NPI registry status
Active
2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1538390869 MD
Verify on CMS → Poorna Nalabothu, MD
Advanced Heart Failure and Transplant Cardiology Physician in Salt Lake City, Utah.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 566 in Advanced Heart Failure and Transplant Cardiology 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
4K
Medicare Part D claims · 794 beneficiaries · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$4.7K
87 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Poorna Nalabothu, MD carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 4,372 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 4K
- Part D claims, 2024
- 79%
- 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 Poorna Nalabothu, MD
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 1538390869), first enumerated 08/04/2009.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 4,372 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
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$4.7K in reported industry payments (87 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1538390869 · Advanced Heart Failure and Transplant Cardiology Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-NEUTRAL · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1538390869
- ENUM-MID 2009
- TAX-NARROW 566
- MIPS-NEUTRAL 75/100
- RX-MID 4,372
- BOOK-THIN 4 in Utah
- PHOTO-ENUM Amir Durrani · 2009
Poorna Nalabothu, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
4,372 ≥ 92nd percentile 92% of 1,416,883 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 · 2024
✓
Board certification likely (heuristic, not verified)
Poorna Nalabothu, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Poorna Nalabothu, MD?
CMS neutral score, not measuredPrimary specialty
Advanced Heart Failure and Transplant Cardiology Physician
Medicare Part D claims
4,372 128% vs specialty avg
MIPS final score
75/100
Specialty distribution in Utah
How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among Utah 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 | 1538390869 |
|---|---|
| Specialty | Advanced Heart Failure and Transplant Cardiology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 08/04/2009 |
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 Poorna Nalabothu, 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.
Mountainstar Cardiology St Marks LLC
Salt Lake City, UT
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 Poorna Nalabothu, MD. Source: openpaymentsdata.cms.gov.
Total received
$4.7K
Largest payer
Abbott Laboratories
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.
Brand vs generic prescribing mix · Typical
Poorna Nalabothu, MD - brand share 21.0%
Advanced Heart Failure and Transplant Cardiology Physician average
21% brand-name claims vs 79% generic, on 4,372 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.
4,372
Total Claims
$1.9M
Total Drug Cost
794
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 10,301.733
- Total Day Supply
- 306,641
- Brand vs Generic
- 21% brand / 79% generic
- Brand Drug Cost
- $1.8M
- Generic Drug Cost
- $65K
Patient Demographics
- Average Patient Age
- 76.1 years
- Avg HCC Risk Score
- 1.74
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 43, 65-74: 304, 75-84: 302, 85+: 145
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Poorna Nalabothu, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Spironolactone
Spironolactone
338 claims
- Metoprolol Succinate
Metoprolol Succinate
319 claims
- Eliquis
Eliquis
297 claims
- Atorvastatin Calcium
Atorvastatin Calcium
270 claims
- Carvedilol
Carvedilol
225 claims
- Potassium Chloride
Potassium Chloride
204 claims
- Amiodarone Hcl
Amiodarone Hcl
193 claims
- Entresto
Entresto
191 claims
| Drug | Claims |
|---|---|
| Spironolactone | 338 |
| Metoprolol Succinate | 319 |
| Eliquis Apixaban | 297 |
| Atorvastatin Calcium | 270 |
| Carvedilol | 225 |
| Potassium Chloride | 204 |
| Amiodarone Hcl | 193 |
| Entresto Sacubitril/Valsartan | 191 |
| Furosemide | 176 |
| Farxiga Dapagliflozin Propanediol | 163 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Advanced Heart Failure and Transplant Cardiology Physician in UT →
All providers in Utah →
Compare specialties →
Advanced Heart Failure and Transplant Cardiology Physician Overview
How Poorna Nalabothu, MD fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.
566
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,916
Avg Claims per Provider
Poorna Nalabothu, MD's 4,372 claims are above the specialty average of 1,916.
Nationwide Advanced Heart Failure and Transplant Cardiology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Nalabothu, both outside Utah 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 (2009)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Advanced Heart Failure and Transplant Cardiology Physician Providers in Utah
Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Nalabothu.
One of 4 Advanced Heart Failure and Transplant Cardiology Physician providers enrolled in Utah, 3 are shown here.
Frequently Asked Questions
What is Poorna Nalabothu, MD's specialty? ▼
Poorna Nalabothu, MD specializes in Advanced Heart Failure and Transplant Cardiology Physician and practices in Salt Lake City, Utah. Credentials: MD.
How much does Poorna Nalabothu, MD prescribe under Medicare Part D? ▼
In 2024, Poorna Nalabothu, MD wrote 4,372 Medicare Part D claims totaling $1.9M in drug costs for 794 beneficiaries.
What is Poorna Nalabothu, MD's Medicare quality score? ▼
Poorna Nalabothu, MD 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 Poorna Nalabothu, MD located? ▼
Poorna Nalabothu, MD is located at 1160 E 3900 S STE 2000, Salt Lake City, UT, 84124. Phone: (801) 266-3418.
What is Poorna Nalabothu, MD's NPI number? ▼
Poorna Nalabothu, MD's National Provider Identifier (NPI) is 1538390869, issued on 08/04/2009.
Does Poorna Nalabothu, MD prescribe more brand-name or generic drugs? ▼
Poorna Nalabothu, MD's prescribing is 21% brand-name and 79% generic drugs by claim count, with $1.8M in brand drug costs.
How many Advanced Heart Failure and Transplant Cardiology Physician providers are there in the US? ▼
There are 566 Advanced Heart Failure and Transplant Cardiology Physician providers across 48 states in the US. The average Advanced Heart Failure and Transplant Cardiology Physician provider writes 1,916 Medicare Part D claims per year.
What drugs does Poorna Nalabothu, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Poorna Nalabothu, MD's most frequently prescribed drugs include Spironolactone, Metoprolol Succinate, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Poorna Nalabothu, MD accept Medicare? ▼
Poorna Nalabothu, MD appears in CMS Medicare data with 4,372 Part D claims and 794 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Poorna Nalabothu, MD's credentials? ▼
Poorna Nalabothu, MD's NPI is 1538390869 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.