2026 NPPES data Family Medicine Physician NPI 1558804211 M.D
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Payal Rabadiya, M.D

Family Medicine Physician in Scranton, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
816
Medicare Part D claims · 163 beneficiaries · Family Medicine Physician avg: 3K

What the federal data shows

Payal Rabadiya, M.D filed 816 Medicare Part D claims in 2023 as a Family Medicine Physician in Scranton, Pennsylvania.

816
Part D claims, 2023

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.

Payal Rabadiya, M.D's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

816 Top 27% higher than 73% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

Payal Rabadiya, M.D practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Payal Rabadiya, M.D?

Quality data not reported

NPI registry status

Active

Issued 11/29/2016

NPI 1558804211

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

816 76% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Pennsylvania

How Family Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Largest specialties in Pennsylvania (% of in-state providers)

Student in an Organized Health Care Education/Training Program5.6%Pharmacist5%Physical Therapist4.9%Mental Health Counselor3.9%Internal Medicine Physician3.3%Professional Counselor3.2%Family Medicine Physician2.8%
Largest specialties in Pennsylvania (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

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).

Payal Rabadiya, M.D appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D credentials at 501 MADISON AVENUE, Scranton, PA, 18510, with a listed phone of (570) 343-2383. NPI 1558804211 was issued on 11/29/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Rabadiya most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 816 prescription claims written by this provider, covering 163 Medicare beneficiaries and totaling roughly $50K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

501 MADISON AVENUE
Scranton, PA 18510

Provider Details

NPI 1558804211
Specialty Family Medicine Physician
Credentials M.D
Gender Female
NPI Issued 11/29/2016

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to Payal Rabadiya, M.D. To verify Payal Rabadiya, M.D's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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 2023.

816
Total Claims
$50K
Total Drug Cost
163
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,881
Total Day Supply
55,120
Generic Drug Cost
$21K
Antibiotic Claims
19

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.19
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Payal Rabadiya, M.D prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
67
Amlodipine Besylate
66
Levothyroxine Sodium
41
Lisinopril
27
Hydrochlorothiazide
23
Losartan Potassium
22
Metformin Hcl
20
Duloxetine Hcl
19
Rosuvastatin Calcium
18
Escitalopram Oxalate
17

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How Payal Rabadiya, M.D fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Payal Rabadiya, M.D's 816 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Rabadiya.

Compare Family Medicine 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 Pennsylvania medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine 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.

Frequently Asked Questions

What is Payal Rabadiya, M.D's specialty?
Payal Rabadiya, M.D specializes in Family Medicine Physician and practices in Scranton, Pennsylvania. Credentials: M.D.
How much does Payal Rabadiya, M.D prescribe under Medicare Part D?
In 2023, Payal Rabadiya, M.D wrote 816 Medicare Part D claims totaling $50K in drug costs for 163 beneficiaries.
Where is Payal Rabadiya, M.D located?
Payal Rabadiya, M.D is located at 501 MADISON AVENUE, Scranton, PA, 18510. Phone: (570) 343-2383.
What is Payal Rabadiya, M.D's NPI number?
Payal Rabadiya, M.D's National Provider Identifier (NPI) is 1558804211, issued on 11/29/2016.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Payal Rabadiya, M.D prescribe most often?
Based on 2023 Medicare Part D data, Payal Rabadiya, M.D's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Payal Rabadiya, M.D accept Medicare?
Payal Rabadiya, M.D appears in CMS Medicare data with 816 Part D claims and 163 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Payal Rabadiya, M.D's credentials?
Payal Rabadiya, M.D's NPI is 1558804211 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

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.
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