NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1467074427 DO
Verify on CMS → Prathyusha Gudapati, DO
Internal Medicine Physician in Albuquerque, New Mexico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 174,792 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
555
Medicare Part D claims · 183 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
97.6/100
▲ 14 pts above national avg 83.5 · Exceptional
What the federal data shows
Prathyusha Gudapati, DO reported a CMS MIPS final score of 97.6/100 - above the 83.5 national average - and filed 555 Medicare Part D claims in 2024.
- 97.6/100
- MIPS score · +14 vs avg
- 555
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥84th
- pct among measured MIPS (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.
Federal trust snapshot
What official records show about Prathyusha Gudapati, DO
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 1467074427), first enumerated 05/13/2020.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 555 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 97.6/100 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
- 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 1467074427 · Internal Medicine Physician
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-ELITE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1467074427
- ENUM-RECENT 2020
- TAX-MEGA 175K Internal Medicine
- MIPS-ELITE 97.6/100
- RX-LIGHT 555
- BOOK-LIGHT 814 in New Mexico
- PHOTO-FINISH Anika Ajaykumar Agar… · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Gudapati · this …
Gudapati · this provider
97.6 MIPS pts
- Sai Avula, M.D. …
Sai Avula, M.D.
97.6 MIPS pts
- Anika Ajaykumar …
Anika Ajaykumar Agarwal, MD
97.6 MIPS pts
- Olusina Akinduro…
Olusina Akinduro, MD
97.6 MIPS pts
- Omar Alkhatib, M…
Omar Alkhatib, MD
97.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Prathyusha Gudapati, DO'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.
98 ≥ 84th percentile 84% 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 Prathyusha Gudapati, DO sits
This provider among internal medicine physician peers
Across the 34,612 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Prathyusha Gudapati, DO writes more Part D claims than 47% of them and scores higher on MIPS quality than 86% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Prathyusha Gudapati, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Prathyusha Gudapati, DO 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 Prathyusha Gudapati, DO?
High performer (top quartile)Primary specialty
Internal Medicine Physician
Medicare Part D claims
555 80% vs specialty avg
MIPS final score
97.6/100 14.1 pts vs avg
Specialty distribution in New Mexico
How Internal Medicine Physician compares to other specialties among New Mexico providers
Medicare quality performance, MIPS
Prathyusha Gudapati, DO's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 97.6/100
- 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 | 1467074427 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 05/13/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.5814
Final Score
Measured-score avg: 83.5
86.5348
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Prathyusha Gudapati, DO 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.
Southwest Medical Associates, LLC
Albuquerque, NM
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
555
Total Claims
$54K
Total Drug Cost
183
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 596.133
- Total Day Supply
- 13,475
- Generic Drug Cost
- $10K
- Opioid Claims
- 25 (4.5% rate)
- Antibiotic Claims
- 82
Patient Demographics
- Average Patient Age
- 72.8 years
- Avg HCC Risk Score
- 1.92
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 32, 65-74: 62, 75-84: 62, 85+: 27
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Prathyusha Gudapati, DO prescribes most
Top Medicare Part D drugs by claim count, 2024
- Pantoprazole Sodium
Pantoprazole Sodium
75 claims
- Amlodipine Besylate 22
Amlodipine Besylate
22 claims
- Lisinopril 19
Lisinopril
19 claims
- Oxycodone Hcl 19
Oxycodone Hcl
19 claims
- Atorvastatin Calcium 18
Atorvastatin Calcium
18 claims
- Cefdinir 17
Cefdinir
17 claims
- Prednisone 17
Prednisone
17 claims
- Eliquis 16
Eliquis
16 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 75 |
| Amlodipine Besylate | 22 |
| Lisinopril | 19 |
| Oxycodone Hcl | 19 |
| Atorvastatin Calcium | 18 |
| Cefdinir | 17 |
| Prednisone | 17 |
| Eliquis Apixaban | 16 |
| Furosemide | 16 |
| Hydralazine Hcl | 16 |
* 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 Prathyusha Gudapati, DO fits within the Internal Medicine Physician landscape nationally.
174,792
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,785
Avg Claims per Provider
Prathyusha Gudapati, DO's 555 claims are below the specialty average of 2,785.
Nationwide Internal Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Gudapati, both outside New Mexico so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.6 here).
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Internal Medicine Physician Providers in New Mexico
Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Gudapati.
One of 814 Internal Medicine Physician providers enrolled in New Mexico, 5 are shown here.
Dr. Ahmed Abbasi
MD
Albuquerque, NM
Dr. Yara Abdou
MD
Albuquerque, NM
Dr. Louise Abel
MD
Santa Fe, NM
Dr. William Abeyta
M.D.
Albuquerque, NM
Zain Abidin
Albuquerque, NM
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Prathyusha Gudapati, DO's specialty? ▼
Prathyusha Gudapati, DO specializes in Internal Medicine Physician and practices in Albuquerque, New Mexico. Credentials: DO.
How much does Prathyusha Gudapati, DO prescribe under Medicare Part D? ▼
In 2024, Prathyusha Gudapati, DO wrote 555 Medicare Part D claims totaling $54K in drug costs for 183 beneficiaries.
What is Prathyusha Gudapati, DO's Medicare quality score? ▼
Prathyusha Gudapati, DO has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). 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 Prathyusha Gudapati, DO located? ▼
Prathyusha Gudapati, DO is located at 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM, 87131. Phone: (505) 272-4661.
What is Prathyusha Gudapati, DO's NPI number? ▼
Prathyusha Gudapati, DO's National Provider Identifier (NPI) is 1467074427, issued on 05/13/2020.
Does Prathyusha Gudapati, DO prescribe opioids? ▼
Yes, Prathyusha Gudapati, DO had 25 opioid claims in 2024 with an opioid prescribing rate of 4.5%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 174,792 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,785 Medicare Part D claims per year.
What drugs does Prathyusha Gudapati, DO prescribe most often? ▼
Based on 2024 Medicare Part D data, Prathyusha Gudapati, DO's most frequently prescribed drugs include Pantoprazole Sodium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Prathyusha Gudapati, DO accept Medicare? ▼
Prathyusha Gudapati, DO appears in CMS Medicare data with 555 Part D claims and 183 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Prathyusha Gudapati, DO's credentials? ▼
Prathyusha Gudapati, DO's NPI is 1467074427 with credentials DO. 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.