2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1427544105 MD
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PRAVEEN REDDY ELMATI, MD

Pain Medicine (Anesthesiology) Physician in DENVILLE, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 313 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$177.92
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PRAVEEN REDDY ELMATI, MD filed 1,442 Medicare Part D claims in 2023 as a Pain Medicine (Anesthesiology) Physician in DENVILLE, New Jersey, prescribing 96% generic.

1K
Part D claims, 2023
96%
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.

PRAVEEN REDDY ELMATI, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,442 Top 20% higher than 80% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). This entry sits in this band. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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

Board certification likely (heuristic — not verified)

PRAVEEN REDDY ELMATI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 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 PRAVEEN REDDY ELMATI, MD?

Quality data not reported

NPI registry status

Active

Issued 07/06/2018

NPI 1427544105

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

Medicare Part D claims

1,442 13% vs specialty avg

2023 prescription claims

Specialty avg: 1,657

Specialty distribution in New Jersey

How Pain Medicine (Anesthesiology) Physician compares to other specialties among New Jersey providers

New Jersey providers

Pain Medicine (Anesthesiology) Physician share within New Jersey

1. Pain Medicine (Anesthesiology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Anesthesiology) Physician share within New Jersey

Specialty board-certification context

Estimated specialty board-certified rate — Pain Medicine (Anesthesiology) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pain Medicine (Anesthesiology) Physician ABMS/AOA estimate

Est. board-certified rate (Pain Medicine (Anesthesiology) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pain Medicine (Anesthesiology) Physician) — ABMS / AOA estimate

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).

PRAVEEN REDDY ELMATI, MD appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding MD credentials at 25 POCONO RD, DENVILLE, NJ, 07834, with a listed phone of (973) 625-6000. NPI 1427544105 was issued on 07/06/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELMATI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,442 prescription claims written by this provider, covering 313 Medicare beneficiaries and totaling roughly $58K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 60.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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

25 POCONO RD
DENVILLE, NJ 07834

Provider Details

NPI 1427544105
Specialty Pain Medicine (Anesthesiology) Physician
Credentials MD
Gender Male
NPI Issued 07/06/2018

Hospital and facility affiliations

Facilities where PRAVEEN REDDY ELMATI, 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.

MORRIS ANESTHESIA GROUP PA
DENVILLE, NJ
SHREWSBURY AMBULATORY ANESTHESIA LLC
TOMS RIVER, NJ

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 PRAVEEN REDDY ELMATI, MD. Source: openpaymentsdata.cms.gov.

Total received

$178

Largest payer

Vertos Medical, Inc.

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 · Generic-heavy

PRAVEEN REDDY ELMATI, MD — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 1,442 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.

1,442
Total Claims
$58K
Total Drug Cost
313
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,512
Total Day Supply
43,257
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$25K
Generic Drug Cost
$33K
Opioid Claims
871 (60.4% rate)

Patient Demographics

Average Patient Age
68.4 years
Avg HCC Risk Score
1.51
Gender Split
62% female / 38% male
Age Distribution
<65: 87, 65-74: 150, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What PRAVEEN REDDY ELMATI, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Oxycodone Hcl
263
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
188
Tizanidine Hcl
174
Gabapentin
141
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
140
Morphine Sulfate Er
Morphine Sulfate
95
Tramadol Hcl
61
Meloxicam
40
Cyclobenzaprine Hcl
38
Hydromorphone Hcl
32

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pain Medicine (Anesthesiology) Physician Overview

How PRAVEEN REDDY ELMATI, MD fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

PRAVEEN REDDY ELMATI, MD's 1,442 claims are below the specialty average of 1,657.

Nearby Pain Medicine (Anesthesiology) Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as ELMATI.

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRAVEEN REDDY ELMATI, MD's specialty?
PRAVEEN REDDY ELMATI, MD specializes in Pain Medicine (Anesthesiology) Physician and practices in DENVILLE, New Jersey. Credentials: MD.
How much does PRAVEEN REDDY ELMATI, MD prescribe under Medicare Part D?
In 2023, PRAVEEN REDDY ELMATI, MD wrote 1,442 Medicare Part D claims totaling $58K in drug costs for 313 beneficiaries.
Where is PRAVEEN REDDY ELMATI, MD located?
PRAVEEN REDDY ELMATI, MD is located at 25 POCONO RD, DENVILLE, NJ, 07834. Phone: (973) 625-6000.
What is PRAVEEN REDDY ELMATI, MD's NPI number?
PRAVEEN REDDY ELMATI, MD's National Provider Identifier (NPI) is 1427544105, issued on 07/06/2018.
Does PRAVEEN REDDY ELMATI, MD prescribe more brand-name or generic drugs?
PRAVEEN REDDY ELMATI, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $25K in brand drug costs.
Does PRAVEEN REDDY ELMATI, MD prescribe opioids?
Yes, PRAVEEN REDDY ELMATI, MD had 871 opioid claims in 2023 with an opioid prescribing rate of 60.4%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does PRAVEEN REDDY ELMATI, MD prescribe most often?
Based on 2023 Medicare Part D data, PRAVEEN REDDY ELMATI, MD's most frequently prescribed drugs include Oxycodone Hcl, Hydrocodone-Acetaminophen, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRAVEEN REDDY ELMATI, MD accept Medicare?
PRAVEEN REDDY ELMATI, MD appears in CMS Medicare data with 1,442 Part D claims and 313 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRAVEEN REDDY ELMATI, MD's credentials?
PRAVEEN REDDY ELMATI, MD's NPI is 1427544105 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

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