NPI registry status
Active
2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1194846394 D.O.
Verify on CMS → Nilusha Fernando, D.O.
Physical Medicine & Rehabilitation Physician in Lake Mary, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 15,336 in Physical Medicine & Rehabilitation 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
12K
Medicare Part D claims · 1K beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$684.42
27 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Nilusha Fernando, D.O. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 12,214 Medicare Part D claims in 2023.
- 75/100
- CMS neutral score · not measured
- 12K
- Part D claims, 2023
- 93%
- 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 Nilusha Fernando, D.O.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1194846394), first enumerated 04/03/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 12,214 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)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
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
3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$684.42 in reported industry payments (27 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
Florida statewide board action statistics are published annually — these figures describe aggregate state activity, not Nilusha Fernando, D.O.'s individual license status. Verify directly with the state medical board.
Source: FLDOH 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 1194846394 · Physical Medicine & Rehabilitation Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-NEUTRAL · RX-HEAVY · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1194846394
- ENUM-MID 2007
- TAX-MID 15K Physical Medicine
- MIPS-NEUTRAL 75/100
- RX-HEAVY 12K claims
- BOOK-LIGHT 1,023 in Florida
- PHOTO-ENUM Ram Bhala · 2007
Nilusha Fernando, D.O.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
12,214 ≥ 98th percentile 98% of 1,370,886 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Nilusha Fernando, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Nilusha Fernando, D.O.?
CMS neutral score, not measuredPrimary specialty
Physical Medicine & Rehabilitation Physician
Medicare Part D claims
12,214 16× vs specialty avg
MIPS final score
75/100
Specialty distribution in Florida
How Physical Medicine & Rehabilitation Physician compares to other specialties among Florida providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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 | 1194846394 |
|---|---|
| Specialty | Physical Medicine & Rehabilitation Physician |
| Credentials | D.O. |
| Gender | Female |
| NPI Issued | 04/03/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Individual
Hospital and facility affiliations
Facilities where Nilusha Fernando, D.O. 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.
According to CMS billing records, Nilusha Fernando, D.O. is affiliated with 3 Medicare-billing facilities.
Ability Health Services And Rehabilitation LP
Sanford, FL
Ability Health Services, Inc
Sanford, FL
Tampa Pain Relief Center Inc
Orlando, FL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Nilusha Fernando, D.O.. Source: openpaymentsdata.cms.gov.
Total received
$684
Largest payer
ABBVIE 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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Nilusha Fernando, D.O.. To verify Nilusha Fernando, D.O.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Nilusha Fernando, D.O. - brand share 7.0%
Physical Medicine & Rehabilitation Physician average
7% brand-name claims vs 93% generic, on 12,214 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.
12,214
Total Claims
$747K
Total Drug Cost
1,362
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 12,587
- Total Day Supply
- 361,287
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $365K
- Generic Drug Cost
- $382K
- Opioid Claims
- 10,876 (89.0% rate)
Patient Demographics
- Average Patient Age
- 66.5 years
- Avg HCC Risk Score
- 2.31
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 536, 65-74: 497, 75-84: 277, 85+: 52
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nilusha Fernando, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
3,499 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
2,820 claims
- Oxycodone Hcl
Oxycodone Hcl
1,693 claims
- Morphine Sulfate Er 1,078
Morphine Sulfate Er
1,078 claims
- Morphine Sulfate 353
Morphine Sulfate
353 claims
- Hydromorphone Hcl 284
Hydromorphone Hcl
284 claims
- Gabapentin 282
Gabapentin
282 claims
- Tramadol Hcl 266
Tramadol Hcl
266 claims
| Drug | Claims |
|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 3,499 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 2,820 |
| Oxycodone Hcl | 1,693 |
| Morphine Sulfate Er Morphine Sulfate | 1,078 |
| Morphine Sulfate | 353 |
| Hydromorphone Hcl | 284 |
| Gabapentin | 282 |
| Tramadol Hcl | 266 |
| Fentanyl | 258 |
| Xtampza Er Oxycodone Myristate | 256 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Physical Medicine & Rehabilitation Physician in FL →
All providers in Florida →
Compare specialties →
Physical Medicine & Rehabilitation Physician Overview
How Nilusha Fernando, D.O. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.
15,336
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider
Nilusha Fernando, D.O.'s 12,214 claims are above the specialty average of 781.
Nationwide Physical Medicine & Rehabilitation Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Fernando, both outside Florida so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Physical Medicine & Rehabilitation Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Fernando.
One of 1,023 Physical Medicine & Rehabilitation Physician providers enrolled in Florida, 5 are shown here.
Dr. Ammar Abbasi
MD
University Park, FL
Dr. Naomi Abel
MD
Tampa, FL
Dr. Lauren Abratt Edelberg
D.O.
Sunrise, FL
Dr. Ami Achilles
LPTA
Cape Coral, FL
Dr. Paula Ackerman
D.O
Gainesville, FL
Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Nilusha Fernando, D.O.'s specialty? ▼
Nilusha Fernando, D.O. specializes in Physical Medicine & Rehabilitation Physician and practices in Lake Mary, Florida. Credentials: D.O..
How much does Nilusha Fernando, D.O. prescribe under Medicare Part D? ▼
In 2023, Nilusha Fernando, D.O. wrote 12,214 Medicare Part D claims totaling $747K in drug costs for 1,362 beneficiaries.
What is Nilusha Fernando, D.O.'s Medicare quality score? ▼
Nilusha Fernando, D.O. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. 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 Nilusha Fernando, D.O. located? ▼
Nilusha Fernando, D.O. is located at 325 WAYMONT CT STE 111, Lake Mary, FL, 32746. Phone: (407) 936-3345.
What is Nilusha Fernando, D.O.'s NPI number? ▼
Nilusha Fernando, D.O.'s National Provider Identifier (NPI) is 1194846394, issued on 04/03/2007.
Does Nilusha Fernando, D.O. prescribe more brand-name or generic drugs? ▼
Nilusha Fernando, D.O.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $365K in brand drug costs.
Does Nilusha Fernando, D.O. prescribe opioids? ▼
Yes, Nilusha Fernando, D.O. had 10,876 opioid claims in 2023 with an opioid prescribing rate of 89.0%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US? ▼
There are 15,336 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does Nilusha Fernando, D.O. prescribe most often? ▼
Based on 2023 Medicare Part D data, Nilusha Fernando, D.O.'s most frequently prescribed drugs include Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nilusha Fernando, D.O. accept Medicare? ▼
Nilusha Fernando, D.O. appears in CMS Medicare data with 12,214 Part D claims and 1,362 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nilusha Fernando, D.O.'s credentials? ▼
Nilusha Fernando, D.O.'s NPI is 1194846394 with credentials D.O.. 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.