Kalpana Raghunathan, M.D.
Endocrinology, Diabetes & Metabolism Physician · Orrville, OH
Kalpana Raghunathan, M.D. is an endocrinology, diabetes & metabolism physician with a practice address in Orrville, Ohio, and NPI 1023212917, issued on Jun 13, 2007. Check the license (Ohio 35096140, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.
- Name
- Kalpana Raghunathan
- Credential
- M.D.
- Primary taxonomy
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License number
- 35096140 OH
Self-reported in NPPES; status is on the state search - Practice location
- 830 S Main St Ste 101, Orrville, OH 44667
- Phone
- (330) 684-1300
- Enumerated
- Jun 13, 2007
- Record last updated
- Mar 10, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (330) 682-0565
- Medicare enrollment
- Enrolled (PECOS I20110118000575); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest endocrinology, diabetes & metabolism physician records → All 352 in Ohio → Look up another NPI →
Also registered at 830 S Main St Ste 101
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Samantha Clark, MDObstetrics & Gynecology Physician1699186841
Verify Kalpana Raghunathan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersState Medical Board of Ohio
Search for license 35096140Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
81% more Medicare Part D claims than the average endocrinology, diabetes & metabolism physician in 2024
4,748 Medicare Part D claims for 392 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 42% of claims.
Most prescribed
- Levothyroxine Sodium592 claims
- Ozempic326 claims
- Metformin Hcl Er313 claims
- Jardiance274 claims
- Methimazole154 claims
- Mounjaro146 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): 88.2 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $230.01
11 payments; by number, the most common kind was food and beverage; the largest payer was Novo Nordisk Inc. The 5,661 providers of this specialty with any payment received $5,742.15 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Ohio Physician Professional CorporationCanton, OH
- Orrville Hospital FoundationOrrville, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kalpana Raghunathan among 352 endocrinology, diabetes & metabolism physician records in Ohio
Kalpana Raghunathan, M.D. is one of 352 endocrinology, diabetes & metabolism physician records with a practice address in Ohio. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 44% of them.
- NPI issued2007 · 44% of these records are older, 41% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2000 · median 2004 among the 255 with a school on file
- Record last updated2016 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Endocrinology, Diabetes & Metabolism Physician providers in Ohio
There are 352 endocrinology, diabetes & metabolism physician records in Ohio.
All 352 in Ohio → Every provider in Orrville → Endocrinology, Diabetes & Metabolism Physician nationwide →
The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes
- Nicole Dombrowski, D.O.Uniontown, OH 446851336269067
- Toni King, M.D.Uniontown, OH 446851275504672
- Kevin Miller, M.D.Uniontown, OH 446851902877335
- Michael Morocco, M.D.Uniontown, OH 446851801867403
- Palak Patadia, MDUniontown, OH 446851710516810
- Carmen Polanco SantosUniontown, OH 446851831531052
- Jeff Romig, M.D.Uniontown, OH 446851235279159
- Walter Geho, M.D., PH.D.Wooster, OH 446911003295502
Common questions
What is Kalpana Raghunathan, M.D.'s NPI number?
Kalpana Raghunathan, M.D.'s National Provider Identifier (NPI) is 1023212917, issued on Jun 13, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Kalpana Raghunathan, M.D. located?
The NPPES record lists a practice address at 830 S Main St Ste 101, Orrville, OH, 44667. Phone: (330) 684-1300. Providers update this record themselves, so call before visiting.
How can I verify Kalpana Raghunathan, M.D.'s license?
NPPES lists Ohio license number 35096140, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kalpana Raghunathan, M.D. prescribe under Medicare Part D?
In 2024, Kalpana Raghunathan, M.D. had 4,748 Medicare Part D claims for 392 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.
What is Kalpana Raghunathan, M.D.'s MIPS final score?
The 2023 MIPS final score is 88.2 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.