NPI registry status
Active
2026 NPPES data Hospice and Palliative Medicine (Internal Medicine) Physician NPI 1811962764 MD
Verify on CMS → Denisha Rawlings, MD
Hospice and Palliative Medicine (Internal Medicine) 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 1,524 in Hospice and Palliative Medicine (Internal Medicine) 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
526
Medicare Part D claims · 240 beneficiaries · Hospice and Palliative Medicine (Internal Medicine) Physician avg: 1K
MIPS score
85.5/100
▲ 2 pts above national avg 83.1 · Above neutral
Industry payments
$53
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Denisha Rawlings, MD reported a CMS MIPS final score of 85.5/100 - above the 83.1 national average - and filed 526 Medicare Part D claims in 2023.
- 85.5/100
- MIPS score · +2 vs avg
- 526
- 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.
Denisha Rawlings, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
86 49th percentile higher than 49% 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 Denisha Rawlings, MD sits
This provider among hospice and palliative medicine (internal medicine) physician peers
Across the 317 hospice and palliative medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Denisha Rawlings, MD writes more Part D claims than 65% of them and scores higher on MIPS quality than 46% - 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 hospice and palliative medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Denisha Rawlings, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Denisha Rawlings, 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 Denisha Rawlings, MD?
High performer (top quartile)Primary specialty
Hospice and Palliative Medicine (Internal Medicine) Physician
Medicare Part D claims
526 59% vs specialty avg
MIPS final score
85.5/100 2.4 pts vs avg
Specialty distribution in Kentucky
How Hospice and Palliative Medicine (Internal Medicine) Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Denisha Rawlings, MD's 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 85.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospice and Palliative Medicine (Internal Medicine) Physician) - 85.5/100 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).
Denisha Rawlings, MD appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Internal Medicine) Physician provider holding MD credentials at 1733 HARRODSBURG RD, Lexington, KY, 40504, with a listed phone of (859) 278-4869. NPI 1811962764 was issued on 02/22/2006.
Medicare Part D records for calendar year 2023 show 526 prescription claims written by this provider, covering 240 Medicare beneficiaries and totaling roughly $24K in drug spend, with an opioid prescribing rate of 28.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.5/100 for the 2023 performance year (Quality 91.1, Cost 60.6), compared with the national average of 83.1.
Hospice and Palliative Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 1,524 enrolled providers across 51 states and an average of 1,275 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 | 1811962764 |
|---|---|
| Specialty | Hospice and Palliative Medicine (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 02/22/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.4962
Final Score
Avg: 83.1
91.0603
Quality
60.5936
Cost
100
Promoting Interoperability
Reporting: Group practice
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 Denisha Rawlings, MD. Source: openpaymentsdata.cms.gov.
Total received
$53
Largest payer
Becton, Dickinson and Company
Most common payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
526
Total Claims
$24K
Total Drug Cost
240
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 612
- Total Day Supply
- 13,251
- Generic Drug Cost
- $9K
- Opioid Claims
- 148 (28.1% rate)
- Antibiotic Claims
- 26
Patient Demographics
- Average Patient Age
- 77.5 years
- Avg HCC Risk Score
- 2.77
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 25, 65-74: 69, 75-84: 72, 85+: 74
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Denisha Rawlings, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone Hcl
Oxycodone Hcl
47 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
43 claims
- Gabapentin
Gabapentin
36 claims
- Lorazepam
Lorazepam
25 claims
- Quetiapine Fumarate
Quetiapine Fumarate
25 claims
- Fentanyl 15
Fentanyl
15 claims
- Levothyroxine Sodium 14
Levothyroxine Sodium
14 claims
- Morphine Sulfate 13
Morphine Sulfate
13 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 47 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 43 |
| Gabapentin | 36 |
| Lorazepam | 25 |
| Quetiapine Fumarate | 25 |
| Fentanyl | 15 |
| Levothyroxine Sodium | 14 |
| Morphine Sulfate | 13 |
| Glimepiride | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Hospice and Palliative Medicine (Internal Medicine) Physician in KY →
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Compare specialties →
Hospice and Palliative Medicine (Internal Medicine) Physician Overview
How Denisha Rawlings, MD fits within the Hospice and Palliative Medicine (Internal Medicine) Physician landscape nationally.
1,524
Hospice and Palliative Medicine (Internal Medicine) Physician Providers in US
51
States with Hospice and Palliative Medicine (Internal Medicine) Physician
1,275
Avg Claims per Provider
Denisha Rawlings, MD's 526 claims are below the specialty average of 1,275.
Nearby Hospice and Palliative Medicine (Internal Medicine) Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Rawlings.
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 Hospice and Palliative Medicine (Internal Medicine) 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 Denisha Rawlings, MD's specialty? ▼
Denisha Rawlings, MD specializes in Hospice and Palliative Medicine (Internal Medicine) Physician and practices in Lexington, Kentucky. Credentials: MD.
How much does Denisha Rawlings, MD prescribe under Medicare Part D? ▼
In 2023, Denisha Rawlings, MD wrote 526 Medicare Part D claims totaling $24K in drug costs for 240 beneficiaries.
What is Denisha Rawlings, MD's Medicare quality score? ▼
Denisha Rawlings, MD has a CMS MIPS Final Score of 85.5/100 (Quality: 91.1, Cost: 60.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Denisha Rawlings, MD located? ▼
Denisha Rawlings, MD is located at 1733 HARRODSBURG RD, Lexington, KY, 40504. Phone: (859) 278-4869.
What is Denisha Rawlings, MD's NPI number? ▼
Denisha Rawlings, MD's National Provider Identifier (NPI) is 1811962764, issued on 02/22/2006.
Does Denisha Rawlings, MD prescribe opioids? ▼
Yes, Denisha Rawlings, MD had 148 opioid claims in 2023 with an opioid prescribing rate of 28.1%.
How many Hospice and Palliative Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 1,524 Hospice and Palliative Medicine (Internal Medicine) Physician providers across 51 states in the US. The average Hospice and Palliative Medicine (Internal Medicine) Physician provider writes 1,275 Medicare Part D claims per year.
What drugs does Denisha Rawlings, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Denisha Rawlings, MD's most frequently prescribed drugs include Oxycodone Hcl, Hydrocodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Denisha Rawlings, MD accept Medicare? ▼
Denisha Rawlings, MD appears in CMS Medicare data with 526 Part D claims and 240 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Denisha Rawlings, MD's credentials? ▼
Denisha Rawlings, MD's NPI is 1811962764 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.