NPI registry status
Active
2026 NPPES data Specialist NPI 1407825417 M.D.
Verify on CMS → Pratibha Vakharia, M.D.
Specialist in Burnham, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, 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
383
Medicare Part D claims · 84 beneficiaries · Specialist avg: 1K
Industry payments
$54.95
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Pratibha Vakharia, M.D. filed 383 Medicare Part D claims in 2023 as a Specialist in Burnham, Pennsylvania.
- 383
- Part D claims, 2023
- $54.95
- industry payments (Sunshine Act)
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.
Pratibha Vakharia, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
383 Top 43% higher than 57% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Pratibha Vakharia, M.D.?
Quality data not reportedPrimary specialty
Specialist
Medicare Part D claims
383 74% vs specialty avg
Specialty distribution in Pennsylvania
How Specialist compares to other specialties among Pennsylvania 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 Specialist. 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).
Pratibha Vakharia, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 418 N LOGAN BLVD, Burnham, PA, 17009, with a listed phone of (717) 248-9550. NPI 1407825417 was issued on 03/14/2006.
Medicare Part D records for calendar year 2023 show 383 prescription claims written by this provider, covering 84 Medicare beneficiaries and totaling roughly $80K in drug spend.
Specialist is a high-volume specialty nationwide, with 69,608 enrolled providers across 55 states and an average of 1,474 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 | 1407825417 |
|---|---|
| Specialty | Specialist |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 03/14/2006 |
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 Vakharia, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$55
Largest payer
SANOFI-AVENTIS U.S. LLC
Most common payment type
Education
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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Pratibha Vakharia, M.D.. To verify Pratibha Vakharia, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania 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.
383
Total Claims
$80K
Total Drug Cost
84
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 488
- Total Day Supply
- 12,378
- Generic Drug Cost
- $6K
- Antibiotic Claims
- 37
Patient Demographics
- Average Patient Age
- 74.4 years
- Avg HCC Risk Score
- 1.07
- Gender Split
- 79% female / 21% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Pratibha Vakharia, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
40 claims
- Fluticasone Propio…
Fluticasone Propionate
32 claims
- Advair Hfa
Advair Hfa
30 claims
- Breo Ellipta
Breo Ellipta
25 claims
- Symbicort
Symbicort
21 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
20 claims
- Cefadroxil 15
Cefadroxil
15 claims
- Qvar Redihaler 15
Qvar Redihaler
15 claims
| Drug | Claims |
|---|---|
| Prednisone | 40 |
| Fluticasone Propionate | 32 |
| Advair Hfa Fluticasone Propion/Salmeterol | 30 |
| Breo Ellipta Fluticasone/Vilanterol | 25 |
| Symbicort Budesonide/Formoterol Fumarate | 21 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 20 |
| Cefadroxil | 15 |
| Qvar Redihaler Beclomethasone Dipropionate | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Specialist Overview
How Pratibha Vakharia, M.D. fits within the Specialist landscape nationally.
69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider
Pratibha Vakharia, M.D.'s 383 claims are below the specialty average of 1,474.
Nearby Specialist Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Vakharia.
Dr. Edwin Abbott
D.O
West Chester, PA
Rula Abbud-Antaki
Allison Park, PA
Dr. Elie Abdallah
M.D.
Greensburg, PA
Dr. Houssam Abdul-Al
M.D.
Danville, PA
Dr. Raed Abdullah
MD
Pittsburgh, PA
Compare Specialist 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Specialist 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 Pratibha Vakharia, M.D.'s specialty? ▼
Pratibha Vakharia, M.D. specializes in Specialist and practices in Burnham, Pennsylvania. Credentials: M.D..
How much does Pratibha Vakharia, M.D. prescribe under Medicare Part D? ▼
In 2023, Pratibha Vakharia, M.D. wrote 383 Medicare Part D claims totaling $80K in drug costs for 84 beneficiaries.
Where is Pratibha Vakharia, M.D. located? ▼
Pratibha Vakharia, M.D. is located at 418 N LOGAN BLVD, Burnham, PA, 17009. Phone: (717) 248-9550.
What is Pratibha Vakharia, M.D.'s NPI number? ▼
Pratibha Vakharia, M.D.'s National Provider Identifier (NPI) is 1407825417, issued on 03/14/2006.
How many Specialist providers are there in the US? ▼
There are 69,608 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Pratibha Vakharia, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Pratibha Vakharia, M.D.'s most frequently prescribed drugs include Prednisone, Fluticasone Propionate, Advair Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Pratibha Vakharia, M.D. accept Medicare? ▼
Pratibha Vakharia, M.D. appears in CMS Medicare data with 383 Part D claims and 84 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pratibha Vakharia, M.D.'s credentials? ▼
Pratibha Vakharia, M.D.'s NPI is 1407825417 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.
- 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.