2026 NPPES data Colon & Rectal Surgery Physician NPI 1609067081 MD
Verify on CMS →

Kota Venkatesh, MD

Colon & Rectal Surgery Physician in Suwanee, Georgia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,642 in Colon & Rectal Surgery 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
419
Medicare Part D claims · 226 beneficiaries · Colon & Rectal Surgery Physician avg: 210
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.4/100
▲ 16 pts above national avg 83.5 · Exceptional

What the federal data shows

Kota Venkatesh, MD reported a CMS MIPS final score of 99.4/100 - above the 83.5 national average - and filed 419 Medicare Part D claims in 2024.

99.4/100
MIPS score · +16 vs avg
419
Part D claims, 2024
89%
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.

Federal trust snapshot

What official records show about Kota Venkatesh, MD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1609067081), first enumerated 08/09/2007.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 419 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 99.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1609067081 · Colon & Rectal Surgery Physician

NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1609067081
  • ENUM-MID 2007
  • TAX-NARROW 1,642
  • MIPS-ELITE 99.4/100
  • RX-LIGHT 419
  • BOOK-THIN 56 in Georgia
  • PHOTO-FINISH Shrey Modi · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Kota Venkatesh, MD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

99 ≥ 91st percentile 91% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Kota Venkatesh, MD sits

This provider among colon & rectal surgery physician peers

Across the 511 colon & rectal surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kota Venkatesh, MD writes more Part D claims than 90% of them and scores higher on MIPS quality than 94% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 88Kota Venkatesh, MD, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 94
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one colon & rectal surgery physician peer from a representative sample of 60; the gold marker is Kota Venkatesh, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Kota Venkatesh, MD 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 Kota Venkatesh, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/09/2007

NPI 1609067081

Primary specialty

Colon & Rectal Surgery Physician

Niche

1,642 US NPIs in this specialty

Medicare Part D claims

419 100% vs specialty avg

2024 prescription claims

Specialty avg: 210

MIPS final score

99.4/100 15.9 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Georgia

How Colon & Rectal Surgery Physician compares to other specialties among Georgia providers

Georgia providers
Behavior Technician7.5%Student in an Organized Heal…5%Pharmacist5%Family Nurse Practitioner4.8%Physical Therapist3.9%Professional Counselor3.6%Colon & Rectal Surgery Physi…0%
Largest specialties in Georgia (% of in-state providers)

Medicare quality performance, MIPS

Kota Venkatesh, MD's 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average

High performer (top quartile)
MIPS Final Score
99.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%99%
MIPS final score (Colon & Rectal Surgery Physician) - 99.4/100 vs national avg 83.5
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).

Practice Address

3905 JOHNS CREEK CT
Suwanee, GA 30024

Provider Details

NPI 1609067081
Specialty Colon & Rectal Surgery Physician
Credentials MD
Gender Male
NPI Issued 08/09/2007

CMS Quality Score (MIPS)

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

99.4
Final Score
Measured-score avg: 83.5
100
Quality
98
Promoting Interoperability

Reporting: Individual

Brand vs generic prescribing mix · Typical

Kota Venkatesh, MD - brand share 11.0%
Colon & Rectal Surgery Physician average

11% brand-name claims vs 89% generic, on 419 2024 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 2024.

419
Total Claims
$49K
Total Drug Cost
226
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
525.633
Total Day Supply
10,861
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$41K
Generic Drug Cost
$8K
Opioid Claims
94 (22.4% rate)
Antibiotic Claims
46

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.23
Gender Split
51% female / 49% male
Age Distribution
<65: 26, 65-74: 111, 75-84: 68, 85+: 21

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Kota Venkatesh, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Hydrocortisone
93
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
70
Linzess
Linaclotide
31
Tramadol Hcl
24
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
23
Cholestyramine
Cholestyramine (With Sugar)
21
Nystatin-Triamcinolone
Nystatin/Triamcinolone Acet
18
Lidocaine
15
Procto-Med Hc
Hydrocortisone
12
Metronidazole
11

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

Colon & Rectal Surgery Physician Overview

How Kota Venkatesh, MD fits within the Colon & Rectal Surgery Physician landscape nationally.

1,642
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
210
Avg Claims per Provider

Kota Venkatesh, MD's 419 claims are above the specialty average of 210.

Nationwide Colon & Rectal Surgery Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Venkatesh, both outside Georgia so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (99.4 here).

Same NPPES enumeration year (2007)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Colon & Rectal Surgery Physician Providers in Georgia

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

One of 56 Colon & Rectal Surgery Physician providers enrolled in Georgia, 5 are shown here.

Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Kota Venkatesh, MD's specialty?
Kota Venkatesh, MD specializes in Colon & Rectal Surgery Physician and practices in Suwanee, Georgia. Credentials: MD.
How much does Kota Venkatesh, MD prescribe under Medicare Part D?
In 2024, Kota Venkatesh, MD wrote 419 Medicare Part D claims totaling $49K in drug costs for 226 beneficiaries.
What is Kota Venkatesh, MD's Medicare quality score?
Kota Venkatesh, MD has a CMS MIPS Final Score of 99.4/100 (Quality: 100). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kota Venkatesh, MD located?
Kota Venkatesh, MD is located at 3905 JOHNS CREEK CT, Suwanee, GA, 30024. Phone: (770) 495-0799.
What is Kota Venkatesh, MD's NPI number?
Kota Venkatesh, MD's National Provider Identifier (NPI) is 1609067081, issued on 08/09/2007.
Does Kota Venkatesh, MD prescribe more brand-name or generic drugs?
Kota Venkatesh, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $41K in brand drug costs.
Does Kota Venkatesh, MD prescribe opioids?
Yes, Kota Venkatesh, MD had 94 opioid claims in 2024 with an opioid prescribing rate of 22.4%.
How many Colon & Rectal Surgery Physician providers are there in the US?
There are 1,642 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 210 Medicare Part D claims per year.
What drugs does Kota Venkatesh, MD prescribe most often?
Based on 2024 Medicare Part D data, Kota Venkatesh, MD's most frequently prescribed drugs include Hydrocortisone, Oxycodone-Acetaminophen, Linzess. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kota Venkatesh, MD accept Medicare?
Kota Venkatesh, MD appears in CMS Medicare data with 419 Part D claims and 226 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kota Venkatesh, MD's credentials?
Kota Venkatesh, MD's NPI is 1609067081 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

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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.