2026 NPPES data Sleep Medicine (Psychiatry & Neurology) Physician NPI 1548465198 MD, PHD
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DINESH RAJU, MD, PHD

Sleep Medicine (Psychiatry & Neurology) Physician in LAWRENCEVILLE, Georgia. 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
775
Medicare Part D claims · 160 beneficiaries · Sleep Medicine (Psychiatry & Neurology) Physician avg: 1K
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]
Industry payments
$33.4K
89 payments · CMS Open Payments (Sunshine Act)

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
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.

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

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)

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 average

NPI registry status

Active

Issued 06/15/2007

NPI 1548465198

Primary specialty

Sleep Medicine (Psychiatry & Neurology) Physician

Rare

371 US NPIs in this specialty

Medicare Part D claims

775 23% vs specialty avg

2023 prescription claims

Specialty avg: 1,005

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Georgia

How Sleep Medicine (Psychiatry & Neurology) Physician compares to other specialties among Georgia providers

Georgia providers

Sleep Medicine (Psychiatry & Neurology) Physician share within Georgia

1. Sleep Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Psychiatry & Neurology) Physician share within Georgia

Medicare quality performance — MIPS

DINESH RAJU, MD, PHD's 2023 MIPS final score plotted against the Sleep Medicine (Psychiatry & Neurology) Physician national average

Below 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

0%100%National avg83%0%
MIPS final score (Sleep Medicine (Psychiatry & Neurology) 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).

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAJU 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 775 prescription claims written by this provider, covering 160 Medicare beneficiaries and totaling roughly $543K in drug spend, split 21% brand-name and 79% generic by claim count, with an opioid prescribing rate of 2.3%. 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.

Sleep Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 371 enrolled providers across 45 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

475 PHILIP BLVD STE 200
LAWRENCEVILLE, GA 30046

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%
Specialty average (est.)

21% brand-name claims vs 79% 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 / 79% 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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

Sleep Medicine (Psychiatry & Neurology) Physician Overview

How DINESH RAJU, MD, PHD fits within the Sleep Medicine (Psychiatry & Neurology) Physician landscape nationally.

371
Sleep Medicine (Psychiatry & Neurology) Physician Providers in US
45
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.

Compare Sleep Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

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 79% 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 371 Sleep Medicine (Psychiatry & Neurology) Physician providers across 45 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

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