NPI registry status
Active
2026 NPPES data Sleep Medicine (Psychiatry & Neurology) Physician NPI 1548465198 MD, PHD
Verify on CMS → Dinesh Raju, MD, PHD
Sleep Medicine (Psychiatry & Neurology) Physician in Lawrenceville, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 376 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
775
Medicare Part D claims · 160 beneficiaries · Sleep Medicine (Psychiatry & Neurology) Physician avg: 1K
Generic prescribing
77%
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 · Penalty band
Industry payments
$33.4K
89 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
Dinesh Raju, MD, PHD reported a CMS MIPS final score of 0/100 - below the 83.1 national average - and filed 775 Medicare Part D claims in 2023.
- 0/100
- MIPS score · -83 vs avg
- 775
- Part D claims, 2023
- 77%
- 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.
Dinesh Raju, MD, PHD'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
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 Dinesh Raju, MD, PHD sits
This provider among sleep medicine (psychiatry & neurology) physician peers
Across the 126 sleep medicine (psychiatry & neurology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Dinesh Raju, MD, PHD writes more Part D claims than 59% of them and scores higher on MIPS quality than 0% - 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 sleep medicine (psychiatry & neurology) physician peer from a representative sample of 60; the gold marker is Dinesh Raju, MD, PHD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Dinesh Raju, MD, PHD 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).
What does the federal data show about Dinesh Raju, MD, PHD?
Below national averagePrimary specialty
Sleep Medicine (Psychiatry & Neurology) Physician
Medicare Part D claims
775 23% vs specialty avg
MIPS final score
0/100 83.1 pts vs avg
Specialty distribution in Georgia
How Sleep Medicine (Psychiatry & Neurology) Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Dinesh Raju, MD, PHD's 2023 MIPS final score plotted against the Sleep Medicine (Psychiatry & Neurology) Physician national average
- MIPS Final Score
- 0/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sleep Medicine (Psychiatry & Neurology) Physician) - 0/100 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).
Dinesh Raju, MD, PHD appears in the CMS NPPES registry as a Sleep Medicine (Psychiatry & Neurology) Physician provider holding MD, PHD credentials at 475 PHILIP BLVD STE 200, Lawrenceville, GA, 30046, with a listed phone of (678) 226-6201. NPI 1548465198 was issued on 06/15/2007.
Medicare Part D records for calendar year 2023 show 775 prescription claims written by this provider, covering 160 Medicare beneficiaries and totaling roughly $543K in drug spend, split 21% brand-name and 77% generic by claim count, with an opioid prescribing rate of 2.3%. 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.
Sleep Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 376 enrolled providers across 46 states and an average of 1,005 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 | 1548465198 |
|---|---|
| Specialty | Sleep Medicine (Psychiatry & Neurology) Physician |
| Credentials | MD, PHD |
| Gender | Male |
| NPI Issued | 06/15/2007 |
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
Hospital and facility affiliations
Facilities where Dinesh Raju, MD, PHD 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.
Esop Rehabilitation LLC
Snellville, GA
Gwinnett Clinic, Ltd
Winder, GA
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 Dinesh Raju, MD, PHD. Source: openpaymentsdata.cms.gov.
Total received
$33.4K
Largest payer
ABBVIE INC.
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.
Brand vs generic prescribing mix · Typical
Dinesh Raju, MD, PHD - brand share 21.0%
Sleep Medicine (Psychiatry & Neurology) Physician average
21% brand-name claims vs 77% generic, on 775 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.
