NPI registry status
Active
2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1801065198 M.D
Verify on CMS → Hemanth Koduri, M.D
Physical Medicine & Rehabilitation Physician in Edison, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 15,336 in Physical Medicine & Rehabilitation 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
126
Medicare Part D claims · 26 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Hemanth Koduri, M.D reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 126 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 126
- Part D claims, 2023
- 76%
- 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.
Hemanth Koduri, M.D's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
75 15th percentile higher than 15% 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 Hemanth Koduri, M.D sits
This provider among physical medicine & rehabilitation physician peers
Across the 2,781 physical medicine & rehabilitation physician providers who report both Medicare Part D prescribing and a MIPS quality score, Hemanth Koduri, M.D writes more Part D claims than 25% of them and scores higher on MIPS quality than 21% - placing this provider in the lower-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 physical medicine & rehabilitation physician peer from a representative sample of 60; the gold marker is Hemanth Koduri, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Hemanth Koduri, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Hemanth Koduri, M.D?
Below national averagePrimary specialty
Physical Medicine & Rehabilitation Physician
Medicare Part D claims
126 84% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in New Jersey
How Physical Medicine & Rehabilitation Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Hemanth Koduri, M.D's 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Physical Medicine & Rehabilitation Physician) - 75/100 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).
Hemanth Koduri, M.D appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding M.D credentials at 25 REMINGTON DR, Edison, NJ, 08820, with a listed phone of (732) 906-2018. NPI 1801065198 was issued on 02/21/2008.
Medicare Part D records for calendar year 2023 show 126 prescription claims written by this provider, covering 26 Medicare beneficiaries and totaling roughly $2K in drug spend, split 24% brand-name and 76% generic by claim count, with an opioid prescribing rate of 100.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.
Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,336 enrolled providers across 54 states and an average of 781 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 | 1801065198 |
|---|---|
| Specialty | Physical Medicine & Rehabilitation Physician |
| Credentials | M.D |
| Gender | Male |
| NPI Issued | 02/21/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
Avg: 83.1
Reporting: Group practice
Brand vs generic prescribing mix · Typical
Hemanth Koduri, M.D - brand share 24.0%
Physical Medicine & Rehabilitation Physician average
24% brand-name claims vs 76% generic, on 126 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.
126
Total Claims
$2K
Total Drug Cost
26
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 126
- Total Day Supply
- 1,216
- Brand vs Generic
- 24% brand / 76% generic
- Brand Drug Cost
- $770
- Generic Drug Cost
- $1K
- Opioid Claims
- 126 (100.0% rate)
Patient Demographics
- Average Patient Age
- 71.9 years
- Avg HCC Risk Score
- 3.66
- Gender Split
- 42% female / 58% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Hemanth Koduri, M.D prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tramadol Hcl
Tramadol Hcl
50 claims
- Hydromorphone Hcl
Hydromorphone Hcl
41 claims
- Oxycodone Hcl 17
Oxycodone Hcl
17 claims
- Oxycodone-Acetamin… 14
Oxycodone-Acetaminophen
14 claims
| Drug | Claims |
|---|---|
| Tramadol Hcl | 50 |
| Hydromorphone Hcl | 41 |
| Oxycodone Hcl | 17 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Physical Medicine & Rehabilitation Physician in NJ →
All providers in New Jersey →
Compare specialties →
Physical Medicine & Rehabilitation Physician Overview
How Hemanth Koduri, M.D fits within the Physical Medicine & Rehabilitation Physician landscape nationally.
15,336
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider
Hemanth Koduri, M.D's 126 claims are below the specialty average of 781.
Nearby Physical Medicine & Rehabilitation Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Koduri.
Dr. Faheem Abbasi
M.D
North Brunswick, NJ
Dr. Paul Abend
DO
Metuchen, NJ
Dr. Uri Adler
M.D
Saddle Brook, NJ
Marina Adly
Manalapan, NJ
Dr. Padmashree Adusumilli
M.D.
Toms River, NJ
Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →
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 New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Physical Medicine & Rehabilitation 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 Hemanth Koduri, M.D's specialty? ▼
Hemanth Koduri, M.D specializes in Physical Medicine & Rehabilitation Physician and practices in Edison, New Jersey. Credentials: M.D.
How much does Hemanth Koduri, M.D prescribe under Medicare Part D? ▼
In 2023, Hemanth Koduri, M.D wrote 126 Medicare Part D claims totaling $2K in drug costs for 26 beneficiaries.
What is Hemanth Koduri, M.D's Medicare quality score? ▼
Hemanth Koduri, M.D has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Hemanth Koduri, M.D located? ▼
Hemanth Koduri, M.D is located at 25 REMINGTON DR, Edison, NJ, 08820. Phone: (732) 906-2018.
What is Hemanth Koduri, M.D's NPI number? ▼
Hemanth Koduri, M.D's National Provider Identifier (NPI) is 1801065198, issued on 02/21/2008.
Does Hemanth Koduri, M.D prescribe more brand-name or generic drugs? ▼
Hemanth Koduri, M.D's prescribing is 24% brand-name and 76% generic drugs by claim count, with $770 in brand drug costs.
Does Hemanth Koduri, M.D prescribe opioids? ▼
Yes, Hemanth Koduri, M.D had 126 opioid claims in 2023 with an opioid prescribing rate of 100.0%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US? ▼
There are 15,336 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does Hemanth Koduri, M.D prescribe most often? ▼
Based on 2023 Medicare Part D data, Hemanth Koduri, M.D's most frequently prescribed drugs include Tramadol Hcl, Hydromorphone Hcl, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Hemanth Koduri, M.D accept Medicare? ▼
Hemanth Koduri, M.D appears in CMS Medicare data with 126 Part D claims and 26 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Hemanth Koduri, M.D's credentials? ▼
Hemanth Koduri, M.D's NPI is 1801065198 with credentials M.D. 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
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.