NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1538138011 MD
Verify on CMS → Pooja Banerjee, MD
Rheumatology Physician in Dallas, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,377 in Rheumatology 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
907
Medicare Part D claims · 205 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
76/100
▼ 8 pts below national avg 83.5 · Above neutral
Industry payments
$2.2K
77 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Pooja Banerjee, MD reported a CMS MIPS final score of 76/100 - below the 83.5 national average - and filed 907 Medicare Part D claims in 2024.
- 76/100
- MIPS score · -8 vs avg
- 907
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥15th
- pct among measured MIPS (lower-bound band)
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 Pooja Banerjee, MD
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 1538138011), first enumerated 03/16/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 907 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 76/100 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
Industry payment transparency
$2.2K in reported industry payments (77 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
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Pooja Banerjee, MD's individual license status. Verify directly with the state medical board.
Source: TMB 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 1538138011 · Rheumatology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1538138011
- ENUM-LEGACY 2006
- TAX-MID 6K Rheumatology Physician
- MIPS-BELOW 76/100
- RX-LIGHT 907
- BOOK-THIN 417 in Texas
- PHOTO-FINISH Deborah Alpert · ±0.2
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Deborah Alpert ·…
Deborah Alpert
75.8 MIPS pts
- Asena Bahce-Altu…
Asena Bahce-Altuntas
75.8 MIPS pts
- Anna Broder · near
Anna Broder
75.8 MIPS pts
- Banerjee · this …
Banerjee · this provider
76 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Pooja Banerjee, MD'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.
76 ≥ 15th percentile 15% 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 Pooja Banerjee, MD sits
This provider among rheumatology physician peers
Across the 1,970 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Pooja Banerjee, MD writes more Part D claims than 25% of them and scores higher on MIPS quality than 18% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one rheumatology physician peer from a representative sample of 60; the gold marker is Pooja Banerjee, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Pooja Banerjee, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Pooja Banerjee, MD?
Below national averagePrimary specialty
Rheumatology Physician
Medicare Part D claims
907 56% vs specialty avg
MIPS final score
76/100 7.5 pts vs avg
Specialty distribution in Texas
How Rheumatology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Pooja Banerjee, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 76/100
- 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 | 1538138011 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 03/16/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75.9507
Final Score
Measured-score avg: 83.5
74.9153
Quality
53.282
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 Pooja Banerjee, MD. Source: openpaymentsdata.cms.gov.
Total received
$2.2K
Largest payer
Janssen Biotech, 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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Pooja Banerjee, MD. To verify Pooja Banerjee, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas 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 2024.
907
Total Claims
$852K
Total Drug Cost
205
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,264.133
- Total Day Supply
- 66,982
- Generic Drug Cost
- $30K
- Opioid Claims
- 11 (1.2% rate)
Patient Demographics
- Average Patient Age
- 73.2 years
- Avg HCC Risk Score
- 1.27
- Gender Split
- 78% female / 22% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Pooja Banerjee, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Methotrexate
Methotrexate
225 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
196 claims
- Humira(Cf) Pen 59
Humira(Cf) Pen
59 claims
- Prednisone 52
Prednisone
52 claims
- Leflunomide 40
Leflunomide
40 claims
- Meloxicam 38
Meloxicam
38 claims
- Allopurinol 26
Allopurinol
26 claims
- Cevimeline Hcl 25
Cevimeline Hcl
25 claims
| Drug | Claims |
|---|---|
| Methotrexate Methotrexate Sodium | 225 |
| Hydroxychloroquine Sulfate | 196 |
| Humira(Cf) Pen Adalimumab | 59 |
| Prednisone | 52 |
| Leflunomide | 40 |
| Meloxicam | 38 |
| Allopurinol | 26 |
| Cevimeline Hcl | 25 |
| Folic Acid | 23 |
| Colchicine | 22 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Pooja Banerjee, MD fits within the Rheumatology Physician landscape nationally.
6,377
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,058
Avg Claims per Provider
Pooja Banerjee, MD's 907 claims are below the specialty average of 2,058.
Nationwide Rheumatology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Banerjee, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (76 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Rheumatology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Banerjee.
One of 417 Rheumatology Physician providers enrolled in Texas, 5 are shown here.
Dr. Michael Abel
MD
Fredericksburg, TX
Dr. Tareq Abou-Khamis
M.D.
Houston, TX
Dr. Robert Abresch
M.D.
El Paso, TX
Dr. Sampada Acharya
MD
Fort Worth, TX
Dr. Waffiyah Afridi
M.D.
Farmers Branch, TX
Compare Rheumatology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Pooja Banerjee, MD's specialty? ▼
Pooja Banerjee, MD specializes in Rheumatology Physician and practices in Dallas, Texas. Credentials: MD.
How much does Pooja Banerjee, MD prescribe under Medicare Part D? ▼
In 2024, Pooja Banerjee, MD wrote 907 Medicare Part D claims totaling $852K in drug costs for 205 beneficiaries.
What is Pooja Banerjee, MD's Medicare quality score? ▼
Pooja Banerjee, MD has a CMS MIPS Final Score of 76/100 (Quality: 74.9, Cost: 53.3). 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 Pooja Banerjee, MD located? ▼
Pooja Banerjee, MD is located at 8220 WALNUT HILL LN STE 414, Dallas, TX, 75231. Phone: (469) 916-0677.
What is Pooja Banerjee, MD's NPI number? ▼
Pooja Banerjee, MD's National Provider Identifier (NPI) is 1538138011, issued on 03/16/2006.
Does Pooja Banerjee, MD prescribe opioids? ▼
Yes, Pooja Banerjee, MD had 11 opioid claims in 2024 with an opioid prescribing rate of 1.2%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,377 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,058 Medicare Part D claims per year.
What drugs does Pooja Banerjee, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Pooja Banerjee, MD's most frequently prescribed drugs include Methotrexate, Hydroxychloroquine Sulfate, Humira(Cf) Pen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Pooja Banerjee, MD accept Medicare? ▼
Pooja Banerjee, MD appears in CMS Medicare data with 907 Part D claims and 205 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pooja Banerjee, MD's credentials? ▼
Pooja Banerjee, MD's NPI is 1538138011 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
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.