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2026 NPPES data Internal Medicine Physician NPI 1306133293 M.D.
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Pooja Raibagkar, M.D.

Internal Medicine Physician in Burlington, Massachusetts.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 174,792 in Internal Medicine 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
889
Medicare Part D claims · 171 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.4/100
▲ 6 pts above national avg 83.5 · Exceptional
Industry payments
$72.5
1 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Pooja Raibagkar, M.D. reported a CMS MIPS final score of 89.4/100 - above the 83.5 national average - and filed 889 Medicare Part D claims in 2024.

89.4/100
MIPS score · +6 vs avg
889
Part D claims, 2024
92%
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 Pooja Raibagkar, M.D.

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 1306133293), first enumerated 06/30/2011.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 889 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 89.4/100 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.

    Source: NUCC taxonomy + CMS participation heuristic

  • 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

    $72.5 in reported industry payments (1 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

    Massachusetts statewide board action statistics are published annually — these figures describe aggregate state activity, not Pooja Raibagkar, M.D.'s individual license status. Verify directly with the state medical board.

    Source: BORIM 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 1306133293 · Internal Medicine Physician

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ABOVE · RX-LIGHT · BOOK-MID · PHOTO-FINISH

  • NPI-10 1306133293
  • ENUM-MID 2011
  • TAX-MEGA 175K Internal Medicine
  • MIPS-ABOVE 89.4/100
  • RX-LIGHT 889
  • BOOK-MID 7,865 in Massachusetts
  • PHOTO-FINISH Arthur Ablayev · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Pooja Raibagkar, 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.

89 ≥ 56th percentile 56% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Raibagkar, M.D. sits

This provider among internal medicine physician peers

Across the 34,612 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Pooja Raibagkar, M.D. writes more Part D claims than 55% of them and scores higher on MIPS quality than 55% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 33Pooja Raibagkar, M.D., Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 55
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Pooja Raibagkar, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Pooja Raibagkar, M.D. 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 Pooja Raibagkar, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/30/2011

NPI 1306133293

Primary specialty

Internal Medicine Physician

High-volume

174,792 US NPIs in this specialty

Medicare Part D claims

889 68% vs specialty avg

2024 prescription claims

Specialty avg: 2,785

MIPS final score

89.4/100 5.9 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Massachusetts

How Internal Medicine Physician compares to other specialties among Massachusetts providers

Massachusetts providers
Mental Health Counselor8.3%Clinical Social Worker7.7%Student in an Organized Heal…6.2%Behavior Technician5.3%Counselor4.3%Internal Medicine Physician3.6%
Largest specialties in Massachusetts (% of in-state providers)

Medicare quality performance, MIPS

Pooja Raibagkar, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
89.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%89.4%
MIPS final score (Internal Medicine Physician) - 89.4/100 vs national avg 83.5
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

41 MALL RD
Burlington, MA 01805
(781) 744-8000

Provider Details

NPI 1306133293
Specialty Internal Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 06/30/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

89.3601
Final Score
Measured-score avg: 83.5
72.1931
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Pooja Raibagkar, M.D. 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, Pooja Raibagkar, M.D. is affiliated with 3 Medicare-billing facilities across 2 states.

Concord Hospital Inc
Concord, NH
Elliot Professional Services
Manchester, NH
Lahey Clinic Inc
Peabody, MA

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 Pooja Raibagkar, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$73

Largest payer

Teva Pharmaceuticals USA, Inc.

Most common payment type

Education

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 - 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 Pooja Raibagkar, M.D.. To verify Pooja Raibagkar, M.D.'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 · Generic-heavy

Pooja Raibagkar, M.D. - brand share 8.0%
Internal Medicine Physician average

8% brand-name claims vs 92% generic, on 889 2024 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 2024.

889
Total Claims
$177K
Total Drug Cost
171
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,538.833
Total Day Supply
44,910
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$155K
Generic Drug Cost
$22K

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.29
Gender Split
58% female / 42% male
Age Distribution
<65: 29, 65-74: 75, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Pooja Raibagkar, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Gabapentin
 156
Nortriptyline Hcl
 59
Levetiracetam
 49
Propranolol Hcl
 40
Donepezil Hcl
 36
Sumatriptan Succinate
 35
Duloxetine Hcl
 31
Lamotrigine
 30
Carbidopa-Levodopa
Carbidopa/Levodopa
29
Memantine Hcl
 27

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

More Internal Medicine Physician in MA → All providers in Massachusetts → Compare specialties →

Internal Medicine Physician Overview

How Pooja Raibagkar, M.D. fits within the Internal Medicine Physician landscape nationally.

174,792
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,785
Avg Claims per Provider

Pooja Raibagkar, M.D.'s 889 claims are below the specialty average of 2,785.

Nationwide Internal Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Raibagkar, both outside Massachusetts so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (89.4 here).

Arthur Ablayev 89.4 NH Ojobumijo Agbaji 89.4 NH Nicole Antinerella 89.4 NH Ioan Badau 89.4 NH

Same NPPES enumeration year (2011)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Kaycie Cobb Brooklyn, NY Haydar Al-Eid Fernandina Beach, FL Amitabh Pandey New Orleans, LA Digantkumar Paghdal Harrisburg, PA

Nearby Internal Medicine Physician Providers in Massachusetts

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

One of 7,865 Internal Medicine Physician providers enrolled in Massachusetts, 5 are shown here.

Dr. Nawal Aamir
MD
Worcester, MA
Zainab Abbas
Worcester, MA
Nooshin Abbasi
MD MPH
Newton, MA
Dr. Lauren Abbate
MD
Boston, MA
Dr. Bassima Abdallah
MD
Boston, MA

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

Frequently Asked Questions

What is Pooja Raibagkar, M.D.'s specialty? ▼
Pooja Raibagkar, M.D. specializes in Internal Medicine Physician and practices in Burlington, Massachusetts. Credentials: M.D..
How much does Pooja Raibagkar, M.D. prescribe under Medicare Part D? ▼
In 2024, Pooja Raibagkar, M.D. wrote 889 Medicare Part D claims totaling $177K in drug costs for 171 beneficiaries.
What is Pooja Raibagkar, M.D.'s Medicare quality score? ▼
Pooja Raibagkar, M.D. has a CMS MIPS Final Score of 89.4/100 (Quality: 72.2). 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 Pooja Raibagkar, M.D. located? ▼
Pooja Raibagkar, M.D. is located at 41 MALL RD, Burlington, MA, 01805. Phone: (781) 744-8000.
What is Pooja Raibagkar, M.D.'s NPI number? ▼
Pooja Raibagkar, M.D.'s National Provider Identifier (NPI) is 1306133293, issued on 06/30/2011.
Does Pooja Raibagkar, M.D. prescribe more brand-name or generic drugs? ▼
Pooja Raibagkar, M.D.'s prescribing is 8% brand-name and 92% generic drugs by claim count, with $155K in brand drug costs.
How many Internal Medicine Physician providers are there in the US? ▼
There are 174,792 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,785 Medicare Part D claims per year.
What drugs does Pooja Raibagkar, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Pooja Raibagkar, M.D.'s most frequently prescribed drugs include Gabapentin, Nortriptyline Hcl, Levetiracetam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Pooja Raibagkar, M.D. accept Medicare? ▼
Pooja Raibagkar, M.D. appears in CMS Medicare data with 889 Part D claims and 171 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pooja Raibagkar, M.D.'s credentials? ▼
Pooja Raibagkar, M.D.'s NPI is 1306133293 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 (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

Compiled from official public sources by the editorial process.

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.