NPI registry status
Active
2026 NPPES data Vascular Neurology Physician NPI 1770993339 MD
Verify on CMS → Prashant Kumar Rai, MD
Vascular Neurology Physician in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 561 in Vascular Neurology 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
102
Medicare Part D claims · 22 beneficiaries · Vascular Neurology Physician avg: 378
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Mid-tier
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
Prashant Kumar Rai, MD reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 102 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 102
- Part D claims, 2023
- 64%
- 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.
Prashant Kumar 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
75 12th percentile higher than 12% 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 Prashant Kumar Rai, MD sits
This provider among vascular neurology physician peers
Across the 141 vascular neurology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Prashant Kumar Rai, MD writes more Part D claims than 42% of them and scores higher on MIPS quality than 6% - placing this provider in the lower-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 vascular neurology physician peer from a representative sample of 60; the gold marker is Prashant Kumar Rai, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Prashant Kumar Rai, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 7 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 Prashant Kumar Rai, MD?
Below national averagePrimary specialty
Vascular Neurology Physician
Medicare Part D claims
102 73% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in Texas
How Vascular Neurology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Prashant Kumar Rai, MD's 2023 MIPS final score plotted against the Vascular Neurology Physician national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Vascular Neurology Physician) - 75/100 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).
Prashant Kumar Rai, MD appears in the CMS NPPES registry as a Vascular Neurology Physician provider holding MD credentials at 1515 HOLCOMBE BLVD, Houston, TX, 77030, with a listed phone of (713) 792-6161. NPI 1770993339 was issued on 05/05/2014.
Medicare Part D records for calendar year 2023 show 102 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $560K in drug spend, split 36% brand-name and 64% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year (Quality 73.8, Cost 47.8), compared with the national average of 83.1.
Vascular Neurology Physician is a narrow specialty nationwide, with 561 enrolled providers across 49 states and an average of 378 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 | 1770993339 |
|---|---|
| Specialty | Vascular Neurology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/05/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
74.9614
Final Score
Avg: 83.1
73.7789
Quality
47.7591
Cost
94
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Prashant Kumar 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.
According to CMS billing records, Prashant Kumar Rai, MD is affiliated with 7 Medicare-billing facilities across 3 states.
Access Telecare PLLC
Spring, TX
Capstone Health Services Foundation PC
Tuscaloosa, AL
Carepoint Inpatient Blue Sky Neurology - Texas, PLLC
San Antonio, TX
North Atlanta Professional Services LLC
Atlanta, GA
Northside Primary Care Professional Services,llc
Atlanta, GA
Physicians Referral Service
Houston, TX
South Georgia Medical Center Inc
Valdosta, GA
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 - 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 Prashant Kumar Rai, MD. To verify Prashant Kumar Rai, MD'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 · Above average
Prashant Kumar Rai, MD - brand share 36.0%
Vascular Neurology Physician average
36% brand-name claims vs 64% generic, on 102 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.
102
Total Claims
$560K
Total Drug Cost
22
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 124
- Total Day Supply
- 3,376
- Brand vs Generic
- 36% brand / 64% generic
- Brand Drug Cost
- $558K
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 66.3 years
- Avg HCC Risk Score
- 1.30
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Prashant Kumar Rai, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
23 claims
- Gammaplex
Gammaplex
13 claims
- Sodium Chloride
Sodium Chloride
12 claims
| Drug | Claims |
|---|---|
| Gabapentin | 23 |
| Gammaplex Immun Glob G(Igg)/Gly/Iga 0-50 | 13 |
| Sodium Chloride 0.9 % Sodium Chloride | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Vascular Neurology Physician Overview
How Prashant Kumar Rai, MD fits within the Vascular Neurology Physician landscape nationally.
561
Vascular Neurology Physician Providers in US
49
States with Vascular Neurology Physician
378
Avg Claims per Provider
Prashant Kumar Rai, MD's 102 claims are below the specialty average of 378.
Nearby Vascular Neurology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Rai.
Dr. Ahsan Ali
M.D
Edinburg, TX
Dr. Reza Behrouz
D.O.
San Antonio, TX
Dr. Eric Bershad
MD
Houston, TX
Dr. Jimmy Berthaud
M.D.
San Antonio, TX
Dr. Haitham Dababneh
MD
Edinburg, TX
Compare Vascular Neurology 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Vascular Neurology 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 Prashant Kumar Rai, MD's specialty? ▼
Prashant Kumar Rai, MD specializes in Vascular Neurology Physician and practices in Houston, Texas. Credentials: MD.
How much does Prashant Kumar Rai, MD prescribe under Medicare Part D? ▼
In 2023, Prashant Kumar Rai, MD wrote 102 Medicare Part D claims totaling $560K in drug costs for 22 beneficiaries.
What is Prashant Kumar Rai, MD's Medicare quality score? ▼
Prashant Kumar Rai, MD has a CMS MIPS Final Score of 75/100 (Quality: 73.8, Cost: 47.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Prashant Kumar Rai, MD located? ▼
Prashant Kumar Rai, MD is located at 1515 HOLCOMBE BLVD, Houston, TX, 77030. Phone: (713) 792-6161.
What is Prashant Kumar Rai, MD's NPI number? ▼
Prashant Kumar Rai, MD's National Provider Identifier (NPI) is 1770993339, issued on 05/05/2014.
Does Prashant Kumar Rai, MD prescribe more brand-name or generic drugs? ▼
Prashant Kumar Rai, MD's prescribing is 36% brand-name and 64% generic drugs by claim count, with $558K in brand drug costs.
How many Vascular Neurology Physician providers are there in the US? ▼
There are 561 Vascular Neurology Physician providers across 49 states in the US. The average Vascular Neurology Physician provider writes 378 Medicare Part D claims per year.
What drugs does Prashant Kumar Rai, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Prashant Kumar Rai, MD's most frequently prescribed drugs include Gabapentin, Gammaplex, Sodium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Prashant Kumar Rai, MD accept Medicare? ▼
Prashant Kumar Rai, MD appears in CMS Medicare data with 102 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Prashant Kumar Rai, MD's credentials? ▼
Prashant Kumar Rai, MD's NPI is 1770993339 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 (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.
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.