2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1609079540 MD
Verify on CMS →

IRFAN BUDHANI, MD

Critical Care Medicine (Internal Medicine) Physician in FLORENCE, Kentucky. 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
2K
Medicare Part D claims · 360 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
37%
generic claims · 63% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.3837/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$4.0K
70 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

IRFAN BUDHANI, MD reported a CMS MIPS final score of 90.3837/100 — above the 83.1 national average — and filed 2,062 Medicare Part D claims in 2023.

90.3837/100
MIPS score · +7 vs avg
2K
Part D claims, 2023
37%
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.

IRFAN BUDHANI, MD's MIPS score vs every scored U.S. clinician

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

90 Top 40% higher than 60% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

IRFAN BUDHANI, MD 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 IRFAN BUDHANI, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/07/2007

NPI 1609079540

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

2,062 93% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

90.3837/100 7.28370000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Kentucky providers

Kentucky providers

Critical Care Medicine (Internal Medicine) Physician share within Kentucky

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Kentucky

Medicare quality performance — MIPS

IRFAN BUDHANI, MD's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
90.3837/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 90.3837/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 90.3837/100 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).

IRFAN BUDHANI, MD appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding MD credentials at 4900 HOUSTON RD, FLORENCE, KY, 41042, with a listed phone of (859) 212-7700. NPI 1609079540 was issued on 06/07/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BUDHANI 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 2,062 prescription claims written by this provider, covering 360 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 63% brand-name and 37% 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 90.3837/100 for the 2023 performance year (Quality 80.7674), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

4900 HOUSTON RD
FLORENCE, KY 41042

Provider Details

NPI 1609079540
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 06/07/2007

CMS Quality Score (MIPS)

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

90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where IRFAN BUDHANI, MD 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.

SUMMIT MEDICAL GROUP INC
FLORENCE, KY

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 IRFAN BUDHANI, MD. Source: openpaymentsdata.cms.gov.

Total received

$4.0K

Largest payer

INTUITIVE SURGICAL, 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 · Brand-heavy

IRFAN BUDHANI, MD — brand share 63.0%
Specialty average (est.)

63% brand-name claims vs 37% generic, on 2,062 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.

2,062
Total Claims
$1.2M
Total Drug Cost
360
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,703
Total Day Supply
76,042
Brand vs Generic
63% brand / 37% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$31K
Antibiotic Claims
106

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
2.11
Gender Split
60% female / 40% male
Age Distribution
<65: 78, 65-74: 144, 75-84: 113, 85+: 25

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What IRFAN BUDHANI, MD 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
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
269
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
251
Symbicort
Budesonide/Formoterol Fumarate
200
Albuterol Sulfate Hfa
Albuterol Sulfate
156
Montelukast Sodium
123
Prednisone
120
Roflumilast
99
Fluticasone Propionate
90
Azithromycin
71
Breo Ellipta
Fluticasone/Vilanterol
66

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

Critical Care Medicine (Internal Medicine) Physician Overview

How IRFAN BUDHANI, MD fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

IRFAN BUDHANI, MD's 2,062 claims are above the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Kentucky

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

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is IRFAN BUDHANI, MD's specialty?
IRFAN BUDHANI, MD specializes in Critical Care Medicine (Internal Medicine) Physician and practices in FLORENCE, Kentucky. Credentials: MD.
How much does IRFAN BUDHANI, MD prescribe under Medicare Part D?
In 2023, IRFAN BUDHANI, MD wrote 2,062 Medicare Part D claims totaling $1.2M in drug costs for 360 beneficiaries.
What is IRFAN BUDHANI, MD's Medicare quality score?
IRFAN BUDHANI, MD has a CMS MIPS Final Score of 90.3837/100 (Quality: 80.7674). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is IRFAN BUDHANI, MD located?
IRFAN BUDHANI, MD is located at 4900 HOUSTON RD, FLORENCE, KY, 41042. Phone: (859) 212-7700.
What is IRFAN BUDHANI, MD's NPI number?
IRFAN BUDHANI, MD's National Provider Identifier (NPI) is 1609079540, issued on 06/07/2007.
Does IRFAN BUDHANI, MD prescribe more brand-name or generic drugs?
IRFAN BUDHANI, MD's prescribing is 63% brand-name and 37% generic drugs by claim count, with $1.2M in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does IRFAN BUDHANI, MD prescribe most often?
Based on 2023 Medicare Part D data, IRFAN BUDHANI, MD's most frequently prescribed drugs include Breztri Aerosphere, Trelegy Ellipta, Symbicort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does IRFAN BUDHANI, MD accept Medicare?
IRFAN BUDHANI, MD appears in CMS Medicare data with 2,062 Part D claims and 360 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify IRFAN BUDHANI, MD's credentials?
IRFAN BUDHANI, MD's NPI is 1609079540 with credentials MD. 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