775
Total Claims
$543K
Total Drug Cost
160
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,501
- Total Day Supply
- 44,369
- Brand vs Generic
- 21% brand / 77% generic
- Brand Drug Cost
- $432K
- Generic Drug Cost
- $110K
- Opioid Claims
- 18 (2.3% rate)
Patient Demographics
- Average Patient Age
- 70.7 years
- Avg HCC Risk Score
- 1.22
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 30, 65-74: 67, 75-84: 45, 85+: 18
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Dinesh Raju, MD, PHD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
70 claims
- Levetiracetam
Levetiracetam
66 claims
- Carbidopa-Levodopa
Carbidopa-Levodopa
58 claims
- Emgality Pen
Emgality Pen
33 claims
- Memantine Hcl
Memantine Hcl
30 claims
- Pramipexole Dihydr… 25
Pramipexole Dihydrochloride
25 claims
- Galantamine Hbr 23
Galantamine Hbr
23 claims
- Sumatriptan Succin… 22
Sumatriptan Succinate
22 claims
| Drug | Claims |
|---|---|
| Gabapentin | 70 |
| Levetiracetam | 66 |
| Carbidopa-Levodopa Carbidopa/Levodopa | 58 |
| Emgality Pen Galcanezumab-Gnlm | 33 |
| Memantine Hcl | 30 |
| Pramipexole Dihydrochloride Pramipexole Di-Hcl | 25 |
| Galantamine Hbr | 23 |
| Sumatriptan Succinate | 22 |
| Phenytoin Sodium Extended | 18 |
| Quetiapine Fumarate | 17 |
* 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 GA →
All providers in Georgia →
Compare specialties →
Sleep Medicine (Psychiatry & Neurology) Physician Overview
How Dinesh Raju, MD, PHD fits within the Sleep Medicine (Psychiatry & Neurology) Physician landscape nationally.
376
Sleep Medicine (Psychiatry & Neurology) Physician Providers in US
46
States with Sleep Medicine (Psychiatry & Neurology) Physician
1,005
Avg Claims per Provider
Dinesh Raju, MD, PHD's 775 claims are below the specialty average of 1,005.
Nearby Sleep Medicine (Psychiatry & Neurology) Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Raju.
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 Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sleep Medicine (Psychiatry & Neurology) 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 Dinesh Raju, MD, PHD's specialty? ▼
Dinesh Raju, MD, PHD specializes in Sleep Medicine (Psychiatry & Neurology) Physician and practices in Lawrenceville, Georgia. Credentials: MD, PHD.
How much does Dinesh Raju, MD, PHD prescribe under Medicare Part D? ▼
In 2023, Dinesh Raju, MD, PHD wrote 775 Medicare Part D claims totaling $543K in drug costs for 160 beneficiaries.
What is Dinesh Raju, MD, PHD's Medicare quality score? ▼
Dinesh Raju, MD, PHD 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 Dinesh Raju, MD, PHD located? ▼
Dinesh Raju, MD, PHD is located at 475 PHILIP BLVD STE 200, Lawrenceville, GA, 30046. Phone: (678) 226-6201.
What is Dinesh Raju, MD, PHD's NPI number? ▼
Dinesh Raju, MD, PHD's National Provider Identifier (NPI) is 1548465198, issued on 06/15/2007.
Does Dinesh Raju, MD, PHD prescribe more brand-name or generic drugs? ▼
Dinesh Raju, MD, PHD's prescribing is 21% brand-name and 77% generic drugs by claim count, with $432K in brand drug costs.
Does Dinesh Raju, MD, PHD prescribe opioids? ▼
Yes, Dinesh Raju, MD, PHD had 18 opioid claims in 2023 with an opioid prescribing rate of 2.3%.
How many Sleep Medicine (Psychiatry & Neurology) Physician providers are there in the US? ▼
There are 376 Sleep Medicine (Psychiatry & Neurology) Physician providers across 46 states in the US. The average Sleep Medicine (Psychiatry & Neurology) Physician provider writes 1,005 Medicare Part D claims per year.
What drugs does Dinesh Raju, MD, PHD prescribe most often? ▼
Based on 2023 Medicare Part D data, Dinesh Raju, MD, PHD's most frequently prescribed drugs include Gabapentin, Levetiracetam, Carbidopa-Levodopa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Dinesh Raju, MD, PHD accept Medicare? ▼
Dinesh Raju, MD, PHD appears in CMS Medicare data with 775 Part D claims and 160 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Dinesh Raju, MD, PHD's credentials? ▼
Dinesh Raju, MD, PHD's NPI is 1548465198 with credentials MD, PHD. 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.
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 May 2026.