NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1306158654 MD, PHD
Verify on CMS → Jocelyn Edathil, MD, PHD
Internal Medicine Physician in Philadelphia, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,858 in Internal 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
54
Medicare Part D claims · 26 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
76.7/100
▼ 6 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Jocelyn Edathil, MD, PHD reported a CMS MIPS final score of 76.7/100 - below the 83.1 national average - and filed 54 Medicare Part D claims in 2023.
- 76.7/100
- MIPS score · -6 vs avg
- 54
- Part D claims, 2023
- 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.
Jocelyn Edathil, 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
77 21st percentile higher than 21% 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 Jocelyn Edathil, MD, PHD sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jocelyn Edathil, MD, PHD writes more Part D claims than 8% of them and scores higher on MIPS quality than 22% - 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 internal medicine physician peer from a representative sample of 60; the gold marker is Jocelyn Edathil, MD, PHD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Jocelyn Edathil, MD, PHD 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 Jocelyn Edathil, MD, PHD?
Below national averagePrimary specialty
Internal Medicine Physician
Medicare Part D claims
54 98% vs specialty avg
MIPS final score
76.7/100 6.4 pts vs avg
Specialty distribution in Pennsylvania
How Internal Medicine Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Jocelyn Edathil, MD, PHD's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 76.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 76.7/100 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).
Jocelyn Edathil, MD, PHD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD, PHD credentials at 3401 N BROAD ST, Philadelphia, PA, 19140, with a listed phone of (215) 707-1622. NPI 1306158654 was issued on 07/01/2010.
Medicare Part D records for calendar year 2023 show 54 prescription claims written by this provider, covering 26 Medicare beneficiaries and totaling roughly $7K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.7/100 for the 2023 performance year (Quality 55.2, Cost 54.9), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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 | 1306158654 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD, PHD |
| Gender | Female |
| NPI Issued | 07/01/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.7036
Final Score
Avg: 83.1
55.1936
Quality
54.937
Cost
98
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Jocelyn Edathil, 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.
Temple Faculty Practice Plan Inc
Philadelphia, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Jocelyn Edathil, MD, PHD. To verify Jocelyn Edathil, MD, PHD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
54
Total Claims
$7K
Total Drug Cost
26
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 58
- Total Day Supply
- 1,165
- Generic Drug Cost
- $672
Patient Demographics
- Average Patient Age
- 70.4 years
- Avg HCC Risk Score
- 3.00
Internal Medicine Physician Overview
How Jocelyn Edathil, MD, PHD fits within the Internal Medicine Physician landscape nationally.
172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Jocelyn Edathil, MD, PHD's 54 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Edathil.
Dr. Erin Aakhus
M.D.
Philadelphia, PA
Dr. Muhammad Aamir
MD
Allentown, PA
Dr. Saira Aamir
MD
York, PA
Dr. John Aaron
MD
West Grove, PA
Dr. Todd Aaron
MD
Philadelphia, PA
Compare Internal Medicine 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine 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 Jocelyn Edathil, MD, PHD's specialty? ▼
Jocelyn Edathil, MD, PHD specializes in Internal Medicine Physician and practices in Philadelphia, Pennsylvania. Credentials: MD, PHD.
How much does Jocelyn Edathil, MD, PHD prescribe under Medicare Part D? ▼
In 2023, Jocelyn Edathil, MD, PHD wrote 54 Medicare Part D claims totaling $7K in drug costs for 26 beneficiaries.
What is Jocelyn Edathil, MD, PHD's Medicare quality score? ▼
Jocelyn Edathil, MD, PHD has a CMS MIPS Final Score of 76.7/100 (Quality: 55.2, Cost: 54.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jocelyn Edathil, MD, PHD located? ▼
Jocelyn Edathil, MD, PHD is located at 3401 N BROAD ST, Philadelphia, PA, 19140. Phone: (215) 707-1622.
What is Jocelyn Edathil, MD, PHD's NPI number? ▼
Jocelyn Edathil, MD, PHD's National Provider Identifier (NPI) is 1306158654, issued on 07/01/2010.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
Does Jocelyn Edathil, MD, PHD accept Medicare? ▼
Jocelyn Edathil, MD, PHD appears in CMS Medicare data with 54 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 Jocelyn Edathil, MD, PHD's credentials? ▼
Jocelyn Edathil, MD, PHD's NPI is 1306158654 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
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
Compiled from official public sources by the PlainDoctor editorial team.