Pratibha P. Rao, MD
General Practice Physician · Montclair, NJ
Pratibha P. Rao, MD is a general practice physician with a practice address in Montclair, New Jersey, and NPI 1346231263, issued on Oct 31, 2005. Check the license (New Jersey 25MA07823300, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Pratibha P. Rao
- Credential
- MD
- Primary taxonomy
- General Practice Physician 208D00000X
- License number
- 25MA07823300 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 1 Bay Ave, Montclair, NJ 07042
- Phone
- (973) 429-6000
- Enumerated
- Oct 31, 2005
- Record last updated
- Jul 13, 2026
- Medicaid ID
- 0075825 NJ
- Medicare enrollment
- Enrolled (PECOS I20050824000839); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest general practice physician records → All 216 in New Jersey → Look up another NPI →
Also registered at 1 Bay Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Pratibha P. Rao in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA07823300Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
92% fewer Medicare Part D claims than the average general practice physician in 2024
240 Medicare Part D claims for 104 beneficiaries, against an average of 3,030 among the 8,395 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims.
Most prescribed
- Metoprolol Succinate24 claims
- Pantoprazole Sodium15 claims
- Eliquis13 claims
- Prednisone11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 98.7 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Valley Physician Services PCHoboken, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pratibha P. Rao among 216 general practice physician records in New Jersey
Pratibha P. Rao, MD is one of 216 general practice physician records with a practice address in New Jersey. 46% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 95% newer
- In a Medicare fileYes · 46% of these records are
- In the CMS Doctors and Clinicians fileYes · 29% of these records are
- Graduated1994 · median 2002 among the 62 with a school on file
- Record last updated2026 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208D00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
General Practice Physician providers in New Jersey
There are 216 general practice physician records in New Jersey.
All 216 in New Jersey → Every provider in Montclair → General Practice Physician nationwide →
The 8 general practice physician records with the nearest ZIP codes
- Alexandra Liggatt, M.D.Montclair, NJ 070421437477338
- Lucila Angeli, M.D.Verona, NJ 070441790179273
- Aura Knox-MaskMaplewood, NJ 070401609290824
- Lok Koay, M.D.Montville, NJ 070451467613497
- Rabeel Ahmad, DONorth Bergen, NJ 070471538919493
- Mark Cabrera, D.O.North Bergen, NJ 070471285023960
- Chris De Los Reyes, DONorth Bergen, NJ 070471225535438
- Slavic Gitelman, DONorth Bergen, NJ 070471598342412
Common questions
What is Pratibha P. Rao, MD's NPI number?
Pratibha P. Rao, MD's National Provider Identifier (NPI) is 1346231263, issued on Oct 31, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Pratibha P. Rao, MD located?
The NPPES record lists a practice address at 1 Bay Ave, Montclair, NJ, 07042. Phone: (973) 429-6000. Providers update this record themselves, so call before visiting.
How can I verify Pratibha P. Rao, MD's license?
NPPES lists New Jersey license number 25MA07823300, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Pratibha P. Rao, MD prescribe under Medicare Part D?
In 2024, Pratibha P. Rao, MD had 240 Medicare Part D claims for 104 beneficiaries; the average among general practice physician prescribers was 3,030. Part D covers Medicare prescriptions only.
What is Pratibha P. Rao, MD's MIPS final score?
The 2023 MIPS final score is 98.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.