NPI registry status
Active
2026 NPPES data Urology Physician NPI 1437125986 M.D.
Verify on CMS → Kumaresan Ganabathi, M.D.
Urology Physician in Brookville, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,367 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
751
Medicare Part D claims · 214 beneficiaries · Urology Physician avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kumaresan Ganabathi, M.D. filed 751 Medicare Part D claims in 2023 as a Urology Physician in Brookville, Pennsylvania, prescribing 88% generic.
- 751
- Part D claims, 2023
- 88%
- generic prescribing
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.
Kumaresan Ganabathi, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
751 Top 29% higher than 71% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Kumaresan Ganabathi, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Kumaresan Ganabathi, M.D.?
Quality data not reportedPrimary specialty
Urology Physician
Medicare Part D claims
751 41% vs specialty avg
Specialty distribution in Pennsylvania
How Urology Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Urology Physician. Verify directly:
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).
Kumaresan Ganabathi, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 240 ALLEGHENY BLVD, Brookville, PA, 15825, with a listed phone of (814) 849-8858. NPI 1437125986 was issued on 02/24/2006.
Medicare Part D records for calendar year 2023 show 751 prescription claims written by this provider, covering 214 Medicare beneficiaries and totaling roughly $81K in drug spend, split 12% brand-name and 88% generic by claim count.
Urology Physician is a mid-sized specialty nationwide, with 13,367 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 | 1437125986 |
|---|---|
| Specialty | Urology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 02/24/2006 |
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Kumaresan Ganabathi, M.D.. To verify Kumaresan Ganabathi, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Kumaresan Ganabathi, M.D. - brand share 12.0%
Urology Physician average
12% brand-name claims vs 88% generic, on 751 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.
751
Total Claims
$81K
Total Drug Cost
214
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,482
- Total Day Supply
- 44,250
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $54K
- Generic Drug Cost
- $27K
- Antibiotic Claims
- 17
Patient Demographics
- Average Patient Age
- 72.9 years
- Avg HCC Risk Score
- 1.18
- Gender Split
- 21% female / 79% male
- Age Distribution
- <65: 28, 65-74: 94, 75-84: 65, 85+: 27
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kumaresan Ganabathi, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tamsulosin Hcl
Tamsulosin Hcl
278 claims
- Finasteride 89
Finasteride
89 claims
- Myrbetriq 75
Myrbetriq
75 claims
- Dutasteride 60
Dutasteride
60 claims
- Alfuzosin Hcl Er 36
Alfuzosin Hcl Er
36 claims
- Potassium Citrate Er 35
Potassium Citrate Er
35 claims
- Oxybutynin Chlorid… 32
Oxybutynin Chloride Er
32 claims
- Methenamine Hippur… 17
Methenamine Hippurate
17 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 278 |
| Finasteride | 89 |
| Myrbetriq Mirabegron | 75 |
| Dutasteride | 60 |
| Alfuzosin Hcl Er Alfuzosin Hcl | 36 |
| Potassium Citrate Er Potassium Citrate | 35 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 32 |
| Methenamine Hippurate | 17 |
| Dutasteride-Tamsulosin Dutasteride/Tamsulosin Hcl | 13 |
| Oxybutynin Chloride | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Kumaresan Ganabathi, M.D. fits within the Urology Physician landscape nationally.
13,367
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider
Kumaresan Ganabathi, M.D.'s 751 claims are below the specialty average of 1,280.
Nearby Urology Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Ganabathi.
Ahmed Abdalla
Philadelphia, PA
Dr. Vineet Agrawal
M.D.
Sayre, PA
Dr. Victor Agusta
MD
Lancaster, PA
Dr. Max Ahn
M.D.
Wynnewood, PA
Dr. Saeed Akbari
M.D.
Coudersport, PA
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 Pennsylvania 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Pennsylvania
Frequently Asked Questions
What is Kumaresan Ganabathi, M.D.'s specialty? ▼
Kumaresan Ganabathi, M.D. specializes in Urology Physician and practices in Brookville, Pennsylvania. Credentials: M.D..
How much does Kumaresan Ganabathi, M.D. prescribe under Medicare Part D? ▼
In 2023, Kumaresan Ganabathi, M.D. wrote 751 Medicare Part D claims totaling $81K in drug costs for 214 beneficiaries.
Where is Kumaresan Ganabathi, M.D. located? ▼
Kumaresan Ganabathi, M.D. is located at 240 ALLEGHENY BLVD, Brookville, PA, 15825. Phone: (814) 849-8858.
What is Kumaresan Ganabathi, M.D.'s NPI number? ▼
Kumaresan Ganabathi, M.D.'s National Provider Identifier (NPI) is 1437125986, issued on 02/24/2006.
Does Kumaresan Ganabathi, M.D. prescribe more brand-name or generic drugs? ▼
Kumaresan Ganabathi, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $54K in brand drug costs.
How many Urology Physician providers are there in the US? ▼
There are 13,367 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 Kumaresan Ganabathi, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Kumaresan Ganabathi, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kumaresan Ganabathi, M.D. accept Medicare? ▼
Kumaresan Ganabathi, M.D. appears in CMS Medicare data with 751 Part D claims and 214 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kumaresan Ganabathi, M.D.'s credentials? ▼
Kumaresan Ganabathi, M.D.'s NPI is 1437125986 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.
- 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.