NPI registry status
Active
2026 NPPES data Nephrology Physician NPI 1265467435 MD
Verify on CMS → Mohan Rao, MD
Nephrology Physician in South El Monte, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,806 in Nephrology 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
1K
Medicare Part D claims · 83 beneficiaries · Nephrology Physician avg: 2K
MIPS score
56.8/100
▼ 27 pts below national avg 83.5 · Mid-tier
Industry payments
$120.8
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Mohan Rao, MD reported a CMS MIPS final score of 56.8/100 - below the 83.5 national average - and filed 1,342 Medicare Part D claims in 2024.
- 56.8/100
- MIPS score · -27 vs avg
- 1K
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥5th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Mohan Rao, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1265467435), first enumerated 07/12/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,342 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 56.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Industry payment transparency
$120.8 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
California statewide board action statistics are published annually — these figures describe aggregate state activity, not Mohan Rao, MD's individual license status. Verify directly with the state medical board.
Source: MBC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1265467435 · Nephrology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1265467435
- ENUM-LEGACY 2006
- TAX-MID 11K Nephrology Physician
- MIPS-LOW 56.8/100
- RX-MID 1,342
- BOOK-LIGHT 1,165 in California
- PHOTO-FINISH Gayithri Keshav, M.D. · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Gayithri Keshav,…
Gayithri Keshav, M.D.
56.7 MIPS pts
- Rao · this provi…
Rao · this provider
56.8 MIPS pts
- Noshi Ishak, MD …
Noshi Ishak, MD
57 MIPS pts
- Michael Chobania…
Michael Chobanian, M.D.
57 MIPS pts
- Shaikh Hoque, MD…
Shaikh Hoque, MD
57 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Mohan Rao, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
57 ≥ 5th percentile 5% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Mohan Rao, MD sits
This provider among nephrology physician peers
Across the 2,230 nephrology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mohan Rao, MD writes more Part D claims than 59% of them and scores higher on MIPS quality than 17% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one nephrology physician peer from a representative sample of 60; the gold marker is Mohan Rao, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Mohan Rao, 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 Mohan Rao, MD?
Below national averagePrimary specialty
Nephrology Physician
Medicare Part D claims
1,342 11% vs specialty avg
MIPS final score
56.8/100 26.7 pts vs avg
Specialty distribution in California
How Nephrology Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Mohan Rao, MD's 2023 MIPS final score plotted against the Nephrology Physician national average
- MIPS Final Score
- 56.8/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1265467435 |
|---|---|
| Specialty | Nephrology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/12/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
56.7573
Final Score
Measured-score avg: 83.5
74.5362
Quality
56.476
Cost
Reporting: Individual
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 Rao, MD. Source: openpaymentsdata.cms.gov.
Total received
$121
Largest payer
Abbott Laboratories
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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Mohan Rao, MD. To verify Mohan Rao, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
1,342
Total Claims
$126K
Total Drug Cost
83
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,400
- Total Day Supply
- 24,105
- Generic Drug Cost
- $34K
- Opioid Claims
- 23 (1.7% rate)
- Antibiotic Claims
- 111
Patient Demographics
- Average Patient Age
- 73.9 years
- Avg HCC Risk Score
- 3.67
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 15, 65-74: 29, 75-84: 20, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Mohan Rao, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
81 claims
- Pantoprazole Sodium
Pantoprazole Sodium
73 claims
- Ipratropium-Albute…
Ipratropium-Albuterol
62 claims
- Famotidine
Famotidine
45 claims
- Albuterol Sulfate
Albuterol Sulfate
42 claims
- Omeprazole
Omeprazole
38 claims
- Levothyroxine Sodium
Levothyroxine Sodium
37 claims
- Lantus Solostar
Lantus Solostar
34 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 81 |
| Pantoprazole Sodium | 73 |
| Ipratropium-Albuterol Ipratropium/Albuterol Sulfate | 62 |
| Famotidine | 45 |
| Albuterol Sulfate | 42 |
| Omeprazole | 38 |
| Levothyroxine Sodium | 37 |
| Lantus Solostar Insulin Glargine,hum.Rec.Anlog | 34 |
| Humulin R Insulin Regular, Human | 32 |
| Clobetasol Propionate | 30 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nephrology Physician Overview
How Mohan Rao, MD fits within the Nephrology Physician landscape nationally.
10,806
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,511
Avg Claims per Provider
Mohan Rao, MD's 1,342 claims are below the specialty average of 1,511.
Nationwide Nephrology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Rao, both outside California so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (56.8 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Nephrology Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Rao.
One of 1,165 Nephrology Physician providers enrolled in California, 5 are shown here.
Dr. Antoine Abcar
MD
Los Angeles, CA
Dr. Basmah Abdalla
M.D.
Los Angeles, CA
Dr. Omaran Abdeen
M.D.
Mission Hills, CA
Dr. Anas Abou-Ismail
MD
Palm Springs, CA
Dr. Sreedhar Adapa
M.D.
Visalia, CA
Compare Nephrology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Mohan Rao, MD's specialty? ▼
Mohan Rao, MD specializes in Nephrology Physician and practices in South El Monte, California. Credentials: MD.
How much does Mohan Rao, MD prescribe under Medicare Part D? ▼
In 2024, Mohan Rao, MD wrote 1,342 Medicare Part D claims totaling $126K in drug costs for 83 beneficiaries.
What is Mohan Rao, MD's Medicare quality score? ▼
Mohan Rao, MD has a CMS MIPS Final Score of 56.8/100 (Quality: 74.5, Cost: 56.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mohan Rao, MD located? ▼
Mohan Rao, MD is located at 1648 TYLER AVENUE, South El Monte, CA, 91733. Phone: (626) 331-1560.
What is Mohan Rao, MD's NPI number? ▼
Mohan Rao, MD's National Provider Identifier (NPI) is 1265467435, issued on 07/12/2006.
Does Mohan Rao, MD prescribe opioids? ▼
Yes, Mohan Rao, MD had 23 opioid claims in 2024 with an opioid prescribing rate of 1.7%.
How many Nephrology Physician providers are there in the US? ▼
There are 10,806 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,511 Medicare Part D claims per year.
What drugs does Mohan Rao, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Mohan Rao, MD's most frequently prescribed drugs include Atorvastatin Calcium, Pantoprazole Sodium, Ipratropium-Albuterol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mohan Rao, MD accept Medicare? ▼
Mohan Rao, MD appears in CMS Medicare data with 1,342 Part D claims and 83 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mohan Rao, MD's credentials? ▼
Mohan Rao, MD's NPI is 1265467435 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.