NPI registry status
Active
2026 NPPES data Psychosomatic Medicine Physician NPI 1427293000
Verify on CMS → Durga Roy
Psychosomatic Medicine Physician in Baltimore, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 501 in Psychosomatic 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
482
Medicare Part D claims · 53 beneficiaries · Psychosomatic Medicine Physician avg: 623
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.4/100
▼ 9 pts below national avg 83.5 · Mid-tier
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Durga Roy reported a CMS MIPS final score of 74.4/100 - below the 83.5 national average - and filed 482 Medicare Part D claims in 2024.
- 74.4/100
- MIPS score · -9 vs avg
- 482
- Part D claims, 2024
- 87%
- 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.
Federal trust snapshot
What official records show about Durga Roy
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1427293000), first enumerated 12/10/2008.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 482 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 74.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1427293000 · Psychosomatic Medicine Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1427293000
- ENUM-MID 2008
- TAX-NARROW 501
- MIPS-BELOW 74.4/100
- RX-LIGHT 482
- BOOK-THIN 17 in Maryland
- PHOTO-FINISH Nina Ballone, MD · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Roy · this provi…
Roy · this provider
74.4 MIPS pts
- Nina Ballone, MD…
Nina Ballone, MD
74.4 MIPS pts
- Rushi Vyas, MD ·…
Rushi Vyas, MD
74.4 MIPS pts
- Ramotse Saunders…
Ramotse Saunders, MD
74.5 MIPS pts
- Jonathan Devries…
Jonathan Devries, D.O.
74.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Durga Roy's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
74 ≥ 13th percentile 13% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Durga Roy sits
This provider among psychosomatic medicine physician peers
Across the 62 psychosomatic medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Durga Roy writes more Part D claims than 65% of them and scores higher on MIPS quality than 18% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one psychosomatic medicine physician peer from a representative sample of 60; the gold marker is Durga Roy. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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 averagePrimary specialty
Psychosomatic Medicine Physician
Medicare Part D claims
482 23% vs specialty avg
MIPS final score
74.4/100 9.1 pts vs avg
Specialty distribution in Maryland
How Psychosomatic Medicine Physician compares to other specialties among Maryland providers
Medicare quality performance, MIPS
Durga Roy's 2023 MIPS final score plotted against the Psychosomatic Medicine Physician national average
- MIPS Final Score
- 74.4/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
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
Measured-score avg: 83.5
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 · Typical
Durga Roy - brand share 13.0%
Psychosomatic Medicine Physician average
13% brand-name claims vs 87% generic, on 482 2024 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 2024.
482
Total Claims
$57K
Total Drug Cost
53
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 659.667
- Total Day Supply
- 19,597
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $40K
- Generic Drug Cost
- $17K
Patient Demographics
- Average Patient Age
- 54.9 years
- Avg HCC Risk Score
- 1.07
- Gender Split
- 45% female / 55% male
- Age Distribution
- <65: 36, 65-74: 11, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Durga Roy prescribes most
Top Medicare Part D drugs by claim count, 2024
- Dextroamphetamine-…
Dextroamphetamine-Amphetamine
35 claims
- Escitalopram Oxalate
Escitalopram Oxalate
29 claims
- Lithium Carbonate
Lithium Carbonate
26 claims
- Trazodone Hcl
Trazodone Hcl
25 claims
- Bupropion Xl
Bupropion Xl
24 claims
- Aripiprazole
Aripiprazole
21 claims
- Citalopram Hbr
Citalopram Hbr
20 claims
- Tegretol Xr
Tegretol Xr
19 claims
| Drug | Claims |
|---|---|
| Dextroamphetamine-Amphetamine Dextroamphetamine/Amphetamine | 35 |
| Escitalopram Oxalate | 29 |
| Lithium Carbonate | 26 |
| Trazodone Hcl | 25 |
| Bupropion Xl Bupropion Hcl | 24 |
| Aripiprazole | 21 |
| Citalopram Hbr Citalopram Hydrobromide | 20 |
| Tegretol Xr Carbamazepine | 19 |
| Olanzapine | 18 |
| Clozapine | 15 |
* 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.
501
Psychosomatic Medicine Physician Providers in US
44
States with Psychosomatic Medicine Physician
623
Avg Claims per Provider
Durga Roy's 482 claims are below the specialty average of 623.
Nationwide Psychosomatic Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Roy, both outside Maryland so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (74.4 here).
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 17 Psychosomatic Medicine Physician providers enrolled in Maryland, 5 are shown here.
Dr. Kathleen Ackerman
M.D.
Gaithersburg, MD
Dr. Jozef Bledowski
M.D.
Bethesda, MD
Dr. Andree Bouterie
MD
Bethesda, MD
Dr. June Cai
M.D.
Bethesda, MD
Dr. Nitin Gogtay
M.D.
Rockville, MD
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 2024, Durga Roy wrote 482 Medicare Part D claims totaling $57K in drug costs for 53 beneficiaries.
What is Durga Roy's Medicare quality score? ▼
Durga Roy has a CMS MIPS Final Score of 74.4/100 (Quality: 64.7, Cost: 52.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 13% brand-name and 87% generic drugs by claim count, with $40K in brand drug costs.
How many Psychosomatic Medicine Physician providers are there in the US? ▼
There are 501 Psychosomatic Medicine Physician providers across 44 states in the US. The average Psychosomatic Medicine Physician provider writes 623 Medicare Part D claims per year.
What drugs does Durga Roy prescribe most often? ▼
Based on 2024 Medicare Part D data, Durga Roy's most frequently prescribed drugs include Dextroamphetamine-Amphetamine, Escitalopram Oxalate, Lithium Carbonate. 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 482 Part D claims and 53 Medicare beneficiaries in 2024. 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.