NPI registry status
Active
2026 NPPES data Urology Physician NPI 1245431998 M.D.
Verify on CMS → Krishnan Venkatesan, M.D.
Urology Physician in Washington, District of Columbia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,350 in Urology 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
291
Medicare Part D claims · 105 beneficiaries · Urology Physician avg: 1K
MIPS score
80.2/100
▼ 3 pts below national avg 83.1 · Above neutral
Industry payments
$434.66
9 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Krishnan Venkatesan, M.D. reported a CMS MIPS final score of 80.2/100 - below the 83.1 national average - and filed 291 Medicare Part D claims in 2023.
- 80.2/100
- MIPS score · -3 vs avg
- 291
- 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.
Krishnan Venkatesan, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
80 33rd percentile higher than 33% 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 Krishnan Venkatesan, M.D. sits
This provider among urology physician peers
Across the 4,623 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Krishnan Venkatesan, M.D. writes more Part D claims than 15% of them and scores higher on MIPS quality than 36% - 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 urology physician peer from a representative sample of 60; the gold marker is Krishnan Venkatesan, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Krishnan Venkatesan, M.D. 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 Krishnan Venkatesan, M.D.?
Near national averagePrimary specialty
Urology Physician
Medicare Part D claims
291 77% vs specialty avg
MIPS final score
80.2/100 2.9 pts vs avg
Specialty distribution in District of Columbia
How Urology Physician compares to other specialties among District of Columbia providers
Medicare quality performance, MIPS
Krishnan Venkatesan, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average
- MIPS Final Score
- 80.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Urology Physician) - 80.2/100 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).
Krishnan Venkatesan, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 110 IRVING ST NW, Washington, DC, 20010, with a listed phone of (202) 877-7011. NPI 1245431998 was issued on 05/30/2007.
Medicare Part D records for calendar year 2023 show 291 prescription claims written by this provider, covering 105 Medicare beneficiaries and totaling roughly $104K in drug spend, with an opioid prescribing rate of 4.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.2/100 for the 2023 performance year (Quality 76.7, Cost 53.5), compared with the national average of 83.1.
Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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 | 1245431998 |
|---|---|
| Specialty | Urology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/30/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.1797
Final Score
Avg: 83.1
76.6904
Quality
53.4937
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Krishnan Venkatesan, M.D. 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.
Medstar Medical Group II LLC
Washington, DC
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Krishnan Venkatesan, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$435
Largest payer
Boston Scientific Corporation
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
291
Total Claims
$104K
Total Drug Cost
105
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 561
- Total Day Supply
- 14,835
- Generic Drug Cost
- $17K
- Opioid Claims
- 12 (4.1% rate)
- Antibiotic Claims
- 73
Patient Demographics
- Average Patient Age
- 70.9 years
- Avg HCC Risk Score
- 1.79
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Krishnan Venkatesan, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Myrbetriq
Myrbetriq
82 claims
- Tamsulosin Hcl
Tamsulosin Hcl
42 claims
- Amoxicillin-Clavul… 31
Amoxicillin-Clavulanate Potass
31 claims
- Sulfamethoxazole-T… 15
Sulfamethoxazole-Trimethoprim
15 claims
- Oxybutynin Chlorid… 14
Oxybutynin Chloride Er
14 claims
- Oxycodone Hcl 11
Oxycodone Hcl
11 claims
- Tadalafil 11
Tadalafil
11 claims
| Drug | Claims |
|---|---|
| Myrbetriq Mirabegron | 82 |
| Tamsulosin Hcl | 42 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 31 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 15 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 14 |
| Oxycodone Hcl | 11 |
| Tadalafil | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Krishnan Venkatesan, M.D. fits within the Urology Physician landscape nationally.
13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider
Krishnan Venkatesan, M.D.'s 291 claims are below the specialty average of 1,280.
Nearby Urology Physician Providers in District of Columbia
Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as Venkatesan.
Dr. Chiledum Ahaghotu
MD
Washington, DC
Dr. Ramez Andrawis
MD
Washington, DC
Dr. Gaurav Bandi
MD
Washington, DC
Dr. Justin Benabdallah
MD
Washington, DC
Dr. George Chang
M.D.
Washington, DC
Compare Urology 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 District of Columbia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Urology 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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Explore District of Columbia
Frequently Asked Questions
What is Krishnan Venkatesan, M.D.'s specialty? ▼
Krishnan Venkatesan, M.D. specializes in Urology Physician and practices in Washington, District of Columbia. Credentials: M.D..
How much does Krishnan Venkatesan, M.D. prescribe under Medicare Part D? ▼
In 2023, Krishnan Venkatesan, M.D. wrote 291 Medicare Part D claims totaling $104K in drug costs for 105 beneficiaries.
What is Krishnan Venkatesan, M.D.'s Medicare quality score? ▼
Krishnan Venkatesan, M.D. has a CMS MIPS Final Score of 80.2/100 (Quality: 76.7, Cost: 53.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Krishnan Venkatesan, M.D. located? ▼
Krishnan Venkatesan, M.D. is located at 110 IRVING ST NW, Washington, DC, 20010. Phone: (202) 877-7011.
What is Krishnan Venkatesan, M.D.'s NPI number? ▼
Krishnan Venkatesan, M.D.'s National Provider Identifier (NPI) is 1245431998, issued on 05/30/2007.
Does Krishnan Venkatesan, M.D. prescribe opioids? ▼
Yes, Krishnan Venkatesan, M.D. had 12 opioid claims in 2023 with an opioid prescribing rate of 4.1%.
How many Urology Physician providers are there in the US? ▼
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does Krishnan Venkatesan, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Krishnan Venkatesan, M.D.'s most frequently prescribed drugs include Myrbetriq, Tamsulosin Hcl, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Krishnan Venkatesan, M.D. accept Medicare? ▼
Krishnan Venkatesan, M.D. appears in CMS Medicare data with 291 Part D claims and 105 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Krishnan Venkatesan, M.D.'s credentials? ▼
Krishnan Venkatesan, M.D.'s NPI is 1245431998 with credentials M.D.. 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.