NPI registry status
Active
2026 NPPES data Epilepsy Physician NPI 1982929253 D.O.
Verify on CMS → Preethi Durgam, D.O.
Epilepsy Physician in Tomball, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 352 in Epilepsy 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 · 493 beneficiaries · Epilepsy Physician avg: 878
MIPS score
76.6/100
▼ 6 pts below national avg 83.1 · Above neutral
Industry payments
$2.1K
100 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Preethi Durgam, D.O. reported a CMS MIPS final score of 76.6/100 - below the 83.1 national average - and filed 3,390 Medicare Part D claims in 2023.
- 76.6/100
- MIPS score · -6 vs avg
- 3K
- Part D claims, 2023
- 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.
Preethi Durgam, D.O.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 21st percentile higher than 21% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Preethi Durgam, D.O. sits
This provider among epilepsy physician peers
Across the 118 epilepsy physician providers who report both Medicare Part D prescribing and a MIPS quality score, Preethi Durgam, D.O. writes more Part D claims than 91% of them and scores higher on MIPS quality than 21% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one epilepsy physician peer from a representative sample of 60; the gold marker is Preethi Durgam, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Preethi Durgam, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Preethi Durgam, D.O.?
Below national averagePrimary specialty
Epilepsy Physician
Medicare Part D claims
3,390 286% vs specialty avg
MIPS final score
76.6/100 6.5 pts vs avg
Specialty distribution in Texas
How Epilepsy Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Preethi Durgam, D.O.'s 2023 MIPS final score plotted against the Epilepsy Physician national average
- MIPS Final Score
- 76.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Epilepsy Physician) - 76.6/100 vs national avg 83.1
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).
Preethi Durgam, D.O. appears in the CMS NPPES registry as an Epilepsy Physician provider holding D.O. credentials at 455 SCHOOL ST STE 20, Tomball, TX, 77375, with a listed phone of (281) 357-5678. NPI 1982929253 was issued on 03/30/2010.
Medicare Part D records for calendar year 2023 show 3,390 prescription claims written by this provider, covering 493 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, with an opioid prescribing rate of 0.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.6/100 for the 2023 performance year (Quality 100, Cost 13.9), compared with the national average of 83.1.
Epilepsy Physician is a narrow specialty nationwide, with 352 enrolled providers across 43 states and an average of 878 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 | 1982929253 |
|---|---|
| Specialty | Epilepsy Physician |
| Credentials | D.O. |
| Gender | Female |
| NPI Issued | 03/30/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.6305
Final Score
Avg: 83.1
100
Quality
13.855
Cost
Reporting: Individual
Hospital and facility affiliations
Facilities where Preethi Durgam, D.O. 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.
Access Telecare PLLC
Chancellor, SD
Northwest Houston Neurology, P A
Tomball, TX
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 Preethi Durgam, D.O.. Source: openpaymentsdata.cms.gov.
Total received
$2.1K
Largest payer
Inspire Medical Systems, 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.
License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Preethi Durgam, D.O.. To verify Preethi Durgam, D.O.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas 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.
3,390
Total Claims
$1.1M
Total Drug Cost
493
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,963
- Total Day Supply
- 205,960
- Generic Drug Cost
- $253K
- Opioid Claims
- 11 (0.3% rate)
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.70
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 87, 65-74: 188, 75-84: 146, 85+: 72
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Preethi Durgam, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Memantine Hcl
Memantine Hcl
271 claims
- Donepezil Hcl
Donepezil Hcl
236 claims
- Divalproex Sodium
Divalproex Sodium
152 claims
- Gabapentin
Gabapentin
149 claims
- Carbidopa-Levodopa
Carbidopa-Levodopa
148 claims
- Topiramate
Topiramate
144 claims
- Clonazepam
Clonazepam
143 claims
- Levetiracetam
Levetiracetam
124 claims
| Drug | Claims |
|---|---|
| Memantine Hcl | 271 |
| Donepezil Hcl | 236 |
| Divalproex Sodium | 152 |
| Gabapentin | 149 |
| Carbidopa-Levodopa Carbidopa/Levodopa | 148 |
| Topiramate | 144 |
| Clonazepam | 143 |
| Levetiracetam | 124 |
| Pregabalin | 111 |
| Sertraline Hcl | 108 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Epilepsy Physician Overview
How Preethi Durgam, D.O. fits within the Epilepsy Physician landscape nationally.
352
Epilepsy Physician Providers in US
43
States with Epilepsy Physician
878
Avg Claims per Provider
Preethi Durgam, D.O.'s 3,390 claims are above the specialty average of 878.
Nearby Epilepsy Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Durgam.
Dr. Irfan Ali
M.D.
Houston, TX
Dr. Ajlan Alshehri
MD
Houston, TX
Dr. Diep Bui
M.D.
San Antonio, TX
John De Toledo
Lubbock, TX
Dr. Kan Ding
M.D.
Dallas, TX
Compare Epilepsy Physician 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Epilepsy Physician 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 Preethi Durgam, D.O.'s specialty? ▼
Preethi Durgam, D.O. specializes in Epilepsy Physician and practices in Tomball, Texas. Credentials: D.O..
How much does Preethi Durgam, D.O. prescribe under Medicare Part D? ▼
In 2023, Preethi Durgam, D.O. wrote 3,390 Medicare Part D claims totaling $1.1M in drug costs for 493 beneficiaries.
What is Preethi Durgam, D.O.'s Medicare quality score? ▼
Preethi Durgam, D.O. has a CMS MIPS Final Score of 76.6/100 (Quality: 100, Cost: 13.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Preethi Durgam, D.O. located? ▼
Preethi Durgam, D.O. is located at 455 SCHOOL ST STE 20, Tomball, TX, 77375. Phone: (281) 357-5678.
What is Preethi Durgam, D.O.'s NPI number? ▼
Preethi Durgam, D.O.'s National Provider Identifier (NPI) is 1982929253, issued on 03/30/2010.
Does Preethi Durgam, D.O. prescribe opioids? ▼
Yes, Preethi Durgam, D.O. had 11 opioid claims in 2023 with an opioid prescribing rate of 0.3%.
How many Epilepsy Physician providers are there in the US? ▼
There are 352 Epilepsy Physician providers across 43 states in the US. The average Epilepsy Physician provider writes 878 Medicare Part D claims per year.
What drugs does Preethi Durgam, D.O. prescribe most often? ▼
Based on 2023 Medicare Part D data, Preethi Durgam, D.O.'s most frequently prescribed drugs include Memantine Hcl, Donepezil Hcl, Divalproex Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Preethi Durgam, D.O. accept Medicare? ▼
Preethi Durgam, D.O. appears in CMS Medicare data with 3,390 Part D claims and 493 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Preethi Durgam, D.O.'s credentials? ▼
Preethi Durgam, D.O.'s NPI is 1982929253 with credentials D.O.. 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.
- 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 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
Compiled from official public sources by the PlainDoctor editorial team.
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.