NPI registry status
Active
2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1164464137 M.D.
Verify on CMS → Prakash Bhatia, M.D.
Child & Adolescent Psychiatry Physician in National City, 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 6,160 in Child & Adolescent Psychiatry 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
3K
Medicare Part D claims · 170 beneficiaries · Child & Adolescent Psychiatry Physician avg: 600
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
28.8/100
▼ 54 pts below national avg 83.1 · Below average
Industry payments
$1.5K
36 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Prakash Bhatia, M.D. reported a CMS MIPS final score of 28.8/100 - below the 83.1 national average - and filed 2,846 Medicare Part D claims in 2023.
- 28.8/100
- MIPS score · -54 vs avg
- 3K
- Part D claims, 2023
- 94%
- 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.
Prakash Bhatia, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
29 3rd percentile higher than 3% 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 Prakash Bhatia, M.D. sits
This provider among child & adolescent psychiatry physician peers
Across the 332 child & adolescent psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Prakash Bhatia, M.D. writes more Part D claims than 93% of them and scores higher on MIPS quality than 3% - placing this provider in the high-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 child & adolescent psychiatry physician peer from a representative sample of 60; the gold marker is Prakash Bhatia, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Prakash Bhatia, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Prakash Bhatia, M.D.?
Below national averagePrimary specialty
Child & Adolescent Psychiatry Physician
Medicare Part D claims
2,846 374% vs specialty avg
MIPS final score
28.8/100 54.3 pts vs avg
Specialty distribution in California
How Child & Adolescent Psychiatry Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Prakash Bhatia, M.D.'s 2023 MIPS final score plotted against the Child & Adolescent Psychiatry Physician national average
- MIPS Final Score
- 28.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Child & Adolescent Psychiatry Physician) - 28.8/100 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).
Prakash Bhatia, M.D. appears in the CMS NPPES registry as a Child & Adolescent Psychiatry Physician provider holding M.D. credentials at 610 EUCLID AVE STE 200, National City, CA, 91950, with a listed phone of (619) 267-9257. NPI 1164464137 was issued on 06/12/2006.
Medicare Part D records for calendar year 2023 show 2,846 prescription claims written by this provider, covering 170 Medicare beneficiaries and totaling roughly $389K in drug spend, split 6% brand-name and 94% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 28.8/100 for the 2023 performance year (Quality 23.3, Cost 31.4), compared with the national average of 83.1.
Child & Adolescent Psychiatry Physician is a mid-sized specialty nationwide, with 6,160 enrolled providers across 54 states and an average of 600 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 | 1164464137 |
|---|---|
| Specialty | Child & Adolescent Psychiatry Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/12/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
28.7618
Final Score
Avg: 83.1
23.3333
Quality
31.4281
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Prakash Bhatia, M.D. 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.
Pacific Health Systems LP
National City, CA
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 Prakash Bhatia, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.5K
Largest payer
ABBVIE INC.
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 - 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 Prakash Bhatia, M.D.. To verify Prakash Bhatia, M.D.'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.
Brand vs generic prescribing mix · Generic-heavy
Prakash Bhatia, M.D. - brand share 6.0%
Child & Adolescent Psychiatry Physician average
6% brand-name claims vs 94% generic, on 2,846 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.
2,846
Total Claims
$389K
Total Drug Cost
170
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,221
- Total Day Supply
- 92,857
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $265K
- Generic Drug Cost
- $124K
Patient Demographics
- Average Patient Age
- 59.2 years
- Avg HCC Risk Score
- 1.58
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 96, 65-74: 59, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Prakash Bhatia, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Quetiapine Fumarate
Quetiapine Fumarate
253 claims
- Risperidone
Risperidone
179 claims
- Trazodone Hcl
Trazodone Hcl
175 claims
- Aripiprazole
Aripiprazole
147 claims
- Citalopram Hbr
Citalopram Hbr
130 claims
- Benztropine Mesylate
Benztropine Mesylate
115 claims
- Olanzapine
Olanzapine
105 claims
- Paroxetine Hcl
Paroxetine Hcl
105 claims
| Drug | Claims |
|---|---|
| Quetiapine Fumarate | 253 |
| Risperidone | 179 |
| Trazodone Hcl | 175 |
| Aripiprazole | 147 |
| Citalopram Hbr Citalopram Hydrobromide | 130 |
| Benztropine Mesylate | 115 |
| Olanzapine | 105 |
| Paroxetine Hcl | 105 |
| Divalproex Sodium | 101 |
| Lorazepam | 90 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Child & Adolescent Psychiatry Physician in CA →
All providers in California →
Compare specialties →
Child & Adolescent Psychiatry Physician Overview
How Prakash Bhatia, M.D. fits within the Child & Adolescent Psychiatry Physician landscape nationally.
6,160
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
600
Avg Claims per Provider
Prakash Bhatia, M.D.'s 2,846 claims are above the specialty average of 600.
Nearby Child & Adolescent Psychiatry Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Bhatia.
Dr. Manar Abdelmegeed
MD
San Jose, CA
Dr. Beverly Abramowitz
M.D.
Roseville, CA
Dr. Allan Abrams
M.D.
Simi Valley, CA
Dr. Ajjya Acharya
MD
Sacramento, CA
Dr. Lisa Acosta
MD
Simi Valley, CA
Compare Child & Adolescent Psychiatry 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 Child & Adolescent Psychiatry 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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Frequently Asked Questions
What is Prakash Bhatia, M.D.'s specialty? ▼
Prakash Bhatia, M.D. specializes in Child & Adolescent Psychiatry Physician and practices in National City, California. Credentials: M.D..
How much does Prakash Bhatia, M.D. prescribe under Medicare Part D? ▼
In 2023, Prakash Bhatia, M.D. wrote 2,846 Medicare Part D claims totaling $389K in drug costs for 170 beneficiaries.
What is Prakash Bhatia, M.D.'s Medicare quality score? ▼
Prakash Bhatia, M.D. has a CMS MIPS Final Score of 28.8/100 (Quality: 23.3, Cost: 31.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Prakash Bhatia, M.D. located? ▼
Prakash Bhatia, M.D. is located at 610 EUCLID AVE STE 200, National City, CA, 91950. Phone: (619) 267-9257.
What is Prakash Bhatia, M.D.'s NPI number? ▼
Prakash Bhatia, M.D.'s National Provider Identifier (NPI) is 1164464137, issued on 06/12/2006.
Does Prakash Bhatia, M.D. prescribe more brand-name or generic drugs? ▼
Prakash Bhatia, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $265K in brand drug costs.
How many Child & Adolescent Psychiatry Physician providers are there in the US? ▼
There are 6,160 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 600 Medicare Part D claims per year.
What drugs does Prakash Bhatia, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Prakash Bhatia, M.D.'s most frequently prescribed drugs include Quetiapine Fumarate, Risperidone, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Prakash Bhatia, M.D. accept Medicare? ▼
Prakash Bhatia, M.D. appears in CMS Medicare data with 2,846 Part D claims and 170 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Prakash Bhatia, M.D.'s credentials? ▼
Prakash Bhatia, M.D.'s NPI is 1164464137 with credentials M.D.. 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.