Poornima Rao, MD
Endocrinology, Diabetes & Metabolism Physician · Wexford, PA
Poornima Rao, MD is an endocrinology, diabetes & metabolism physician with a practice address in Wexford, Pennsylvania, and NPI 1831395359, issued on Jun 22, 2007. Check the license (Pennsylvania MD419873, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Poornima Rao
- Credential
- MD
- Primary taxonomy
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License number
- MD419873 PA
Self-reported in NPPES; status is on the state search - Practice location
- 12311 Perry Hwy, Wexford, PA 15090
- Phone
- (724) 941-7490
- Enumerated
- Jun 22, 2007
- Record last updated
- Oct 9, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (724) 941-5231
- Medicare enrollment
- Enrolled (PECOS I20040902000315); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest endocrinology, diabetes & metabolism physician records → All 485 in Pennsylvania → Look up another NPI →
Also registered at 12311 Perry Hwy
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Alexa Bergman, PA-CSurgical Physician Assistant1215714654
Verify Poornima Rao in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD419873Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
90% more Medicare Part D claims than the average endocrinology, diabetes & metabolism physician in 2024
4,998 Medicare Part D claims for 633 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 48% of claims.
Most prescribed
- Levothyroxine Sodium615 claims
- Ozempic382 claims
- Synthroid363 claims
- Metformin Hcl Er298 claims
- Metformin Hcl200 claims
- Lantus Solostar188 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 93.8 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $481.37
12 payments; by number, the most common kind was food and beverage; the largest payer was Ascensia Diabetes Care Us Inc. The 5,661 providers of this specialty with any payment received $5,742.15 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Allegheny ClinicWexford, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Poornima Rao among 485 endocrinology, diabetes & metabolism physician records in Pennsylvania
Poornima Rao, MD is one of 485 endocrinology, diabetes & metabolism physician records with a practice address in Pennsylvania. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 41% of them.
- NPI issued2007 · 41% of these records are older, 45% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated1995 · median 2004 among the 334 with a school on file
- Record last updated2020 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Endocrinology, Diabetes & Metabolism Physician providers in Pennsylvania
There are 485 endocrinology, diabetes & metabolism physician records in Pennsylvania.
All 485 in Pennsylvania → Every provider in Wexford → Endocrinology, Diabetes & Metabolism Physician nationwide →
The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes
- Elisabeth Bergman, MDWexford, PA 150901871605527
- Roy Guinto, D.O.Wexford, PA 150901427378884
- Farhad Hasan, M.D.Wexford, PA 150901396995437
- Jennifer Pennock, MDWexford, PA 150901962475681
- Bridget Beier, DOBethel Park, PA 151021538376736
- Camille Buonocore, M.D.Bethel Park, PA 151021760487797
- Wayne Evron, M.D.Bethel Park, PA 151021346268299
- Jann Johnston, M.D.Bethel Park, PA 151021184607178
Common questions
What is Poornima Rao, MD's NPI number?
Poornima Rao, MD's National Provider Identifier (NPI) is 1831395359, issued on Jun 22, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Poornima Rao, MD located?
The NPPES record lists a practice address at 12311 Perry Hwy, Wexford, PA, 15090. Phone: (724) 941-7490. Providers update this record themselves, so call before visiting.
How can I verify Poornima Rao, MD's license?
NPPES lists Pennsylvania license number MD419873, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Poornima Rao, MD prescribe under Medicare Part D?
In 2024, Poornima Rao, MD had 4,998 Medicare Part D claims for 633 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.
What is Poornima Rao, MD's MIPS final score?
The 2023 MIPS final score is 93.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.