Pradeep Rai, MD
Surgery Physician · Denver, CO
Pradeep Rai, MD is a surgery physician with a practice address in Denver, Colorado, and NPI 1184863631, issued on Feb 6, 2009. Check the license (Colorado DR.0054622, as entered in NPPES) on the Colorado Medical Board; the Medicare figures below come from public CMS files.
- Name
- Pradeep Rai
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License numbers
- DR.0054622 CO
003499 GA
Self-reported in NPPES; status is on the state search - Practice location
- 8181 E Tufts Ave Ste 560, Denver, CO 80237
- Phone
- (866) 990-8622
- Enumerated
- Feb 6, 2009
- Record last updated
- Aug 18, 2025
- Fax
- (888) 972-8592
- Medicare enrollment
- Enrolled (PECOS I20231025001079); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 608 in Colorado → Look up another NPI →
Also registered at 8181 E Tufts Ave Ste 560
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Nicolas Cheesman, MDGeneral Practice Physician1205331097
- Ashley Chen, D.O.Family Medicine Physician1003356775
- Tete Dzramedo TeagboFamily Nurse Practitioner1750134482
- Erin HoardFamily Nurse Practitioner1447931654
- Alexander Ochoa, M.D.General Practice Physician1184088221
Verify Pradeep Rai in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersColorado Medical Board
Search for license DR.0054622Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4.2 times the Medicare Part D claims of the average surgery physician in 2024
614 Medicare Part D claims for 72 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 34% of claims.
Most prescribed
- Eliquis85 claims
- Furosemide32 claims
- Metoprolol Succinate30 claims
- Potassium Chloride26 claims
- Myrbetriq23 claims
- Diltiazem 24hr Er22 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 practice group's MIPS final score for 2023 (Medicare payment program): 72.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $37.87
1 payment: food and beverage; the largest payer was Piramal Critical Care. The 17,103 providers of this specialty with any payment received $3,513.80 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 2 group practices
- Magnolia Medical CompanyDenver, CO
- Pro Health One IncSeattle, WA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pradeep Rai among 608 surgery physician records in Colorado
Pradeep Rai, MD is one of 608 surgery physician records with a practice address in Colorado. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 65% of them.
- NPI issued2009 · 65% of these records are older, 31% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2000 · median 2005 among the 370 with a school on file
- Record last updated2025 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Colorado
There are 608 surgery physician records in Colorado.
All 608 in Colorado → Every provider in Denver → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Aaron Lynn, M.D., PH.D.Northglenn, CO 802341750636544
- Mohammed Zubair, M.DLakewood, CO 802321306093513
- Isabelle Audet, MDThornton, CO 802291396732079
- Tyler Cobb, MDThornton, CO 802291386030971
- Farshad Farnejad, MDThornton, CO 802291710172978
- Doru Georgescu, M.D.Thornton, CO 802291518974708
- John Lampe, M.D.Thornton, CO 802291366517328
- David Beck, MDLakewood, CO 802281871539627
Common questions
What is Pradeep Rai, MD's NPI number?
Pradeep Rai, MD's National Provider Identifier (NPI) is 1184863631, issued on Feb 6, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Pradeep Rai, MD located?
The NPPES record lists a practice address at 8181 E Tufts Ave Ste 560, Denver, CO, 80237. Phone: (866) 990-8622. Providers update this record themselves, so call before visiting.
How can I verify Pradeep Rai, MD's license?
NPPES lists Colorado license number DR.0054622, as entered by the provider. Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Pradeep Rai, MD prescribe under Medicare Part D?
In 2024, Pradeep Rai, MD had 614 Medicare Part D claims for 72 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Pradeep Rai, MD's MIPS final score?
The 2023 MIPS final score is 72.3 of 100, reported for the practice group. 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.