2026 NPPES data Addiction Medicine (Internal Medicine) Physician NPI 1184863631 MD
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PRADEEP RAI, MD

Addiction Medicine (Internal Medicine) Physician in DENVER, Colorado. 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
775
Medicare Part D claims · 74 beneficiaries · Addiction Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.2767/100
▼ 11 pts below national avg 83.1 · [object Object]
Industry payments
$37.87
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PRADEEP RAI, MD reported a CMS MIPS final score of 72.2767/100 — below the 83.1 national average — and filed 775 Medicare Part D claims in 2023.

72.2767/100
MIPS score · -11 vs avg
775
Part D claims, 2023
77%
generic prescribing
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.

PRADEEP RAI, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

72 10th percentile higher than 10% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

PRADEEP RAI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 PRADEEP RAI, MD?

Below national average

NPI registry status

Active

Issued 02/06/2009

NPI 1184863631

Primary specialty

Addiction Medicine (Internal Medicine) Physician

Niche

553 US NPIs in this specialty

Medicare Part D claims

775 45% vs specialty avg

2023 prescription claims

Specialty avg: 1,403

MIPS final score

72.2767/100 10.823299999999989% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Colorado

How Addiction Medicine (Internal Medicine) Physician compares to other specialties among Colorado providers

Colorado providers

Addiction Medicine (Internal Medicine) Physician share within Colorado

1. Addiction Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Internal Medicine) Physician share within Colorado

Medicare quality performance — MIPS

PRADEEP RAI, MD's 2023 MIPS final score plotted against the Addiction Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
72.2767/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Addiction Medicine (Internal Medicine) Physician) — 72.2767/100 vs national avg 83.1

0%100%National avg83%72.3%
MIPS final score (Addiction Medicine (Internal Medicine) Physician) — 72.2767/100 vs national avg 83.1

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).

PRADEEP RAI, MD appears in the CMS NPPES registry as a Addiction Medicine (Internal Medicine) Physician provider holding MD credentials at 8181 E TUFTS AVE STE 560, DENVER, CO, 80237, with a listed phone of (866) 990-8622. NPI 1184863631 was issued on 02/06/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAI 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 775 prescription claims written by this provider, covering 74 Medicare beneficiaries and totaling roughly $74K in drug spend, split 23% brand-name and 77% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 72.2767/100 for the 2023 performance year (Quality 53.2098, Cost 21.046), compared with the national average of 83.1.

Addiction Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 553 enrolled providers across 46 states and an average of 1,403 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

8181 E TUFTS AVE STE 560
DENVER, CO 80237

Provider Details

NPI 1184863631
Specialty Addiction Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 02/06/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

72.2767
Final Score
Avg: 83.1
53.2098
Quality
21.046
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PRADEEP RAI, 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.

MAGNOLIA MEDICAL COMPANY
DENVER, CO
PRO HEALTH ONE INC
SEATTLE, WA

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 PRADEEP RAI, MD. Source: openpaymentsdata.cms.gov.

Total received

$38

Largest payer

PIRAMAL CRITICAL CARE

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 · Typical

PRADEEP RAI, MD — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 775 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.

775
Total Claims
$74K
Total Drug Cost
74
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
780
Total Day Supply
18,392
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$50K
Generic Drug Cost
$24K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.83
Gender Split
42% female / 58% male
Age Distribution
<65: 16, 65-74: 16, 75-84: 21, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

What PRADEEP RAI, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
64
Furosemide
57
Eliquis
Apixaban
48
Buprenorphine Hcl
27
Metoprolol Tartrate
23
Pregabalin
20
Tamsulosin Hcl
19
Gabapentin
17
Potassium Chloride
16
Clonazepam
15

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

Addiction Medicine (Internal Medicine) Physician Overview

How PRADEEP RAI, MD fits within the Addiction Medicine (Internal Medicine) Physician landscape nationally.

553
Addiction Medicine (Internal Medicine) Physician Providers in US
46
States with Addiction Medicine (Internal Medicine) Physician
1,403
Avg Claims per Provider

PRADEEP RAI, MD's 775 claims are below the specialty average of 1,403.

Nearby Addiction Medicine (Internal Medicine) Physician Providers in Colorado

Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as RAI.

Compare Addiction Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRADEEP RAI, MD's specialty?
PRADEEP RAI, MD specializes in Addiction Medicine (Internal Medicine) Physician and practices in DENVER, Colorado. Credentials: MD.
How much does PRADEEP RAI, MD prescribe under Medicare Part D?
In 2023, PRADEEP RAI, MD wrote 775 Medicare Part D claims totaling $74K in drug costs for 74 beneficiaries.
What is PRADEEP RAI, MD's Medicare quality score?
PRADEEP RAI, MD has a CMS MIPS Final Score of 72.2767/100 (Quality: 53.2098, Cost: 21.046). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRADEEP RAI, MD located?
PRADEEP RAI, MD is located at 8181 E TUFTS AVE STE 560, DENVER, CO, 80237. Phone: (866) 990-8622.
What is PRADEEP RAI, MD's NPI number?
PRADEEP RAI, MD's National Provider Identifier (NPI) is 1184863631, issued on 02/06/2009.
Does PRADEEP RAI, MD prescribe more brand-name or generic drugs?
PRADEEP RAI, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $50K in brand drug costs.
How many Addiction Medicine (Internal Medicine) Physician providers are there in the US?
There are 553 Addiction Medicine (Internal Medicine) Physician providers across 46 states in the US. The average Addiction Medicine (Internal Medicine) Physician provider writes 1,403 Medicare Part D claims per year.
What drugs does PRADEEP RAI, MD prescribe most often?
Based on 2023 Medicare Part D data, PRADEEP RAI, MD's most frequently prescribed drugs include Buprenorphine-Naloxone, Furosemide, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRADEEP RAI, MD accept Medicare?
PRADEEP RAI, MD appears in CMS Medicare data with 775 Part D claims and 74 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRADEEP RAI, MD's credentials?
PRADEEP RAI, MD's NPI is 1184863631 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.
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