2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1710036025 MD
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BIJOY HEGDE, MD

Physical Medicine & Rehabilitation Physician in SAINT LOUIS, Missouri. 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
72
Medicare Part D claims · 17 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]

What the federal data shows

BIJOY HEGDE, MD reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 72 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
72
Part D claims, 2023
79%
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.

BIJOY HEGDE, MD's MIPS score vs every scored U.S. clinician

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

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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)

BIJOY HEGDE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 BIJOY HEGDE, MD?

Below national average

NPI registry status

Active

Issued 01/09/2007

NPI 1710036025

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

72 91% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Missouri

How Physical Medicine & Rehabilitation Physician compares to other specialties among Missouri providers

Missouri providers

Physical Medicine & Rehabilitation Physician share within Missouri

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Missouri

Medicare quality performance — MIPS

BIJOY HEGDE, MD's 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 0/100 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).

BIJOY HEGDE, MD appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding MD credentials at 13238 AUTUMN TRAILS CT, SAINT LOUIS, MO, 63141, with a listed phone of (314) 814-2051. NPI 1710036025 was issued on 01/09/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEGDE 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 72 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $10K in drug spend, split 21% brand-name and 79% generic by claim count. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

13238 AUTUMN TRAILS CT
SAINT LOUIS, MO 63141

Provider Details

NPI 1710036025
Specialty Physical Medicine & Rehabilitation Physician
Credentials MD
Gender Male
NPI Issued 01/09/2007

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Brand vs generic prescribing mix · Typical

BIJOY HEGDE, MD — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 72 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.

72
Total Claims
$10K
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
72
Total Day Supply
1,919
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$9K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
76.4 years
Avg HCC Risk Score
3.74
Age Distribution
<65: 0, 65-74: N/A, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Jardiance
Empagliflozin
12
Potassium Chloride
12

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

Physical Medicine & Rehabilitation Physician Overview

How BIJOY HEGDE, MD fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

BIJOY HEGDE, MD's 72 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Missouri

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

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BIJOY HEGDE, MD's specialty?
BIJOY HEGDE, MD specializes in Physical Medicine & Rehabilitation Physician and practices in SAINT LOUIS, Missouri. Credentials: MD.
How much does BIJOY HEGDE, MD prescribe under Medicare Part D?
In 2023, BIJOY HEGDE, MD wrote 72 Medicare Part D claims totaling $10K in drug costs for 17 beneficiaries.
What is BIJOY HEGDE, MD's Medicare quality score?
BIJOY HEGDE, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BIJOY HEGDE, MD located?
BIJOY HEGDE, MD is located at 13238 AUTUMN TRAILS CT, SAINT LOUIS, MO, 63141. Phone: (314) 814-2051.
What is BIJOY HEGDE, MD's NPI number?
BIJOY HEGDE, MD's National Provider Identifier (NPI) is 1710036025, issued on 01/09/2007.
Does BIJOY HEGDE, MD prescribe more brand-name or generic drugs?
BIJOY HEGDE, MD's prescribing is 21% brand-name and 79% generic drugs by claim count, with $9K in brand drug costs.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does BIJOY HEGDE, MD prescribe most often?
Based on 2023 Medicare Part D data, BIJOY HEGDE, MD's most frequently prescribed drugs include Jardiance, Potassium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BIJOY HEGDE, MD accept Medicare?
BIJOY HEGDE, MD appears in CMS Medicare data with 72 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BIJOY HEGDE, MD's credentials?
BIJOY HEGDE, MD's NPI is 1710036025 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

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