2026 NPPES data Hematology & Oncology Physician NPI 1205290194 MD
Verify on CMS →

LAKSHMI BOYAPATI, MD

Hematology & Oncology Physician in PALM COAST, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
71
Medicare Part D claims · 24 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
66%
generic claims · 34% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.5963/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$63
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: LAKSHMI BOYAPATI, MD is a Hematology & Oncology Physician ([object Object]) practicing in PALM COAST, Florida with a Medicare Part D prescribing footprint of 71 claims across 24 beneficiaries — 34% brand-name prescribing . Their CMS MIPS Final Score of 89.5963/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $63 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: LAKSHMI BOYAPATI, MD reported a CMS MIPS final score of 89.5963 out of 100, above the 83.1 national average, and filed 71 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

LAKSHMI BOYAPATI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

LAKSHMI BOYAPATI, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/07/2016

NPI 1205290194

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

71 92% vs specialty avg

2023 prescription claims

Specialty avg: 847

MIPS final score

89.5963/100 6.496300000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Hematology & Oncology Physician compares to other specialties among Florida providers

Florida providers

Hematology & Oncology Physician share within Florida

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within Florida

Medicare quality performance — MIPS

LAKSHMI BOYAPATI, MD's 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

High performer (top quartile)
MIPS Final Score
89.5963/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology & Oncology Physician) — 89.5963/100 vs national avg 83.1

0%100%National avg83%89.6%
MIPS final score (Hematology & Oncology Physician) — 89.5963/100 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).

LAKSHMI BOYAPATI, MD is a Hematology & Oncology Physician provider practicing in PALM COAST, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1205290194. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

LAKSHMI BOYAPATI, MD appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding MD credentials at 80 PINNACLES DR STE 700, PALM COAST, FL, 32164, with a listed phone of (386) 387-8500. NPI 1205290194 was issued on 04/07/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOYAPATI 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 71 prescription claims written by this provider, covering 24 Medicare beneficiaries and totaling roughly $52K in drug spend, split 34% brand-name and 66% generic by claim count. 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 89.5963/100 for the 2023 performance year, compared with the national average of 83.1.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

80 PINNACLES DR STE 700
PALM COAST, FL 32164

Provider Details

NPI 1205290194
Specialty Hematology & Oncology Physician
Credentials MD
Gender Female
NPI Issued 04/07/2016

CMS Quality Score (MIPS)

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

89.5963
Final Score
Avg: 83.1
84
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where LAKSHMI BOYAPATI, MD 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.

CANCER SPECIALISTS LLC
PALM COAST, FL
PENNOCK HOSPITAL
HASTINGS, MI
SPECTRUM HEALTH PRIMARY CARE PARTNERS
KENTWOOD, MI

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 LAKSHMI BOYAPATI, MD. Source: openpaymentsdata.cms.gov.

Total received

$63

Largest payer

Incyte 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.

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to LAKSHMI BOYAPATI, MD. To verify LAKSHMI BOYAPATI, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

LAKSHMI BOYAPATI, MD — brand share 34.0%
Specialty average (est.)

34% brand-name claims vs 66% generic, on 71 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.

71
Total Claims
$52K
Total Drug Cost
24
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
75
Total Day Supply
1,821
Brand vs Generic
34% brand / 66% generic
Brand Drug Cost
$48K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
2.02
Age Distribution
<65: 0, 65-74: N/A, 75-84: 13, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tamsulosin Hcl
12
Lantus Solostar
"Insulin Glargine
N/A

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

Hematology & Oncology Physician Overview

How LAKSHMI BOYAPATI, MD fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

LAKSHMI BOYAPATI, MD's 71 claims are below the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in Florida

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

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LAKSHMI BOYAPATI, MD's specialty?
LAKSHMI BOYAPATI, MD specializes in Hematology & Oncology Physician and practices in PALM COAST, Florida. Credentials: MD.
How much does LAKSHMI BOYAPATI, MD prescribe under Medicare Part D?
In 2023, LAKSHMI BOYAPATI, MD wrote 71 Medicare Part D claims totaling $52K in drug costs for 24 beneficiaries.
What is LAKSHMI BOYAPATI, MD's Medicare quality score?
LAKSHMI BOYAPATI, MD has a CMS MIPS Final Score of 89.5963/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LAKSHMI BOYAPATI, MD located?
LAKSHMI BOYAPATI, MD is located at 80 PINNACLES DR STE 700, PALM COAST, FL, 32164. Phone: (386) 387-8500.
What is LAKSHMI BOYAPATI, MD's NPI number?
LAKSHMI BOYAPATI, MD's National Provider Identifier (NPI) is 1205290194, issued on 04/07/2016.
Does LAKSHMI BOYAPATI, MD prescribe more brand-name or generic drugs?
LAKSHMI BOYAPATI, MD's prescribing is 34% brand-name and 66% generic drugs by claim count, with $48K in brand drug costs.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does LAKSHMI BOYAPATI, MD prescribe most often?
Based on 2023 Medicare Part D data, LAKSHMI BOYAPATI, MD's most frequently prescribed drugs include Tamsulosin Hcl, Lantus Solostar. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LAKSHMI BOYAPATI, MD accept Medicare?
LAKSHMI BOYAPATI, MD appears in CMS Medicare data with 71 Part D claims and 24 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LAKSHMI BOYAPATI, MD's credentials?
LAKSHMI BOYAPATI, MD's NPI is 1205290194 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