2026 NPPES data Rheumatology Physician NPI 1467423624 DO
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MOHAN GURUBHAGAVATULA, DO

Rheumatology Physician in BALA CYNWYD, Pennsylvania. 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
2K
Medicare Part D claims · 214 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$790.81
37 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MOHAN GURUBHAGAVATULA, DO filed 2,293 Medicare Part D claims in 2023 as a Rheumatology Physician in BALA CYNWYD, Pennsylvania, prescribing 88% generic.

2K
Part D claims, 2023
88%
generic prescribing
$790.81
industry payments (Sunshine Act)

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.

MOHAN GURUBHAGAVATULA, DO's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,293 Top 15% higher than 85% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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)

MOHAN GURUBHAGAVATULA, DO 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 MOHAN GURUBHAGAVATULA, DO?

Quality data not reported

NPI registry status

Active

Issued 01/27/2006

NPI 1467423624

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

2,293 12% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in Pennsylvania

How Rheumatology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Rheumatology Physician share within Pennsylvania

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Rheumatology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Rheumatology Physician ABMS/AOA estimate

Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

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).

MOHAN GURUBHAGAVATULA, DO appears in the CMS NPPES registry as a Rheumatology Physician provider holding DO credentials at 225 E CITY AVE STE 215, BALA CYNWYD, PA, 19004, with a listed phone of (610) 664-8200. NPI 1467423624 was issued on 01/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GURUBHAGAVATULA 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 2,293 prescription claims written by this provider, covering 214 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, split 12% brand-name and 88% 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

225 E CITY AVE STE 215
BALA CYNWYD, PA 19004

Provider Details

NPI 1467423624
Specialty Rheumatology Physician
Credentials DO
Gender Male
NPI Issued 01/27/2006

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 MOHAN GURUBHAGAVATULA, DO. Source: openpaymentsdata.cms.gov.

Total received

$791

Largest payer

Amgen Inc.

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 — 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 MOHAN GURUBHAGAVATULA, DO. To verify MOHAN GURUBHAGAVATULA, DO'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

MOHAN GURUBHAGAVATULA, DO — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 2,293 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.

2,293
Total Claims
$1.4M
Total Drug Cost
214
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,069
Total Day Supply
88,203
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$1.4M
Generic Drug Cost
$47K
Antibiotic Claims
60

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.65
Gender Split
80% female / 20% male
Age Distribution
<65: 27, 65-74: 98, 75-84: 68, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

What MOHAN GURUBHAGAVATULA, DO 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
Hydroxychloroquine Sulfate
703
Duloxetine Hcl
290
Methotrexate
Methotrexate Sodium
258
Prednisone
248
Alendronate Sodium
150
Gabapentin
104
Remicade
Infliximab
80
Enbrel Sureclick
Etanercept
73
Minocycline Hcl
57
Leflunomide
47

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

Rheumatology Physician Overview

How MOHAN GURUBHAGAVATULA, DO fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

MOHAN GURUBHAGAVATULA, DO's 2,293 claims are above the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Pennsylvania

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

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MOHAN GURUBHAGAVATULA, DO's specialty?
MOHAN GURUBHAGAVATULA, DO specializes in Rheumatology Physician and practices in BALA CYNWYD, Pennsylvania. Credentials: DO.
How much does MOHAN GURUBHAGAVATULA, DO prescribe under Medicare Part D?
In 2023, MOHAN GURUBHAGAVATULA, DO wrote 2,293 Medicare Part D claims totaling $1.4M in drug costs for 214 beneficiaries.
Where is MOHAN GURUBHAGAVATULA, DO located?
MOHAN GURUBHAGAVATULA, DO is located at 225 E CITY AVE STE 215, BALA CYNWYD, PA, 19004. Phone: (610) 664-8200.
What is MOHAN GURUBHAGAVATULA, DO's NPI number?
MOHAN GURUBHAGAVATULA, DO's National Provider Identifier (NPI) is 1467423624, issued on 01/27/2006.
Does MOHAN GURUBHAGAVATULA, DO prescribe more brand-name or generic drugs?
MOHAN GURUBHAGAVATULA, DO's prescribing is 12% brand-name and 88% generic drugs by claim count, with $1.4M in brand drug costs.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does MOHAN GURUBHAGAVATULA, DO prescribe most often?
Based on 2023 Medicare Part D data, MOHAN GURUBHAGAVATULA, DO's most frequently prescribed drugs include Hydroxychloroquine Sulfate, Duloxetine Hcl, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MOHAN GURUBHAGAVATULA, DO accept Medicare?
MOHAN GURUBHAGAVATULA, DO appears in CMS Medicare data with 2,293 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 MOHAN GURUBHAGAVATULA, DO's credentials?
MOHAN GURUBHAGAVATULA, DO's NPI is 1467423624 with credentials DO. 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.
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