this provider, covering 622 Medicare beneficiaries and totaling roughly $337K in drug spend, split 9% brand-name and 91% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.
Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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 | 1568792604 |
|---|---|
| Specialty | Nephrology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 01/13/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
Avg: 83.1
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Bhavani Adusumilli, MD 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.
Springfield Clinic, LLP
Hillsboro, IL
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 Bhavani Adusumilli, MD. Source: openpaymentsdata.cms.gov.
Total received
$315
Largest payer
Baxter Healthcare
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 - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Bhavani Adusumilli, MD. To verify Bhavani Adusumilli, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Bhavani Adusumilli, MD - brand share 9.0%
Nephrology Physician average
9% brand-name claims vs 91% generic, on 3,347 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.
3,347
Total Claims
$337K
Total Drug Cost
622
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 7,135
- Total Day Supply
- 210,317
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $208K
- Generic Drug Cost
- $130K
- Antibiotic Claims
- 66
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 2.98
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 98, 65-74: 239, 75-84: 223, 85+: 62
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Bhavani Adusumilli, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Furosemide
Furosemide
370 claims
- Losartan Potassium
Losartan Potassium
341 claims
- Potassium Chloride
Potassium Chloride
236 claims
- Lisinopril
Lisinopril
220 claims
- Amlodipine Besylate
Amlodipine Besylate
180 claims
- Hydralazine Hcl
Hydralazine Hcl
165 claims
- Torsemide 141
Torsemide
141 claims
- Hydrochlorothiazide 129
Hydrochlorothiazide
129 claims
| Drug | Claims |
|---|---|
| Furosemide | 370 |
| Losartan Potassium | 341 |
| Potassium Chloride | 236 |
| Lisinopril | 220 |
| Amlodipine Besylate | 180 |
| Hydralazine Hcl | 165 |
| Torsemide | 141 |
| Hydrochlorothiazide | 129 |
| Allopurinol | 111 |
| Calcitriol | 109 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nephrology Physician Overview
How Bhavani Adusumilli, MD fits within the Nephrology Physician landscape nationally.
10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider
Bhavani Adusumilli, MD's 3,347 claims are above the specialty average of 1,454.
Nearby Nephrology Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Adusumilli.
Dr. Momen Abbasi
M.D.
Chicago, IL
Dr. Pabitra Adhikari
MD
Chicago, IL
Dr. Muhammad Sohaib Afzal
MD, MBBS
Maywood, IL
Dr. Nidhi Aggarwal
M.D.
Chicago, IL
Dr. Vikram Aggarwal
M.D
Chicago, IL
Compare Nephrology 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 Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Nephrology 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 Bhavani Adusumilli, MD's specialty? ▼
Bhavani Adusumilli, MD specializes in Nephrology Physician and practices in Springfield, Illinois. Credentials: MD.
How much does Bhavani Adusumilli, MD prescribe under Medicare Part D? ▼
In 2023, Bhavani Adusumilli, MD wrote 3,347 Medicare Part D claims totaling $337K in drug costs for 622 beneficiaries.
What is Bhavani Adusumilli, MD's Medicare quality score? ▼
Bhavani Adusumilli, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Bhavani Adusumilli, MD located? ▼
Bhavani Adusumilli, MD is located at 350 W CARPENTER ST, Springfield, IL, 62702. Phone: (217) 528-7541.
What is Bhavani Adusumilli, MD's NPI number? ▼
Bhavani Adusumilli, MD's National Provider Identifier (NPI) is 1568792604, issued on 01/13/2010.
Does Bhavani Adusumilli, MD prescribe more brand-name or generic drugs? ▼
Bhavani Adusumilli, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $208K in brand drug costs.
How many Nephrology Physician providers are there in the US? ▼
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does Bhavani Adusumilli, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Bhavani Adusumilli, MD's most frequently prescribed drugs include Furosemide, Losartan Potassium, Potassium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Bhavani Adusumilli, MD accept Medicare? ▼
Bhavani Adusumilli, MD appears in CMS Medicare data with 3,347 Part D claims and 622 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Bhavani Adusumilli, MD's credentials? ▼
Bhavani Adusumilli, MD's NPI is 1568792604 with credentials MD. 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.