NPI registry status
Active
2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1336589118 MD
Verify on CMS → Pratibha Abraham, MD
Endocrinology, Diabetes & Metabolism Physician in Fenton, Missouri.
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 · 529 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
44%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$48.55
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Pratibha Abraham, MD filed 3,469 Medicare Part D claims in 2024 as an Endocrinology, Diabetes & Metabolism Physician in Fenton, Missouri, prescribing 44% generic.
- 3K
- Part D claims, 2024
- 44%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥90th
- 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.
Federal trust snapshot
What official records show about Pratibha Abraham, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1336589118), first enumerated 06/26/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 3,469 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- 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
- Reported
Industry payment transparency
$48.55 in reported industry payments (3 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1336589118 · Endocrinology, Diabetes & Metabolism Physician
NPI-10 · ENUM-MID · TAX-MID · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1336589118
- ENUM-MID 2013
- TAX-MID 8K Endocrinology, Diabetes
- RX-MID 3,469
- BOOK-THIN 154 in Missouri
- PHOTO-ENUM Eric Buras · 2013
Pratibha Abraham, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
3,469 ≥ 90th percentile 90% of 1,416,883 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 · 2024
✓
Board certification likely (heuristic, not verified)
Pratibha Abraham, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Pratibha Abraham, MD?
Quality data not reportedPrimary specialty
Endocrinology, Diabetes & Metabolism Physician
Medicare Part D claims
3,469 27% vs specialty avg
Specialty distribution in Missouri
How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Missouri providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Endocrinology, Diabetes & Metabolism Physician. Verify directly:
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 | 1336589118 |
|---|---|
| Specialty | Endocrinology, Diabetes & Metabolism Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 06/26/2013 |
Hospital and facility affiliations
Facilities where Pratibha Abraham, 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.
Ssm Medical Group Inc
Fenton, MO
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 Pratibha Abraham, MD. Source: openpaymentsdata.cms.gov.
Total received
$49
Largest payer
Insulet 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.
Brand vs generic prescribing mix · Above average
Pratibha Abraham, MD - brand share 46.0%
Endocrinology, Diabetes & Metabolism Physician average
46% brand-name claims vs 44% generic, on 3,469 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.
3,469
Total Claims
$1.6M
Total Drug Cost
529
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 8,062.533
- Total Day Supply
- 239,513
- Brand vs Generic
- 46% brand / 44% generic
- Brand Drug Cost
- $1.4M
- Generic Drug Cost
- $21K
Patient Demographics
- Average Patient Age
- 71.0 years
- Avg HCC Risk Score
- 1.68
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 66, 65-74: 283, 75-84: 162, 85+: 18
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Pratibha Abraham, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Levothyroxine Sodium
Levothyroxine Sodium
446 claims
- Glipizide Er
Glipizide Er
303 claims
- Metformin Hcl 175
Metformin Hcl
175 claims
- Metformin Hcl Er 167
Metformin Hcl Er
167 claims
- Ozempic 162
Ozempic
162 claims
- Mounjaro 147
Mounjaro
147 claims
- Jardiance 116
Jardiance
116 claims
- Trulicity 116
Trulicity
116 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 446 |
| Glipizide Er Glipizide | 303 |
| Metformin Hcl | 175 |
| Metformin Hcl Er Metformin Hcl | 167 |
| Ozempic Semaglutide | 162 |
| Mounjaro Tirzepatide | 147 |
| Jardiance Empagliflozin | 116 |
| Trulicity Dulaglutide | 116 |
| Lantus Solostar Insulin Glargine,hum.Rec.Anlog | 104 |
| Methimazole | 87 |
* 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 MO →
All providers in Missouri →
Compare specialties →
Endocrinology, Diabetes & Metabolism Physician Overview
How Pratibha Abraham, 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
Pratibha Abraham, MD's 3,469 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 Abraham, both outside Missouri so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Abraham.
One of 154 Endocrinology, Diabetes & Metabolism Physician providers enrolled in Missouri, 5 are shown here.
Ehab Abdelgyed
M.B.B.CH
Joplin, MO
Dr. Elizabeth Abou Diwan
MD
Saint Louis, MO
Dr. Maha Abu Kishk
M.D.
Kansas City, MO
Dr. Sonya Addison
M.D.
Columbia, MO
Fnu Aiysha
Columbia, MO
Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Pratibha Abraham, MD's specialty? ▼
Pratibha Abraham, MD specializes in Endocrinology, Diabetes & Metabolism Physician and practices in Fenton, Missouri. Credentials: MD.
How much does Pratibha Abraham, MD prescribe under Medicare Part D? ▼
In 2024, Pratibha Abraham, MD wrote 3,469 Medicare Part D claims totaling $1.6M in drug costs for 529 beneficiaries.
Where is Pratibha Abraham, MD located? ▼
Pratibha Abraham, MD is located at 1011 BOWLES AVE STE 300, Fenton, MO, 63026. Phone: (636) 496-5048.
What is Pratibha Abraham, MD's NPI number? ▼
Pratibha Abraham, MD's National Provider Identifier (NPI) is 1336589118, issued on 06/26/2013.
Does Pratibha Abraham, MD prescribe more brand-name or generic drugs? ▼
Pratibha Abraham, MD's prescribing is 46% brand-name and 44% generic drugs by claim count, with $1.4M 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 Pratibha Abraham, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Pratibha Abraham, MD's most frequently prescribed drugs include Levothyroxine Sodium, Glipizide Er, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Pratibha Abraham, MD accept Medicare? ▼
Pratibha Abraham, MD appears in CMS Medicare data with 3,469 Part D claims and 529 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pratibha Abraham, MD's credentials? ▼
Pratibha Abraham, MD's NPI is 1336589118 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.
- 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.