NPI registry status
Active
2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1215386891 MD
Verify on CMS → Pramod Tripathi, MD
Endocrinology, Diabetes & Metabolism Physician in Mechanicsburg, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 8,078 in Endocrinology, Diabetes & Metabolism 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 · 555 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
48%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.5/100
▼ 1 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Pramod Tripathi, MD reported a CMS MIPS final score of 82.5/100 - below the 83.5 national average - and filed 2,810 Medicare Part D claims in 2024.
- 82.5/100
- MIPS score · -1 vs avg
- 3K
- Part D claims, 2024
- 48%
- 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.
Federal trust snapshot
What official records show about Pramod Tripathi, 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 1215386891), first enumerated 06/06/2016.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 2,810 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 82.5/100 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
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Pramod Tripathi, MD's individual license status. Verify directly with the state medical board.
Source: PA-BOM 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 1215386891 · Endocrinology, Diabetes & Metabolism Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-INLINE · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1215386891
- ENUM-MID 2016
- TAX-MID 8K Endocrinology, Diabetes
- MIPS-INLINE 82.5/100
- RX-MID 2,810
- BOOK-THIN 379 in Pennsylvania
- PHOTO-FINISH Samuel Anderson · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Tripathi · this …
Tripathi · this provider
82.5 MIPS pts
- Carrie Casden · …
Carrie Casden
82.5 MIPS pts
- Samuel Anderson …
Samuel Anderson
82.5 MIPS pts
- Romi Bhasin · near
Romi Bhasin
82.5 MIPS pts
- Laura Butz · near
Laura Butz
82.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Pramod Tripathi, 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.
83 ≥ 36th percentile 36% 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 Pramod Tripathi, MD sits
This provider among endocrinology, diabetes & metabolism physician peers
Across the 2,341 endocrinology, diabetes & metabolism physician providers who report both Medicare Part D prescribing and a MIPS quality score, Pramod Tripathi, MD writes more Part D claims than 57% of them and scores higher on MIPS quality than 39% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one endocrinology, diabetes & metabolism physician peer from a representative sample of 60; the gold marker is Pramod Tripathi, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Pramod Tripathi, MD 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 Pramod Tripathi, MD?
Near national averagePrimary specialty
Endocrinology, Diabetes & Metabolism Physician
Medicare Part D claims
2,810 3% vs specialty avg
MIPS final score
82.5/100 1 pts vs avg
Specialty distribution in Pennsylvania
How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Pramod Tripathi, MD's 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average
- MIPS Final Score
- 82.5/100
- 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 | 1215386891 |
|---|---|
| Specialty | Endocrinology, Diabetes & Metabolism Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/06/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.5421
Final Score
Measured-score avg: 83.5
76.6258
Quality
65.1813
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Pramod Tripathi, 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.
Pinnacle Health Medical Services
Mechanicsburg, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Pramod Tripathi, MD. To verify Pramod Tripathi, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Pramod Tripathi, MD - brand share 46.0%
Endocrinology, Diabetes & Metabolism Physician average
46% brand-name claims vs 48% generic, on 2,810 2024 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 2024.
2,810
Total Claims
$1.3M
Total Drug Cost
555
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,264.733
- Total Day Supply
- 185,158
- Brand vs Generic
- 46% brand / 48% generic
- Brand Drug Cost
- $1.2M
- Generic Drug Cost
- $38K
Patient Demographics
- Average Patient Age
- 70.6 years
- Avg HCC Risk Score
- 1.68
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 93, 65-74: 262, 75-84: 170, 85+: 30
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Pramod Tripathi, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Levothyroxine Sodium
Levothyroxine Sodium
387 claims
- Alendronate Sodium
Alendronate Sodium
204 claims
- Ozempic
Ozempic
190 claims
- Jardiance 146
Jardiance
146 claims
- Lantus Solostar 124
Lantus Solostar
124 claims
- Synthroid 105
Synthroid
105 claims
- Glimepiride 87
Glimepiride
87 claims
- Methimazole 87
Methimazole
87 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 387 |
| Alendronate Sodium | 204 |
| Ozempic Semaglutide | 190 |
| Jardiance Empagliflozin | 146 |
| Lantus Solostar Insulin Glargine,hum.Rec.Anlog | 124 |
| Synthroid Levothyroxine Sodium | 105 |
| Glimepiride | 87 |
| Methimazole | 87 |
| Metformin Hcl | 81 |
| Metformin Hcl Er Metformin Hcl | 75 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Endocrinology, Diabetes & Metabolism Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Endocrinology, Diabetes & Metabolism Physician Overview
How Pramod Tripathi, MD fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.
8,078
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,739
Avg Claims per Provider
Pramod Tripathi, MD's 2,810 claims are above the specialty average of 2,739.
Nationwide Endocrinology, Diabetes & Metabolism Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Tripathi, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (82.5 here).
Same NPPES enumeration year (2016)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Tripathi.
One of 379 Endocrinology, Diabetes & Metabolism Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Munira Abbasi
MD
Pittsburgh, PA
Dr. Jana Abraham
MD
Berwyn, PA
Dr. Rachel Abramczyk
DO
Parkesburg, PA
Dr. Michael Adler
M.D.
Lewisburg, PA
Shivani Agarwal
Philadelphia, PA
Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Pramod Tripathi, MD's specialty? ▼
Pramod Tripathi, MD specializes in Endocrinology, Diabetes & Metabolism Physician and practices in Mechanicsburg, Pennsylvania. Credentials: MD.
How much does Pramod Tripathi, MD prescribe under Medicare Part D? ▼
In 2024, Pramod Tripathi, MD wrote 2,810 Medicare Part D claims totaling $1.3M in drug costs for 555 beneficiaries.
What is Pramod Tripathi, MD's Medicare quality score? ▼
Pramod Tripathi, MD has a CMS MIPS Final Score of 82.5/100 (Quality: 76.6, Cost: 65.2). 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 Pramod Tripathi, MD located? ▼
Pramod Tripathi, MD is located at 2005 TECHNOLOGY PKWY STE 440, Mechanicsburg, PA, 17050. Phone: (717) 791-2540.
What is Pramod Tripathi, MD's NPI number? ▼
Pramod Tripathi, MD's National Provider Identifier (NPI) is 1215386891, issued on 06/06/2016.
Does Pramod Tripathi, MD prescribe more brand-name or generic drugs? ▼
Pramod Tripathi, MD's prescribing is 46% brand-name and 48% generic drugs by claim count, with $1.2M in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US? ▼
There are 8,078 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,739 Medicare Part D claims per year.
What drugs does Pramod Tripathi, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Pramod Tripathi, MD's most frequently prescribed drugs include Levothyroxine Sodium, Alendronate Sodium, Ozempic. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Pramod Tripathi, MD accept Medicare? ▼
Pramod Tripathi, MD appears in CMS Medicare data with 2,810 Part D claims and 555 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pramod Tripathi, MD's credentials? ▼
Pramod Tripathi, MD's NPI is 1215386891 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.