NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1982691390 MD
Verify on CMS → Prabha Bhatnagar, MD
Family Medicine Physician in Alameda, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family 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
95
Medicare Part D claims · Family Medicine Physician avg: 3K
MIPS score
7.4/100
▼ 76 pts below national avg 83.1 · Penalty band
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Prabha Bhatnagar, MD reported a CMS MIPS final score of 7.4/100 - below the 83.1 national average - and filed 95 Medicare Part D claims in 2023.
- 7.4/100
- MIPS score · -76 vs avg
- 95
- Part D claims, 2023
- 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.
Prabha Bhatnagar, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
7 2nd percentile higher than 2% of 477,587 scored providers
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 Prabha Bhatnagar, MD sits
This provider among family medicine physician peers
Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Prabha Bhatnagar, MD writes more Part D claims than 6% of them and scores higher on MIPS quality than 1% - placing this provider in the lower-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
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Prabha Bhatnagar, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Prabha Bhatnagar, 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 Prabha Bhatnagar, MD?
Below national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
95 97% vs specialty avg
MIPS final score
7.4/100 75.7 pts vs avg
Specialty distribution in California
How Family Medicine Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Prabha Bhatnagar, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 7.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) - 7.4/100 vs national avg 83.1
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).
Prabha Bhatnagar, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 2151 SANTA CLARA AVE, Alameda, CA, 94501, with a listed phone of (510) 865-1244. NPI 1982691390 was issued on 09/30/2005.
Medicare Part D records for calendar year 2023 show 95 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $4K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 7.4/100 for the 2023 performance year (Quality 0, Cost 24.7), compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,760 enrolled providers across 56 states and an average of 3,418 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
Provider Details
| NPI | 1982691390 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 09/30/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
7.3989
Final Score
Avg: 83.1
0
Quality
24.663
Cost
Reporting: Individual
License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Prabha Bhatnagar, MD. To verify Prabha Bhatnagar, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC 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 California 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 2023.
95
Total Claims
$4K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 97
- Total Day Supply
- 1,923
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 77.7 years
- Avg HCC Risk Score
- 1.72
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Simvastatin | 25 |
| Divalproex Sodium | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Prabha Bhatnagar, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Prabha Bhatnagar, MD's 95 claims are below the specialty average of 3,418.
Nearby Family Medicine Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Bhatnagar.
Dr. Omer Aba-Omer
MD
Santa Monica, CA
Dr. Michelle Ababa
MD
Wilmington, CA
Dr. Anna Tzeitel Abalos
MD
Roseville, CA
Dr. Adan Abarca
MD
Anaheim, CA
Dr. Lorraine Abate
M.D.
Sacramento, CA
Compare Family Medicine 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 California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Medicine 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.
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is Prabha Bhatnagar, MD's specialty? ▼
Prabha Bhatnagar, MD specializes in Family Medicine Physician and practices in Alameda, California. Credentials: MD.
How much does Prabha Bhatnagar, MD prescribe under Medicare Part D? ▼
In 2023, Prabha Bhatnagar, MD wrote 95 Medicare Part D claims totaling $4K in drug costs for N/A beneficiaries.
What is Prabha Bhatnagar, MD's Medicare quality score? ▼
Prabha Bhatnagar, MD has a CMS MIPS Final Score of 7.4/100 (Quality: 0, Cost: 24.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Prabha Bhatnagar, MD located? ▼
Prabha Bhatnagar, MD is located at 2151 SANTA CLARA AVE, Alameda, CA, 94501. Phone: (510) 865-1244.
What is Prabha Bhatnagar, MD's NPI number? ▼
Prabha Bhatnagar, MD's National Provider Identifier (NPI) is 1982691390, issued on 09/30/2005.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Prabha Bhatnagar, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Prabha Bhatnagar, MD's most frequently prescribed drugs include Simvastatin, Divalproex Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Prabha Bhatnagar, MD accept Medicare? ▼
Prabha Bhatnagar, MD appears in CMS Medicare data with 95 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Prabha Bhatnagar, MD's credentials? ▼
Prabha Bhatnagar, MD's NPI is 1982691390 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 (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.
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 May 2026.