NPPES file of Aug 9, 2026

Jonathan Rathod, MD

Pulmonary Disease Physician · Mount Pleasant, WI

Jonathan Rathod, MD is a pulmonary disease physician with a practice address in Mount Pleasant, Wisconsin, and NPI 1174987267, issued on Apr 5, 2016. Check the license (Wisconsin 69453, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1174987267
Name
Jonathan Rathod
Credential
MD
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
69453 WI
Self-reported in NPPES; status is on the state search
Practice location
3803 Spring St, Mount Pleasant, WI 53405
Phone
(262) 687-5236
Enumerated
Apr 5, 2016
Record last updated
Mar 27, 2024
Medicare enrollment
Enrolled (PECOS I20220927002342); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3803 Spring St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ghaith Almhanni, MDStudent in an Organized Health Care Education/Training Program1386349876
  2. Shariff Attaya, MDClinical Cardiac Electrophysiology Physician1770643363
  3. Eki Drake, FNPAdult Health Nurse Practitioner1063910016
  4. Rebecca EdwardsPhysician Assistant1063330447
  5. Cheyenne Koeppen, PAPhysician Assistant1790630986
  6. Gina Labellarte, PA-CPhysician Assistant1417612326

Verify Jonathan Rathod in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWisconsin Medical Examining Board
    Search for license 69453
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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9% more Medicare Part D claims than the average pulmonary disease physician in 2024

1,554 Medicare Part D claims for 277 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 65% of claims.

  1. Jonathan Rathod1,554
  2. Specialty average1,425

Most prescribed

  1. Trelegy Ellipta348 claims
  2. Albuterol Sulfate Hfa197 claims
  3. Pantoprazole Sodium123 claims
  4. Spiriva Respimat84 claims
  5. Montelukast Sodium69 claims
  6. Fluticasone-Salmeterol64 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 82.4 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score77.9
  2. Costout of 100 · 30%74.4
  3. Promoting interoperabilityout of 100 · 25%81.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $191.79

2 payments; by number, the most common kind was food and beverage; the largest payer was Medtronic, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jonathan Rathod$191.79
  2. Specialty average$5,159.88

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Agnesian Healthcare IncFond Du Lac, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jonathan Rathod among 300 pulmonary disease physician records in Wisconsin

Jonathan Rathod, MD is one of 300 pulmonary disease physician records with a practice address in Wisconsin. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 82% of them.

  • NPI issued2016 · 82% of these records are older, 16% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 73% of these records are
  • Graduated2016 · median 2003 among the 220 with a school on file
  • Record last updated2024 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in Wisconsin

There are 300 pulmonary disease physician records in Wisconsin.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Iftekhar Bader, M.D.Racine, WI 534051508896671
  2. Roger Boye, MDRacine, WI 534051215039722
  3. Steven Johnson, MDRacine, WI 534051609898071
  4. Nicholas Omdahl, MDRacine, WI 534051841211950
  5. Roy Adaniya, MDBeloit, WI 535111245335967
  6. Tasleem RazaMilwaukee, WI 532951811001720
  7. Ralph Schapira, MDMilwaukee, WI 532951043234669
  8. Norman Newcomb, MDJanesville, WI 535451124074281

Common questions

What is Jonathan Rathod, MD's NPI number?

Jonathan Rathod, MD's National Provider Identifier (NPI) is 1174987267, issued on Apr 5, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Jonathan Rathod, MD located?

The NPPES record lists a practice address at 3803 Spring St, Mount Pleasant, WI, 53405. Phone: (262) 687-5236. Providers update this record themselves, so call before visiting.

How can I verify Jonathan Rathod, MD's license?

NPPES lists Wisconsin license number 69453, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Jonathan Rathod, MD prescribe under Medicare Part D?

In 2024, Jonathan Rathod, MD had 1,554 Medicare Part D claims for 277 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Jonathan Rathod, MD's MIPS final score?

The 2023 MIPS final score is 82.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.