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 1,608 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
371
Medicare Part D claims · 212 beneficiaries · Colon & Rectal Surgery Physician avg: 196
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.4/100
▲ 16 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Kota Venkatesh, MD reported a CMS MIPS final score of 99.4/100 - above the 83.1 national average - and filed 371 Medicare Part D claims in 2023.

99.4/100
MIPS score · +16 vs avg
371
Part D claims, 2023
86%
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.

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

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

99 Top 9% higher than 91% 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+: 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

Where Kota Venkatesh, MD sits

This provider among colon & rectal surgery physician peers

Across the 536 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 86% 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.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 62Kota Venkatesh, MD-Part D claim volume, percentile in specialty: 86 · 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

1,608 US NPIs in this specialty

Medicare Part D claims

371 89% vs specialty avg

2023 prescription claims

Specialty avg: 196

MIPS final score

99.4/100 16.3 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

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

Georgia providers

Largest specialties in Georgia (% of in-state providers)

Behavior Technician - 7.3%Behavior Technician7.3%Pharmacist - 5.1%Pharmacist5.1%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Family Nurse Practitioner - 4.8%Family Nurse Practitioner4.8%Physical Therapist - 3.9%Physical Therapist3.9%Professional Counselor - 3.6%Professional Counselor3.6%Colon & Rectal Surgery Physician - 0%Colon & Rectal Surgery Physician0%
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 83.1 national avg · 2023 performance year

MIPS final score (Colon & Rectal Surgery Physician) - 99.4/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Colon & Rectal Surgery Physician) - 99.4/100 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).

Kota Venkatesh, MD appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding MD credentials at 3905 JOHNS CREEK CT, Suwanee, GA, 30024, with a listed phone of (770) 495-0799. NPI 1609067081 was issued on 08/09/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Venkatesh 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 371 prescription claims written by this provider, covering 212 Medicare beneficiaries and totaling roughly $45K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 19.4%. 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 99.4/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 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

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
Avg: 83.1
100
Quality
98
Promoting Interoperability

Reporting: Individual

Brand vs generic prescribing mix · Typical

Kota Venkatesh, MD - brand share 14.0%
Colon & Rectal Surgery Physician average

14% brand-name claims vs 86% generic, on 371 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.

371
Total Claims
$45K
Total Drug Cost
212
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
447
Total Day Supply
8,674
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$37K
Generic Drug Cost
$8K
Opioid Claims
72 (19.4% rate)
Antibiotic Claims
52

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.51
Gender Split
49% female / 51% male
Age Distribution
<65: 22, 65-74: 107, 75-84: 71, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What Kota Venkatesh, 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
Hydrocortisone
87
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
51
Linzess
Linaclotide
28
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
24
Tramadol Hcl
19
Nystatin-Triamcinolone
Nystatin/Triamcinolone Acet
15
Diazepam
13
Colesevelam Hcl
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.

1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider

Kota Venkatesh, MD's 371 claims are above the specialty average of 196.

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.

Compare Colon & Rectal Surgery 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 Georgia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Colon & Rectal Surgery 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.

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 2023, Kota Venkatesh, MD wrote 371 Medicare Part D claims totaling $45K in drug costs for 212 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 national average MIPS Final Score is 83.1. 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 14% brand-name and 86% generic drugs by claim count, with $37K in brand drug costs.
Does Kota Venkatesh, MD prescribe opioids?
Yes, Kota Venkatesh, MD had 72 opioid claims in 2023 with an opioid prescribing rate of 19.4%.
How many Colon & Rectal Surgery Physician providers are there in the US?
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does Kota Venkatesh, MD prescribe most often?
Based on 2023 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 371 Part D claims and 212 Medicare beneficiaries in 2023. 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

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.