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 3,412 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
193
Medicare Part D claims · 73 beneficiaries · Allergy & Immunology Physician avg: 788
Generic prescribing
68%
generic claims · 32% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.6/100
▲ 14 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Mohini Pathria reported a CMS MIPS final score of 97.6/100 - above the 83.5 national average - and filed 193 Medicare Part D claims in 2024.
- 97.6/100
- MIPS score · +14 vs avg
- 193
- Part D claims, 2024
- 68%
- 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.
Federal trust snapshot
What official records show about Mohini Pathria
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 1609296268), first enumerated 04/22/2014.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 193 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 97.6/100 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
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- 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 1609296268 · Allergy & Immunology Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1609296268
- ENUM-MID 2014
- TAX-NARROW 3,412
- MIPS-ELITE 97.6/100
- RX-LIGHT 193
- BOOK-THIN 93 in Colorado
- PHOTO-FINISH Jonathan Buttram, MD · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Pathria · this p…
Pathria · this provider
97.6 MIPS pts
- Neha Yakhmi, MD …
Neha Yakhmi, MD
97.6 MIPS pts
- Jonathan Buttram…
Jonathan Buttram, MD
97.6 MIPS pts
- Luis Destarac, M…
Luis Destarac, M.D.
97.6 MIPS pts
- Ronald Graeff, M…
Ronald Graeff, MD
97.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Mohini Pathria'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.
98 ≥ 84th percentile 84% 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 Mohini Pathria sits
This provider among allergy & immunology physician peers
Across the 659 allergy & immunology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mohini Pathria writes more Part D claims than 14% of them and scores higher on MIPS quality than 88% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
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
193 76% vs specialty avg
MIPS final score
97.6/100 14.1 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 83.5 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 | 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
Measured-score avg: 83.5
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 32.0%
Allergy & Immunology Physician average
32% brand-name claims vs 68% generic, on 193 2024 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 2024.
193
Total Claims
$211K
Total Drug Cost
73
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 252.967
- Total Day Supply
- 7,164
- Brand vs Generic
- 32% brand / 68% generic
- Brand Drug Cost
- $204K
- Generic Drug Cost
- $7K
Patient Demographics
- Average Patient Age
- 69.7 years
- Avg HCC Risk Score
- 1.02
- Gender Split
- 71% female / 29% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Mohini Pathria prescribes most
Top Medicare Part D drugs by claim count, 2024
- Ipratropium Bromide
Ipratropium Bromide
43 claims
- Azelastine Hcl
Azelastine Hcl
24 claims
- Dupixent Pen 15
Dupixent Pen
15 claims
- Fluticasone Propio… 13
Fluticasone Propionate
13 claims
- Epinephrine 11
Epinephrine
11 claims
| Drug | Claims |
|---|---|
| Ipratropium Bromide | 43 |
| Azelastine Hcl | 24 |
| Dupixent Pen Dupilumab | 15 |
| Fluticasone Propionate | 13 |
| Epinephrine | 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.
3,412
Allergy & Immunology Physician Providers in US
52
States with Allergy & Immunology Physician
788
Avg Claims per Provider
Mohini Pathria's 193 claims are below the specialty average of 788.
Nationwide Allergy & Immunology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Pathria, both outside Colorado so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.6 here).
Same NPPES enumeration year (2014)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 93 Allergy & Immunology Physician providers enrolled in Colorado, 5 are shown here.
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 →
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 2024, Mohini Pathria wrote 193 Medicare Part D claims totaling $211K in drug costs for 73 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 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 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 32% brand-name and 68% generic drugs by claim count, with $204K in brand drug costs.
How many Allergy & Immunology Physician providers are there in the US? ▼
There are 3,412 Allergy & Immunology Physician providers across 52 states in the US. The average Allergy & Immunology Physician provider writes 788 Medicare Part D claims per year.
What drugs does Mohini Pathria prescribe most often? ▼
Based on 2024 Medicare Part D data, Mohini Pathria's most frequently prescribed drugs include Ipratropium Bromide, Azelastine Hcl, 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 193 Part D claims and 73 Medicare beneficiaries in 2024. 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 (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.