2026 NPPES data Specialist NPI 1255399945 M.D.
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PRAMILA DAFTARY, M.D.

Specialist in WACO, Texas. 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
740
Medicare Part D claims · 200 beneficiaries · Specialist avg: 1K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.1907/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$300.88
14 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PRAMILA DAFTARY, M.D. reported a CMS MIPS final score of 88.1907/100 — above the 83.1 national average — and filed 740 Medicare Part D claims in 2023.

88.1907/100
MIPS score · +5 vs avg
740
Part D claims, 2023
84%
generic prescribing
$300.88
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.

PRAMILA DAFTARY, 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

88 Top 44% higher than 56% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

What does the federal data show about PRAMILA DAFTARY, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/02/2006

NPI 1255399945

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

740 50% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

88.1907/100 5.090700000000012% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Specialist compares to other specialties among Texas providers

Texas providers

Specialist share within Texas

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

Medicare quality performance — MIPS

PRAMILA DAFTARY, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
88.1907/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 88.1907/100 vs national avg 83.1

0%100%National avg83%88.2%
MIPS final score (Specialist) — 88.1907/100 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).

PRAMILA DAFTARY, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 221 JEWELL DR, WACO, TX, 76712, with a listed phone of (254) 753-3646. NPI 1255399945 was issued on 05/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DAFTARY 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 740 prescription claims written by this provider, covering 200 Medicare beneficiaries and totaling roughly $64K in drug spend, split 16% brand-name and 84% 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 88.1907/100 for the 2023 performance year (Quality 100, Cost 60.6355), compared with the national average of 83.1.

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

221 JEWELL DR
WACO, TX 76712

Provider Details

NPI 1255399945
Specialty Specialist
Credentials M.D.
Gender Female
NPI Issued 05/02/2006

CMS Quality Score (MIPS)

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

88.1907
Final Score
Avg: 83.1
100
Quality
60.6355
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where PRAMILA DAFTARY, 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.

ALLERGY AND ASTHMA CARE OF WACO, PA.
WACO, TX

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 PRAMILA DAFTARY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$301

Largest payer

Blueprint Medicines 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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to PRAMILA DAFTARY, M.D.. To verify PRAMILA DAFTARY, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PRAMILA DAFTARY, M.D. — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 740 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.

740
Total Claims
$64K
Total Drug Cost
200
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
991
Total Day Supply
25,619
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$53K
Generic Drug Cost
$11K
Antibiotic Claims
90

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.05
Gender Split
69% female / 32% male

Top Prescribed Drugs (Medicare Part D)

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

What PRAMILA DAFTARY, M.D. 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
Montelukast Sodium
244
Fluticasone Propionate
90
Albuterol Sulfate Hfa
Albuterol Sulfate
66
Azelastine Hcl
66
Azithromycin
31
Amoxicillin
28
Prednisone
26
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
23
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
21
Doxycycline Monohydrate
19

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

Specialist Overview

How PRAMILA DAFTARY, M.D. fits within the Specialist landscape nationally.

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

PRAMILA DAFTARY, M.D.'s 740 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Texas

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

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

Frequently Asked Questions

What is PRAMILA DAFTARY, M.D.'s specialty?
PRAMILA DAFTARY, M.D. specializes in Specialist and practices in WACO, Texas. Credentials: M.D..
How much does PRAMILA DAFTARY, M.D. prescribe under Medicare Part D?
In 2023, PRAMILA DAFTARY, M.D. wrote 740 Medicare Part D claims totaling $64K in drug costs for 200 beneficiaries.
What is PRAMILA DAFTARY, M.D.'s Medicare quality score?
PRAMILA DAFTARY, M.D. has a CMS MIPS Final Score of 88.1907/100 (Quality: 100, Cost: 60.6355). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRAMILA DAFTARY, M.D. located?
PRAMILA DAFTARY, M.D. is located at 221 JEWELL DR, WACO, TX, 76712. Phone: (254) 753-3646.
What is PRAMILA DAFTARY, M.D.'s NPI number?
PRAMILA DAFTARY, M.D.'s National Provider Identifier (NPI) is 1255399945, issued on 05/02/2006.
Does PRAMILA DAFTARY, M.D. prescribe more brand-name or generic drugs?
PRAMILA DAFTARY, M.D.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $53K in brand drug costs.
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 PRAMILA DAFTARY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PRAMILA DAFTARY, M.D.'s most frequently prescribed drugs include Montelukast Sodium, Fluticasone Propionate, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRAMILA DAFTARY, M.D. accept Medicare?
PRAMILA DAFTARY, M.D. appears in CMS Medicare data with 740 Part D claims and 200 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRAMILA DAFTARY, M.D.'s credentials?
PRAMILA DAFTARY, M.D.'s NPI is 1255399945 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

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