2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1538390869 MD
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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 510 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 · 686 beneficiaries · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$4.7K
87 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Poorna Nalabothu, MD reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 4,050 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
4K
Part D claims, 2023
80%
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.

Poorna Nalabothu, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Poorna Nalabothu, MD sits

This provider among advanced heart failure and transplant cardiology physician peers

Across the 212 advanced heart failure and transplant cardiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Poorna Nalabothu, MD writes more Part D claims than 87% of them and scores higher on MIPS quality than 9% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 75Poorna Nalabothu, MD-Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 9
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one advanced heart failure and transplant cardiology physician peer from a representative sample of 60; the gold marker is Poorna Nalabothu, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

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?

Below national average

NPI registry status

Active

Issued 08/04/2009

NPI 1538390869

Primary specialty

Advanced Heart Failure and Transplant Cardiology Physician

Niche

510 US NPIs in this specialty

Medicare Part D claims

4,050 130% vs specialty avg

2023 prescription claims

Specialty avg: 1,762

MIPS final score

75/100 8.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Utah

How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among Utah providers

Utah providers

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

Behavior Technician - 12.4%Behavior Technician12.4%Clinical Social Worker - 6.3%Clinical Social Worker6.3%Community Health Worker - 6.1%Community Health Worker6.1%Case Manager/Care Coordinator - 5.9%Case Manager/Care Coordinator5.9%Counselor - 4.9%Counselor4.9%Student in an Organized Health Care Education/Training Program - 4.3%Student in an Organized Health Care Education/Training Program4.3%Advanced Heart Failure and Transplant Cardiology Physician - 0%Advanced Heart Failure and Transplant Cardiology Physician0%
Largest specialties in Utah (% of in-state providers)

Medicare quality performance, MIPS

Poorna Nalabothu, MD's 2023 MIPS final score plotted against the Advanced Heart Failure and Transplant Cardiology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) - 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) - 75/100 vs national avg 83.1

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).

Poorna Nalabothu, MD appears in the CMS NPPES registry as a Advanced Heart Failure and Transplant Cardiology Physician provider holding MD credentials at 1160 E 3900 S STE 2000, Salt Lake City, UT, 84124, with a listed phone of (801) 266-3418. NPI 1538390869 was issued on 08/04/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Nalabothu 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 4,050 prescription claims written by this provider, covering 686 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 20% brand-name and 80% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Advanced Heart Failure and Transplant Cardiology Physician is a narrow specialty nationwide, with 510 enrolled providers across 48 states and an average of 1,762 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

1160 E 3900 S STE 2000
Salt Lake City, UT 84124

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
Avg: 83.1

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 20.0%
Advanced Heart Failure and Transplant Cardiology Physician average

20% brand-name claims vs 80% generic, on 4,050 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.

4,050
Total Claims
$1.2M
Total Drug Cost
686
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,388
Total Day Supply
279,667
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$1.1M
Generic Drug Cost
$77K

Patient Demographics

Average Patient Age
75.8 years
Avg HCC Risk Score
1.80
Gender Split
56% female / 44% male
Age Distribution
<65: 39, 65-74: 273, 75-84: 249, 85+: 125

Top Prescribed Drugs (Medicare Part D)

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

What Poorna Nalabothu, 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
Metoprolol Succinate
332
Atorvastatin Calcium
308
Spironolactone
299
Eliquis
Apixaban
257
Carvedilol
185
Potassium Chloride
181
Entresto
Sacubitril/Valsartan
180
Furosemide
177
Farxiga
Dapagliflozin Propanediol
145
Amiodarone Hcl
110

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

Advanced Heart Failure and Transplant Cardiology Physician Overview

How Poorna Nalabothu, MD fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.

510
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,762
Avg Claims per Provider

Poorna Nalabothu, MD's 4,050 claims are above the specialty average of 1,762.

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.

Compare Advanced Heart Failure and Transplant Cardiology 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 Utah medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Advanced Heart Failure and Transplant Cardiology 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 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 2023, Poorna Nalabothu, MD wrote 4,050 Medicare Part D claims totaling $1.2M in drug costs for 686 beneficiaries.
What is Poorna Nalabothu, MD's Medicare quality score?
Poorna Nalabothu, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. 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 20% brand-name and 80% generic drugs by claim count, with $1.1M in brand drug costs.
How many Advanced Heart Failure and Transplant Cardiology Physician providers are there in the US?
There are 510 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 1,762 Medicare Part D claims per year.
What drugs does Poorna Nalabothu, MD prescribe most often?
Based on 2023 Medicare Part D data, Poorna Nalabothu, MD's most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Spironolactone. 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 4,050 Part D claims and 686 Medicare beneficiaries in 2023. 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

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.
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 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

Compiled from official public sources by the PlainDoctor editorial team.