2026 NPPES data Psychosomatic Medicine Physician NPI 1427293000
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DURGA ROY

Psychosomatic Medicine Physician in BALTIMORE, Maryland. 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
806
Medicare Part D claims · 50 beneficiaries · Psychosomatic Medicine Physician avg: 645
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.3962/100
▼ 9 pts below national avg 83.1 · [object Object]

What the federal data shows

DURGA ROY reported a CMS MIPS final score of 74.3962/100 — below the 83.1 national average — and filed 806 Medicare Part D claims in 2023.

74.3962/100
MIPS score · -9 vs avg
806
Part D claims, 2023
94%
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.

DURGA ROY's MIPS score vs every scored U.S. clinician

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

74 12th percentile higher than 12% of 477,587 scored providers

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

DURGA ROY practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 DURGA ROY?

Below national average

NPI registry status

Active

Issued 12/10/2008

NPI 1427293000

Primary specialty

Psychosomatic Medicine Physician

Rare

491 US NPIs in this specialty

Medicare Part D claims

806 25% vs specialty avg

2023 prescription claims

Specialty avg: 645

MIPS final score

74.3962/100 8.703800000000001% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Maryland

How Psychosomatic Medicine Physician compares to other specialties among Maryland providers

Maryland providers

Psychosomatic Medicine Physician share within Maryland

1. Psychosomatic Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychosomatic Medicine Physician share within Maryland

Medicare quality performance — MIPS

DURGA ROY's 2023 MIPS final score plotted against the Psychosomatic Medicine Physician national average

Below national average
MIPS Final Score
74.3962/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychosomatic Medicine Physician) — 74.3962/100 vs national avg 83.1

0%100%National avg83%74.4%
MIPS final score (Psychosomatic Medicine Physician) — 74.3962/100 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).

DURGA ROY is a Psychosomatic Medicine Physician provider practicing in BALTIMORE, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1427293000. 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.

DURGA ROY appears in the CMS NPPES registry as a Psychosomatic Medicine Physician provider at 5500 E LOMBARD ST, BALTIMORE, MD, 21224, with a listed phone of (410) 550-0016. NPI 1427293000 was issued on 12/10/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROY 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 806 prescription claims written by this provider, covering 50 Medicare beneficiaries and totaling roughly $53K in drug spend, split 6% brand-name and 94% 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 74.3962/100 for the 2023 performance year (Quality 64.7185, Cost 52.4354), compared with the national average of 83.1.

Psychosomatic Medicine Physician is a narrow specialty nationwide, with 491 enrolled providers across 43 states and an average of 645 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

5500 E LOMBARD ST
BALTIMORE, MD 21224

Provider Details

NPI 1427293000
Specialty Psychosomatic Medicine Physician
Gender Female
NPI Issued 12/10/2008

CMS Quality Score (MIPS)

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

74.3962
Final Score
Avg: 83.1
64.7185
Quality
52.4354
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DURGA ROY 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.

JOHNS HOPKINS UNIVERSITY
LUTHERVILLE, MD

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 · Generic-heavy

DURGA ROY — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 806 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.

806
Total Claims
$53K
Total Drug Cost
50
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
974
Total Day Supply
25,425
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$31K
Generic Drug Cost
$22K

Patient Demographics

Average Patient Age
56.2 years
Avg HCC Risk Score
1.12
Gender Split
42% female / 58% male
Age Distribution
<65: 32, 65-74: 14, 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
Olanzapine
118
Mirtazapine
50
Quetiapine Fumarate
45
Gabapentin
42
Trazodone Hcl
41
Sertraline Hcl
36
Citalopram Hbr
Citalopram Hydrobromide
35
Venlafaxine Hcl Er
Venlafaxine Hcl
33
Bupropion Xl
Bupropion Hcl
32
Duloxetine Hcl
32

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

Psychosomatic Medicine Physician Overview

How DURGA ROY fits within the Psychosomatic Medicine Physician landscape nationally.

491
Psychosomatic Medicine Physician Providers in US
43
States with Psychosomatic Medicine Physician
645
Avg Claims per Provider

DURGA ROY's 806 claims are above the specialty average of 645.

Nearby Psychosomatic Medicine Physician Providers in Maryland

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

Compare Psychosomatic Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DURGA ROY's specialty?
DURGA ROY specializes in Psychosomatic Medicine Physician and practices in BALTIMORE, Maryland.
How much does DURGA ROY prescribe under Medicare Part D?
In 2023, DURGA ROY wrote 806 Medicare Part D claims totaling $53K in drug costs for 50 beneficiaries.
What is DURGA ROY's Medicare quality score?
DURGA ROY has a CMS MIPS Final Score of 74.3962/100 (Quality: 64.7185, Cost: 52.4354). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DURGA ROY located?
DURGA ROY is located at 5500 E LOMBARD ST, BALTIMORE, MD, 21224. Phone: (410) 550-0016.
What is DURGA ROY's NPI number?
DURGA ROY's National Provider Identifier (NPI) is 1427293000, issued on 12/10/2008.
Does DURGA ROY prescribe more brand-name or generic drugs?
DURGA ROY's prescribing is 6% brand-name and 94% generic drugs by claim count, with $31K in brand drug costs.
How many Psychosomatic Medicine Physician providers are there in the US?
There are 491 Psychosomatic Medicine Physician providers across 43 states in the US. The average Psychosomatic Medicine Physician provider writes 645 Medicare Part D claims per year.
What drugs does DURGA ROY prescribe most often?
Based on 2023 Medicare Part D data, DURGA ROY's most frequently prescribed drugs include Olanzapine, Mirtazapine, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DURGA ROY accept Medicare?
DURGA ROY appears in CMS Medicare data with 806 Part D claims and 50 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DURGA ROY's credentials?
DURGA ROY's NPI is 1427293000. 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