2026 NPPES data Gastroenterology Physician NPI 1275028276 MD
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DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD

Gastroenterology Physician in WATERLOO, Iowa. 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
121
Medicare Part D claims · 52 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.1965/100
▲ 12 pts above national avg 83.1 · [object Object]
What the federal data reveals: DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD is a Gastroenterology Physician ([object Object]) practicing in WATERLOO, Iowa with a Medicare Part D prescribing footprint of 121 claims across 52 beneficiaries — 19% brand-name prescribing . Their CMS MIPS Final Score of 95.1965/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD reported a CMS MIPS final score of 95.1965 out of 100, above the 83.1 national average, and filed 121 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/22/2018

NPI 1275028276

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

121 85% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

95.1965/100 12.096500000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Iowa

How Gastroenterology Physician compares to other specialties among Iowa providers

Iowa providers

Gastroenterology Physician share within Iowa

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

Medicare quality performance — MIPS

DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
95.1965/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 95.1965/100 vs national avg 83.1

0%100%National avg83%95.2%
MIPS final score (Gastroenterology Physician) — 95.1965/100 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).

DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD is a Gastroenterology Physician provider practicing in WATERLOO, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1275028276. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 1015 S HACKETT RD, WATERLOO, IA, 50701, with a listed phone of (319) 234-5990. NPI 1275028276 was issued on 06/22/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAMANAYAKE PATHIRANNEHELAGE 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 121 prescription claims written by this provider, covering 52 Medicare beneficiaries and totaling roughly $29K in drug spend, split 19% brand-name and 81% 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 95.1965/100 for the 2023 performance year (Quality 70.6225), 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

1015 S HACKETT RD
WATERLOO, IA 50701

Provider Details

NPI 1275028276
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 06/22/2018

CMS Quality Score (MIPS)

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

95.1965
Final Score
Avg: 83.1
70.6225
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where DILEEPA RAMANAYAKE PATHIRANNEHELAGE, 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.

ALLEN MEMORIAL HOSPITAL CORPORATION
WATERLOO, IA
SOUTH CENTRAL CLINICS, INC
LAUREL, MS

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 121 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.

121
Total Claims
$29K
Total Drug Cost
52
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
176
Total Day Supply
4,905
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$21K
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
2.04
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Pantoprazole Sodium
20

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

Gastroenterology Physician Overview

How DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD fits within the Gastroenterology Physician landscape nationally.

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

DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD's 121 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Iowa

Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as RAMANAYAKE PATHIRANNEHELAGE.

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

Frequently Asked Questions

What is DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD's specialty?
DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD specializes in Gastroenterology Physician and practices in WATERLOO, Iowa. Credentials: MD.
How much does DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD prescribe under Medicare Part D?
In 2023, DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD wrote 121 Medicare Part D claims totaling $29K in drug costs for 52 beneficiaries.
What is DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD's Medicare quality score?
DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD has a CMS MIPS Final Score of 95.1965/100 (Quality: 70.6225). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD located?
DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD is located at 1015 S HACKETT RD, WATERLOO, IA, 50701. Phone: (319) 234-5990.
What is DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD's NPI number?
DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD's National Provider Identifier (NPI) is 1275028276, issued on 06/22/2018.
Does DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD prescribe more brand-name or generic drugs?
DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD's prescribing is 19% brand-name and 81% generic drugs by claim count, with $21K in brand drug costs.
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 DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD prescribe most often?
Based on 2023 Medicare Part D data, DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD's most frequently prescribed drugs include Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD accept Medicare?
DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD appears in CMS Medicare data with 121 Part D claims and 52 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD's credentials?
DILEEPA RAMANAYAKE PATHIRANNEHELAGE, MD's NPI is 1275028276 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