2026 NPPES data Addiction Medicine (Internal Medicine) Physician NPI 1609119635 MD
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PAYEL ROY, MD

Addiction Medicine (Internal Medicine) Physician in BOSTON, Massachusetts. 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
240
Medicare Part D claims · 28 beneficiaries · Addiction Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

PAYEL ROY, MD filed 240 Medicare Part D claims in 2023 as a Addiction Medicine (Internal Medicine) Physician in BOSTON, Massachusetts, prescribing 86% generic.

240
Part D claims, 2023
86%
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.

PAYEL ROY, MD's Medicare Part D volume vs every U.S. prescriber

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

240 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 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 certification likely (heuristic — not verified)

PAYEL ROY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — 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 PAYEL ROY, MD?

Quality data not reported

NPI registry status

Active

Issued 03/28/2013

NPI 1609119635

Primary specialty

Addiction Medicine (Internal Medicine) Physician

Niche

553 US NPIs in this specialty

Medicare Part D claims

240 83% vs specialty avg

2023 prescription claims

Specialty avg: 1,403

Specialty distribution in Massachusetts

How Addiction Medicine (Internal Medicine) Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Addiction Medicine (Internal Medicine) Physician share within Massachusetts

1. Addiction Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Internal Medicine) Physician share within Massachusetts

Specialty board-certification context

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

Quality data not reported
Est. board-certified rate
78%
Addiction Medicine (Internal Medicine) Physician ABMS/AOA estimate

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

0%100%78%
Est. board-certified rate (Addiction Medicine (Internal 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).

PAYEL ROY, MD appears in the CMS NPPES registry as a Addiction Medicine (Internal Medicine) Physician provider holding MD credentials at 72 E CONCORD ST, BOSTON, MA, 02118, with a listed phone of (617) 638-6500. NPI 1609119635 was issued on 03/28/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROY 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 240 prescription claims written by this provider, covering 28 Medicare beneficiaries and totaling roughly $42K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 6.7%. 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.

Addiction Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 553 enrolled providers across 46 states and an average of 1,403 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

72 E CONCORD ST
BOSTON, MA 02118

Provider Details

NPI 1609119635
Specialty Addiction Medicine (Internal Medicine) Physician
Credentials MD
Gender Female
NPI Issued 03/28/2013

Hospital and facility affiliations

Facilities where PAYEL ROY, MD 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.

UNIVERSITY OF PITTSBURGH PHYSICIANS
PITTSBURGH, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to PAYEL ROY, MD. To verify PAYEL ROY, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PAYEL ROY, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 240 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.

240
Total Claims
$42K
Total Drug Cost
28
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
309
Total Day Supply
8,102
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$15K
Generic Drug Cost
$27K
Opioid Claims
16 (6.7% rate)

Patient Demographics

Average Patient Age
56.9 years
Avg HCC Risk Score
2.83
Gender Split
43% female / 57% male

Top Prescribed Drugs (Medicare Part D)

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

What PAYEL ROY, MD 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
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
74
Gabapentin
16
Lisinopril
15
Pregabalin
13
Belbuca
Buprenorphine Hcl
12
Metoprolol Succinate
12
Xarelto
Rivaroxaban
12

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

Addiction Medicine (Internal Medicine) Physician Overview

How PAYEL ROY, MD fits within the Addiction Medicine (Internal Medicine) Physician landscape nationally.

553
Addiction Medicine (Internal Medicine) Physician Providers in US
46
States with Addiction Medicine (Internal Medicine) Physician
1,403
Avg Claims per Provider

PAYEL ROY, MD's 240 claims are below the specialty average of 1,403.

Nearby Addiction Medicine (Internal Medicine) Physician Providers in Massachusetts

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

Compare Addiction Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAYEL ROY, MD's specialty?
PAYEL ROY, MD specializes in Addiction Medicine (Internal Medicine) Physician and practices in BOSTON, Massachusetts. Credentials: MD.
How much does PAYEL ROY, MD prescribe under Medicare Part D?
In 2023, PAYEL ROY, MD wrote 240 Medicare Part D claims totaling $42K in drug costs for 28 beneficiaries.
Where is PAYEL ROY, MD located?
PAYEL ROY, MD is located at 72 E CONCORD ST, BOSTON, MA, 02118. Phone: (617) 638-6500.
What is PAYEL ROY, MD's NPI number?
PAYEL ROY, MD's National Provider Identifier (NPI) is 1609119635, issued on 03/28/2013.
Does PAYEL ROY, MD prescribe more brand-name or generic drugs?
PAYEL ROY, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $15K in brand drug costs.
Does PAYEL ROY, MD prescribe opioids?
Yes, PAYEL ROY, MD had 16 opioid claims in 2023 with an opioid prescribing rate of 6.7%.
How many Addiction Medicine (Internal Medicine) Physician providers are there in the US?
There are 553 Addiction Medicine (Internal Medicine) Physician providers across 46 states in the US. The average Addiction Medicine (Internal Medicine) Physician provider writes 1,403 Medicare Part D claims per year.
What drugs does PAYEL ROY, MD prescribe most often?
Based on 2023 Medicare Part D data, PAYEL ROY, MD's most frequently prescribed drugs include Buprenorphine-Naloxone, Gabapentin, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAYEL ROY, MD accept Medicare?
PAYEL ROY, MD appears in CMS Medicare data with 240 Part D claims and 28 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAYEL ROY, MD's credentials?
PAYEL ROY, MD's NPI is 1609119635 with credentials MD. 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