NPI registry status
Active
2026 NPPES data Allergy & Immunology Physician NPI 1609296268
Verify on CMS → Mohini Pathria
Allergy & Immunology Physician in Denver, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,390 in Allergy & Immunology 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
269
Medicare Part D claims · 81 beneficiaries · Allergy & Immunology Physician avg: 764
Generic prescribing
72%
generic claims · 28% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.6/100
▲ 14 pts above national avg 83.1 · Exceptional
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
Mohini Pathria reported a CMS MIPS final score of 97.6/100 - above the 83.1 national average - and filed 269 Medicare Part D claims in 2023.
- 97.6/100
- MIPS score · +14 vs avg
- 269
- Part D claims, 2023
- 72%
- generic prescribing
- 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.
Mohini Pathria's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 15% higher than 85% 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 Mohini Pathria sits
This provider among allergy & immunology physician peers
Across the 740 allergy & immunology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mohini Pathria writes more Part D claims than 18% of them and scores higher on MIPS quality than 90% - placing this provider in the lower-volume, high-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 allergy & immunology physician peer from a representative sample of 60; the gold marker is Mohini Pathria. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Mohini Pathria practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Mohini Pathria?
High performer (top quartile)Primary specialty
Allergy & Immunology Physician
Medicare Part D claims
269 65% vs specialty avg
MIPS final score
97.6/100 14.5 pts vs avg
Specialty distribution in Colorado
How Allergy & Immunology Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Mohini Pathria's 2023 MIPS final score plotted against the Allergy & Immunology Physician national average
- MIPS Final Score
- 97.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Allergy & Immunology Physician) - 97.6/100 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).
Mohini Pathria appears in the CMS NPPES registry as a Allergy & Immunology Physician provider at 100 COOK ST STE 400, Denver, CO, 80206, with a listed phone of (720) 516-9401. NPI 1609296268 was issued on 04/22/2014.
Medicare Part D records for calendar year 2023 show 269 prescription claims written by this provider, covering 81 Medicare beneficiaries and totaling roughly $291K in drug spend, split 28% brand-name and 72% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.6/100 for the 2023 performance year (Quality 86.5), compared with the national average of 83.1.
Allergy & Immunology Physician is a narrow specialty nationwide, with 3,390 enrolled providers across 52 states and an average of 764 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 | 1609296268 |
|---|---|
| Specialty | Allergy & Immunology Physician |
| Gender | Female |
| NPI Issued | 04/22/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Mohini Pathria 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.
Regents OF The Univ OF CA
Sacramento, CA
Regents OF The University OF California
Roseville, CA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Above average
Mohini Pathria - brand share 28.0%
Allergy & Immunology Physician average
28% brand-name claims vs 72% generic, on 269 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.
269
Total Claims
$291K
Total Drug Cost
81
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 462
- Total Day Supply
- 12,887
- Brand vs Generic
- 28% brand / 72% generic
- Brand Drug Cost
- $280K
- Generic Drug Cost
- $10K
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 68.9 years
- Avg HCC Risk Score
- 1.19
- Gender Split
- 67% female / 33% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Mohini Pathria prescribes most
Top Medicare Part D drugs by claim count, 2023
- Azelastine Hcl
Azelastine Hcl
37 claims
- Ipratropium Bromide
Ipratropium Bromide
36 claims
- Dupixent Pen
Dupixent Pen
27 claims
- Fluticasone Propio…
Fluticasone Propionate
18 claims
- Dupixent Syringe
Dupixent Syringe
17 claims
- Famotidine
Famotidine
17 claims
- Prednisone
Prednisone
15 claims
- Montelukast Sodium 13
Montelukast Sodium
13 claims
| Drug | Claims |
|---|---|
| Azelastine Hcl | 37 |
| Ipratropium Bromide | 36 |
| Dupixent Pen Dupilumab | 27 |
| Fluticasone Propionate | 18 |
| Dupixent Syringe Dupilumab | 17 |
| Famotidine | 17 |
| Prednisone | 15 |
| Montelukast Sodium | 13 |
| Triamcinolone Acetonide | 12 |
| Hydroxyzine Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Allergy & Immunology Physician Overview
How Mohini Pathria fits within the Allergy & Immunology Physician landscape nationally.
3,390
Allergy & Immunology Physician Providers in US
52
States with Allergy & Immunology Physician
764
Avg Claims per Provider
Mohini Pathria's 269 claims are below the specialty average of 764.
Nearby Allergy & Immunology Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Pathria.
Dr. Rafeul Alam
MD
Denver, CO
Dr. Erik Anderson
PHD, DO
Fort Collins, CO
Dr. Francine Andrews
M. D.
Lakewood, CO
Dr. Jatinder Aulakh
MD
Lafayette, CO
Dr. Sanford Avner
M.D.
Lone Tree, CO
Compare Allergy & Immunology 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 Colorado medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Allergy & Immunology 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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Frequently Asked Questions
What is Mohini Pathria's specialty? ▼
Mohini Pathria specializes in Allergy & Immunology Physician and practices in Denver, Colorado.
How much does Mohini Pathria prescribe under Medicare Part D? ▼
In 2023, Mohini Pathria wrote 269 Medicare Part D claims totaling $291K in drug costs for 81 beneficiaries.
What is Mohini Pathria's Medicare quality score? ▼
Mohini Pathria has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mohini Pathria located? ▼
Mohini Pathria is located at 100 COOK ST STE 400, Denver, CO, 80206. Phone: (720) 516-9401.
What is Mohini Pathria's NPI number? ▼
Mohini Pathria's National Provider Identifier (NPI) is 1609296268, issued on 04/22/2014.
Does Mohini Pathria prescribe more brand-name or generic drugs? ▼
Mohini Pathria's prescribing is 28% brand-name and 72% generic drugs by claim count, with $280K in brand drug costs.
How many Allergy & Immunology Physician providers are there in the US? ▼
There are 3,390 Allergy & Immunology Physician providers across 52 states in the US. The average Allergy & Immunology Physician provider writes 764 Medicare Part D claims per year.
What drugs does Mohini Pathria prescribe most often? ▼
Based on 2023 Medicare Part D data, Mohini Pathria's most frequently prescribed drugs include Azelastine Hcl, Ipratropium Bromide, Dupixent Pen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mohini Pathria accept Medicare? ▼
Mohini Pathria appears in CMS Medicare data with 269 Part D claims and 81 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mohini Pathria's credentials? ▼
Mohini Pathria's NPI is 1609296268. 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.