NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1508185398 MD
Verify on CMS → Prachi Biyani, MD
Gastroenterology Physician in Columbus, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 17,061 in Gastroenterology 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
749
Medicare Part D claims · 473 beneficiaries · Gastroenterology Physician avg: 848
MIPS score
81.3/100
▼ 2 pts below national avg 83.5 · Above neutral
Industry payments
$257.52
6 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Prachi Biyani, MD reported a CMS MIPS final score of 81.3/100 - below the 83.5 national average - and filed 749 Medicare Part D claims in 2024.
- 81.3/100
- MIPS score · -2 vs avg
- 749
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥32nd
- pct among measured MIPS (lower-bound band)
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 Prachi Biyani, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1508185398), first enumerated 05/19/2010.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 749 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)
Reported a CMS MIPS final score of 81.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
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
3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$257.52 in reported industry payments (6 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Ohio statewide board action statistics are published annually — these figures describe aggregate state activity, not Prachi Biyani, MD's individual license status. Verify directly with the state medical board.
Source: OMB annual report 2023
- 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 1508185398 · Gastroenterology Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1508185398
- ENUM-MID 2010
- TAX-MID 17K Gastroenterology Physician
- MIPS-INLINE 81.3/100
- RX-LIGHT 749
- BOOK-LIGHT 625 in Ohio
- PHOTO-FINISH Jeffrey Sobecki · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Biyani · this pr…
Biyani · this provider
81.3 MIPS pts
- Gary Valvano · h…
Gary Valvano
81.3 MIPS pts
- Jeffrey Sobecki …
Jeffrey Sobecki
81.3 MIPS pts
- Michael Kochik ·…
Michael Kochik
81.3 MIPS pts
- Bruno Mazza · near
Bruno Mazza
81.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Prachi Biyani, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
81 ≥ 32nd percentile 32% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Prachi Biyani, MD sits
This provider among gastroenterology physician peers
Across the 5,560 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Prachi Biyani, MD writes more Part D claims than 49% of them and scores higher on MIPS quality than 36% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Prachi Biyani, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Prachi Biyani, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations - 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 Prachi Biyani, MD?
Near national averagePrimary specialty
Gastroenterology Physician
Medicare Part D claims
749 12% vs specialty avg
MIPS final score
81.3/100 2.2 pts vs avg
Specialty distribution in Ohio
How Gastroenterology Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Prachi Biyani, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 81.3/100
- vs 83.5 national avg · 2023 performance year
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 | 1508185398 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 05/19/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.3083
Final Score
Measured-score avg: 83.5
73.5834
Quality
65.7777
Cost
98
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Prachi Biyani, 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.
According to CMS billing records, Prachi Biyani, MD is affiliated with 3 Medicare-billing facilities.
Ohio Gastroenterology Group, Inc.
Dublin, OH
Ohiohealth Corporation
Columbus, OH
Union County Physician Corporation
Marysville, OH
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 Prachi Biyani, MD. Source: openpaymentsdata.cms.gov.
Total received
$258
Largest payer
Exact Sciences Corporation
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.
License & disciplinary context - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Prachi Biyani, MD. To verify Prachi Biyani, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB 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 Ohio 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 2024.
749
Total Claims
$205K
Total Drug Cost
473
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,260.7
- Total Day Supply
- 26,715
- Generic Drug Cost
- $30K
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 1.11
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 33, 65-74: 293, 75-84: 130, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Prachi Biyani, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Peg 3350-Electrolyte
Peg 3350-Electrolyte
253 claims
- Omeprazole 78
Omeprazole
78 claims
- Gavilyte-G 68
Gavilyte-G
68 claims
- Pantoprazole Sodium 65
Pantoprazole Sodium
65 claims
- Famotidine 43
Famotidine
43 claims
- Colestipol Hcl 27
Colestipol Hcl
27 claims
- Sulfasalazine 20
Sulfasalazine
20 claims
- Mesalamine 17
Mesalamine
17 claims
| Drug | Claims |
|---|---|
| Peg 3350-Electrolyte Sodium Chloride/Nahco3/Kcl/Peg | 253 |
| Omeprazole | 78 |
| Gavilyte-G Peg3350/Sod Sulf,bicarb,cl/Kcl | 68 |
| Pantoprazole Sodium | 65 |
| Famotidine | 43 |
| Colestipol Hcl | 27 |
| Sulfasalazine | 20 |
| Mesalamine | 17 |
| Sod Sulf-Potass Sulf-Mag Sulf Sodium, Potassium,mag Sulfates | 16 |
| Peg-3350 And Electrolytes Peg3350/Sod Sulf,bicarb,cl/Kcl | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Prachi Biyani, MD fits within the Gastroenterology Physician landscape nationally.
17,061
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
848
Avg Claims per Provider
Prachi Biyani, MD's 749 claims are below the specialty average of 848.
Nationwide Gastroenterology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Biyani, both outside Ohio so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (81.3 here).
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Gastroenterology Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Biyani.
One of 625 Gastroenterology Physician providers enrolled in Ohio, 5 are shown here.
Dr. Rami Abbass
M.D.
Mentor, OH
Dr. Fayez Abboud
M.D.
Troy, OH
Dr. Sulieman Abdal Raheem
MD
Norwalk, OH
Dr. Ala' Abdel Jalil
M.D.
Cleveland, OH
Dr. Mohammad Abdrabbo
MD
Montgomery, OH
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Prachi Biyani, MD's specialty? ▼
Prachi Biyani, MD specializes in Gastroenterology Physician and practices in Columbus, Ohio. Credentials: MD.
How much does Prachi Biyani, MD prescribe under Medicare Part D? ▼
In 2024, Prachi Biyani, MD wrote 749 Medicare Part D claims totaling $205K in drug costs for 473 beneficiaries.
What is Prachi Biyani, MD's Medicare quality score? ▼
Prachi Biyani, MD has a CMS MIPS Final Score of 81.3/100 (Quality: 73.6, Cost: 65.8). 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 Prachi Biyani, MD located? ▼
Prachi Biyani, MD is located at 3400 OLENTANGY RIVER RD, Columbus, OH, 43202. Phone: (614) 754-5500.
What is Prachi Biyani, MD's NPI number? ▼
Prachi Biyani, MD's National Provider Identifier (NPI) is 1508185398, issued on 05/19/2010.
How many Gastroenterology Physician providers are there in the US? ▼
There are 17,061 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 848 Medicare Part D claims per year.
What drugs does Prachi Biyani, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Prachi Biyani, MD's most frequently prescribed drugs include Peg 3350-Electrolyte, Omeprazole, Gavilyte-G. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Prachi Biyani, MD accept Medicare? ▼
Prachi Biyani, MD appears in CMS Medicare data with 749 Part D claims and 473 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Prachi Biyani, MD's credentials? ▼
Prachi Biyani, MD's NPI is 1508185398 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.