2026 NPPES data Specialist NPI 1124059555 MD
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PRABHAKAR TIPIRNENI, MD

Specialist in WAKEFIELD, Rhode Island. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 329 beneficiaries · Specialist avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$322.73
26 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PRABHAKAR TIPIRNENI, MD filed 1,024 Medicare Part D claims in 2023 as a Specialist in WAKEFIELD, Rhode Island, prescribing 96% generic.

1K
Part D claims, 2023
96%
generic prescribing
$322.73
industry payments (Sunshine Act)

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.

PRABHAKAR TIPIRNENI, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,024 Top 24% higher than 76% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about PRABHAKAR TIPIRNENI, MD?

Quality data not reported

NPI registry status

Active

Issued 07/05/2006

NPI 1124059555

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

1,024 31% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in Rhode Island

How Specialist compares to other specialties among Rhode Island providers

Rhode Island providers

Specialist share within Rhode Island

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Rhode Island

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Specialist ABMS/AOA estimate

Est. board-certified rate (Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Specialist) — ABMS / AOA estimate

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).

PRABHAKAR TIPIRNENI, MD is a Specialist provider practicing in WAKEFIELD, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1124059555. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PRABHAKAR TIPIRNENI, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 24 SALT POND RD, WAKEFIELD, RI, 02879, with a listed phone of (401) 789-0227. NPI 1124059555 was issued on 07/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TIPIRNENI 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 1,024 prescription claims written by this provider, covering 329 Medicare beneficiaries and totaling roughly $26K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 3.4%. 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

24 SALT POND RD
WAKEFIELD, RI 02879

Provider Details

NPI 1124059555
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 07/05/2006

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 PRABHAKAR TIPIRNENI, MD. Source: openpaymentsdata.cms.gov.

Total received

$323

Largest payer

GlaxoSmithKline, LLC.

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 · Generic-heavy

PRABHAKAR TIPIRNENI, MD — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 1,024 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.

1,024
Total Claims
$26K
Total Drug Cost
329
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,489
Total Day Supply
36,066
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$5K
Generic Drug Cost
$20K
Opioid Claims
35 (3.4% rate)
Antibiotic Claims
151

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
1.11
Gender Split
53% female / 47% male
Age Distribution
<65: 16, 65-74: 152, 75-84: 119, 85+: 42

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Mupirocin
148
Ipratropium Bromide
146
Methylprednisolone
89
Esomeprazole Magnesium
59
Cefuroxime
Cefuroxime Axetil
57
Triamterene-Hydrochlorothiazid
Triamterene/Hydrochlorothiazid
49
Omeprazole
44
Fluticasone Propionate
40
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
34
Meclizine Hcl
32

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

Specialist Overview

How PRABHAKAR TIPIRNENI, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

PRABHAKAR TIPIRNENI, MD's 1,024 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as TIPIRNENI.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRABHAKAR TIPIRNENI, MD's specialty?
PRABHAKAR TIPIRNENI, MD specializes in Specialist and practices in WAKEFIELD, Rhode Island. Credentials: MD.
How much does PRABHAKAR TIPIRNENI, MD prescribe under Medicare Part D?
In 2023, PRABHAKAR TIPIRNENI, MD wrote 1,024 Medicare Part D claims totaling $26K in drug costs for 329 beneficiaries.
Where is PRABHAKAR TIPIRNENI, MD located?
PRABHAKAR TIPIRNENI, MD is located at 24 SALT POND RD, WAKEFIELD, RI, 02879. Phone: (401) 789-0227.
What is PRABHAKAR TIPIRNENI, MD's NPI number?
PRABHAKAR TIPIRNENI, MD's National Provider Identifier (NPI) is 1124059555, issued on 07/05/2006.
Does PRABHAKAR TIPIRNENI, MD prescribe more brand-name or generic drugs?
PRABHAKAR TIPIRNENI, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $5K in brand drug costs.
Does PRABHAKAR TIPIRNENI, MD prescribe opioids?
Yes, PRABHAKAR TIPIRNENI, MD had 35 opioid claims in 2023 with an opioid prescribing rate of 3.4%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does PRABHAKAR TIPIRNENI, MD prescribe most often?
Based on 2023 Medicare Part D data, PRABHAKAR TIPIRNENI, MD's most frequently prescribed drugs include Mupirocin, Ipratropium Bromide, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRABHAKAR TIPIRNENI, MD accept Medicare?
PRABHAKAR TIPIRNENI, MD appears in CMS Medicare data with 1,024 Part D claims and 329 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRABHAKAR TIPIRNENI, MD's credentials?
PRABHAKAR TIPIRNENI, MD's NPI is 1124059555 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.
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