NPI registry status
Active
2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1669812343 M.D
Verify on CMS → Neha Lalani, M.D
Student in an Organized Health Care Education/Training Program in Petersburg, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 331,274 in Student in an Organized Health Care Education/Training Program, 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
2K
Medicare Part D claims · 416 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
45%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
49.9/100
▼ 34 pts below national avg 83.5 · Below average
Industry payments
$14.09
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Neha Lalani, M.D reported a CMS MIPS final score of 49.9/100 - below the 83.5 national average - and filed 2,039 Medicare Part D claims in 2023.
- 49.9/100
- MIPS score · -34 vs avg
- 2K
- Part D claims, 2023
- 45%
- generic prescribing
- $14.09
- 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.
CMS NPPES provider registry desk
NPI 1669812343 · Student in an Organized Health Care Education/Training Program
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-LOW · RX-MID · BOOK-MID · PHOTO-FINISH
- NPI-10 1669812343
- ENUM-MID 2013
- TAX-MEGA 331K Student in
- MIPS-LOW 49.9/100
- RX-MID 2,039
- BOOK-MID 6,739 in Virginia
- PHOTO-FINISH Syed Hassan · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Chris Hong · low…
Chris Hong
49.5 MIPS pts
- Olurotimi Oladun…
Olurotimi Oladunni
49.8 MIPS pts
- Lalani · this pr…
Lalani · this provider
49.9 MIPS pts
- Syed Hassan · near
Syed Hassan
49.9 MIPS pts
- Ryan Krebs · hig…
Ryan Krebs
50 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Neha Lalani, M.D'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.
50 ≥ 4th percentile 4% 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 Neha Lalani, M.D sits
This provider among student in an organized health care education/training program peers
Across the 12,177 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, Neha Lalani, M.D writes more Part D claims than 89% of them and scores higher on MIPS quality than 2% - 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 student in an organized health care education/training program peer from a representative sample of 60; the gold marker is Neha Lalani, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Neha Lalani, M.D?
Below national averagePrimary specialty
Student in an Organized Health Care Education/Training Program
Medicare Part D claims
2,039 344% vs specialty avg
MIPS final score
49.9/100 33.6 pts vs avg
Specialty distribution in Virginia
How Student in an Organized Health Care Education/Training Program compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Neha Lalani, M.D's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average
- MIPS Final Score
- 49.9/100
- 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 | 1669812343 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Credentials | M.D |
| Gender | Female |
| NPI Issued | 06/26/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
49.886
Final Score
Measured-score avg: 83.5
85.5497
Quality
52.2205
Cost
Reporting: Group practice
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 Neha Lalani, M.D. Source: openpaymentsdata.cms.gov.
Total received
$14
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.
Brand vs generic prescribing mix · Above average
Neha Lalani, M.D - brand share 45.0%
Student in an Organized Health Care Education/Training Program average
45% brand-name claims vs 45% generic, on 2,039 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.
2,039
Total Claims
$864K
Total Drug Cost
416
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,097
- Total Day Supply
- 120,876
- Brand vs Generic
- 45% brand / 45% generic
- Brand Drug Cost
- $822K
- Generic Drug Cost
- $15K
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 1.95
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 82, 65-74: 194, 75-84: 122, 85+: 18
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Neha Lalani, M.D prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
119 claims
- Ozempic
Ozempic
106 claims
- Metformin Hcl Er
Metformin Hcl Er
104 claims
- Metformin Hcl
Metformin Hcl
103 claims
- Atorvastatin Calcium
Atorvastatin Calcium
98 claims
- Jardiance
Jardiance
98 claims
- Trulicity
Trulicity
63 claims
- Glipizide
Glipizide
59 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 119 |
| Ozempic Semaglutide | 106 |
| Metformin Hcl Er Metformin Hcl | 104 |
| Metformin Hcl | 103 |
| Atorvastatin Calcium | 98 |
| Jardiance Empagliflozin | 98 |
| Trulicity Dulaglutide | 63 |
| Glipizide | 59 |
| Pioglitazone Hcl | 54 |
| Soliqua 100-33 Insulin Glargine/Lixisenatide | 54 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Student in an Organized Health Care Education/Training Program in VA →
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Student in an Organized Health Care Education/Training Program Overview
How Neha Lalani, M.D fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
331,274
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider
Neha Lalani, M.D's 2,039 claims are above the specialty average of 459.
Nationwide Student in an Organized Health Care Education/Training Program peers with similar MIPS or enrollment year
Two federal-record peer sets for Lalani, both outside Virginia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (49.9 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Student in an Organized Health Care Education/Training Program Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Lalani.
One of 6,739 Student in an Organized Health Care Education/Training Program providers enrolled in Virginia, 5 are shown here.
Frequently Asked Questions
What is Neha Lalani, M.D's specialty? ▼
Neha Lalani, M.D specializes in Student in an Organized Health Care Education/Training Program and practices in Petersburg, Virginia. Credentials: M.D.
How much does Neha Lalani, M.D prescribe under Medicare Part D? ▼
In 2023, Neha Lalani, M.D wrote 2,039 Medicare Part D claims totaling $864K in drug costs for 416 beneficiaries.
What is Neha Lalani, M.D's Medicare quality score? ▼
Neha Lalani, M.D has a CMS MIPS Final Score of 49.9/100 (Quality: 85.5, Cost: 52.2). 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 Neha Lalani, M.D located? ▼
Neha Lalani, M.D is located at 50 MEDICAL PARK BLVD STE A, Petersburg, VA, 23805. Phone: (804) 765-5901.
What is Neha Lalani, M.D's NPI number? ▼
Neha Lalani, M.D's National Provider Identifier (NPI) is 1669812343, issued on 06/26/2013.
Does Neha Lalani, M.D prescribe more brand-name or generic drugs? ▼
Neha Lalani, M.D's prescribing is 45% brand-name and 45% generic drugs by claim count, with $822K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 331,274 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Neha Lalani, M.D prescribe most often? ▼
Based on 2023 Medicare Part D data, Neha Lalani, M.D's most frequently prescribed drugs include Levothyroxine Sodium, Ozempic, Metformin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Neha Lalani, M.D accept Medicare? ▼
Neha Lalani, M.D appears in CMS Medicare data with 2,039 Part D claims and 416 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Neha Lalani, M.D's credentials? ▼
Neha Lalani, M.D's NPI is 1669812343 with credentials M.D. 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
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 May 2026.