NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1992090542 M.D
Verify on CMS → Pramoda Koduru, M.D
Internal Medicine Physician in Chicago, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine 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
988
Medicare Part D claims · 413 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$2.4K
94 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Pramoda Koduru, M.D carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 988 Medicare Part D claims in 2023.
- 75/100
- CMS neutral score · not measured
- 988
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥75th
- pct by Part D claim volume (lower-bound band)
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.
Pramoda Koduru, M.D's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
988 ≥ 75th percentile 75% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Pramoda Koduru, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Pramoda Koduru, M.D?
CMS neutral score, not measuredPrimary specialty
Internal Medicine Physician
Medicare Part D claims
988 64% vs specialty avg
MIPS final score
75/100
Specialty distribution in Illinois
How Internal Medicine Physician compares to other specialties among Illinois providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Pramoda Koduru, M.D appears in the CMS NPPES registry as an Internal Medicine Physician provider holding M.D credentials at 1901 W HARRISON ST, Chicago, IL, 60612, with a listed phone of (312) 864-6000. NPI 1992090542 was issued on 06/12/2011.
Medicare Part D records for calendar year 2023 show 988 prescription claims written by this provider, covering 413 Medicare beneficiaries and totaling roughly $902K in drug spend. On the CMS Merit-based Incentive Payment System, this provider carries a Final Score of 75/100 for the 2023 performance year, but CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score: this is the neutral performance threshold CMS assigns where nothing was scored, so it is not comparable with clinicians whose score was measured.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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 | 1992090542 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | M.D |
| Gender | Female |
| NPI Issued | 06/12/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Individual
Hospital and facility affiliations
Facilities where Pramoda Koduru, 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.
According to CMS billing records, Pramoda Koduru, M.D is affiliated with 3 Medicare-billing facilities.
Chickasaw Nation Division OF Health
Ada, OK
Digestive Disease Specialists Inc
Oklahoma City, OK
Integris Ambulatory Care Corporation
Edmond, OK
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 Pramoda Koduru, M.D. Source: openpaymentsdata.cms.gov.
Total received
$2.4K
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 - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Pramoda Koduru, M.D. To verify Pramoda Koduru, M.D's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
988
Total Claims
$902K
Total Drug Cost
413
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,535
- Total Day Supply
- 38,413
- Generic Drug Cost
- $43K
Patient Demographics
- Average Patient Age
- 69.6 years
- Avg HCC Risk Score
- 1.27
- Gender Split
- 71% female / 29% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Pramoda Koduru, M.D prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pantoprazole Sodium
Pantoprazole Sodium
183 claims
- Omeprazole 70
Omeprazole
70 claims
- Linzess 51
Linzess
51 claims
- Creon 42
Creon
42 claims
- Famotidine 37
Famotidine
37 claims
- Mesalamine 35
Mesalamine
35 claims
- Dicyclomine Hcl 32
Dicyclomine Hcl
32 claims
- Zenpep 29
Zenpep
29 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 183 |
| Omeprazole | 70 |
| Linzess Linaclotide | 51 |
| Creon Lipase/Protease/Amylase | 42 |
| Famotidine | 37 |
| Mesalamine | 35 |
| Dicyclomine Hcl | 32 |
| Zenpep Lipase/Protease/Amylase | 29 |
| Trulance Plecanatide | 28 |
| Mercaptopurine | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Pramoda Koduru, M.D fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Pramoda Koduru, M.D's 988 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Koduru.
Dr. Hasan Abad
D.O.
Chicago, IL
Dr. Peter Abadeer
D.O.
Bloomington, IL
Dr. Pamela Abadi
D.O.
Winfield, IL
Dr. Motaz Abas
MD
Peoria, IL
Dr. Estefania Abasolo Lopez
MD
Chicago, IL
Compare Internal Medicine 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 Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine 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 Pramoda Koduru, M.D's specialty? ▼
Pramoda Koduru, M.D specializes in Internal Medicine Physician and practices in Chicago, Illinois. Credentials: M.D.
How much does Pramoda Koduru, M.D prescribe under Medicare Part D? ▼
In 2023, Pramoda Koduru, M.D wrote 988 Medicare Part D claims totaling $902K in drug costs for 413 beneficiaries.
What is Pramoda Koduru, M.D's Medicare quality score? ▼
Pramoda Koduru, M.D has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. 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 Pramoda Koduru, M.D located? ▼
Pramoda Koduru, M.D is located at 1901 W HARRISON ST, Chicago, IL, 60612. Phone: (312) 864-6000.
What is Pramoda Koduru, M.D's NPI number? ▼
Pramoda Koduru, M.D's National Provider Identifier (NPI) is 1992090542, issued on 06/12/2011.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Pramoda Koduru, M.D prescribe most often? ▼
Based on 2023 Medicare Part D data, Pramoda Koduru, M.D's most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Linzess. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Pramoda Koduru, M.D accept Medicare? ▼
Pramoda Koduru, M.D appears in CMS Medicare data with 988 Part D claims and 413 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pramoda Koduru, M.D's credentials? ▼
Pramoda Koduru, M.D's NPI is 1992090542 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
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 May 2026.