2026 NPPES data Rehabilitation Practitioner NPI 1265400139 D.O.
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PREETI RAGHAVAN, D.O.

Rehabilitation Practitioner in BALTIMORE, Maryland. 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
31
Medicare Part D claims · Rehabilitation Practitioner avg: 543
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.3962/100
▼ 9 pts below national avg 83.1 · [object Object]
What the federal data reveals: PREETI RAGHAVAN, D.O. is a Rehabilitation Practitioner ([object Object]) practicing in BALTIMORE, Maryland with a Medicare Part D prescribing footprint of 31 claims — 35% brand-name prescribing . Their CMS MIPS Final Score of 74.3962/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: PREETI RAGHAVAN, D.O. reported a CMS MIPS final score of 74.3962 out of 100, below the 83.1 national average, and filed 31 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

PREETI RAGHAVAN, D.O. at a glance

Below national average

NPI registry status

Active

Issued 03/08/2006

NPI 1265400139

Primary specialty

Rehabilitation Practitioner

Mid-sized

18,261 US NPIs in this specialty

Medicare Part D claims

31 94% vs specialty avg

2023 prescription claims

Specialty avg: 543

MIPS final score

74.3962/100 8.703800000000001% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Maryland

How Rehabilitation Practitioner compares to other specialties among Maryland providers

Maryland providers

Rehabilitation Practitioner share within Maryland

1. Rehabilitation Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rehabilitation Practitioner share within Maryland

Medicare quality performance — MIPS

PREETI RAGHAVAN, D.O.'s 2023 MIPS final score plotted against the Rehabilitation Practitioner national average

Below national average
MIPS Final Score
74.3962/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rehabilitation Practitioner) — 74.3962/100 vs national avg 83.1

0%100%National avg83%74.4%
MIPS final score (Rehabilitation Practitioner) — 74.3962/100 vs national avg 83.1

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).

PREETI RAGHAVAN, D.O. is a Rehabilitation Practitioner provider practicing in BALTIMORE, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1265400139. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PREETI RAGHAVAN, D.O. appears in the CMS NPPES registry as a Rehabilitation Practitioner provider holding D.O. credentials at 1800 ORLEANS ST, BALTIMORE, MD, 21287, with a listed phone of (410) 955-5000. NPI 1265400139 was issued on 03/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAGHAVAN 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 31 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $10K in drug spend, split 35% brand-name and 65% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 74.3962/100 for the 2023 performance year (Quality 64.7185, Cost 52.4354), compared with the national average of 83.1.

Rehabilitation Practitioner is a mid-sized specialty nationwide, with 18,261 enrolled providers across 51 states and an average of 543 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

1800 ORLEANS ST
BALTIMORE, MD 21287

Provider Details

NPI 1265400139
Specialty Rehabilitation Practitioner
Credentials D.O.
Gender Female
NPI Issued 03/08/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

74.3962
Final Score
Avg: 83.1
64.7185
Quality
52.4354
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PREETI RAGHAVAN, 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.

JOHNS HOPKINS UNIVERSITY
BALTIMORE, MD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

PREETI RAGHAVAN, D.O. — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 31 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.

31
Total Claims
$10K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
47
Total Day Supply
1,397
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$9K
Generic Drug Cost
$249

Patient Demographics

Average Patient Age
61.7 years
Avg HCC Risk Score
1.15

Rehabilitation Practitioner Overview

How PREETI RAGHAVAN, D.O. fits within the Rehabilitation Practitioner landscape nationally.

18,261
Rehabilitation Practitioner Providers in US
51
States with Rehabilitation Practitioner
543
Avg Claims per Provider

PREETI RAGHAVAN, D.O.'s 31 claims are below the specialty average of 543.

Nearby Rehabilitation Practitioner Providers in Maryland

Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as RAGHAVAN.

Compare Rehabilitation Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is PREETI RAGHAVAN, D.O.'s specialty?
PREETI RAGHAVAN, D.O. specializes in Rehabilitation Practitioner and practices in BALTIMORE, Maryland. Credentials: D.O..
How much does PREETI RAGHAVAN, D.O. prescribe under Medicare Part D?
In 2023, PREETI RAGHAVAN, D.O. wrote 31 Medicare Part D claims totaling $10K in drug costs for N/A beneficiaries.
What is PREETI RAGHAVAN, D.O.'s Medicare quality score?
PREETI RAGHAVAN, D.O. has a CMS MIPS Final Score of 74.3962/100 (Quality: 64.7185, Cost: 52.4354). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PREETI RAGHAVAN, D.O. located?
PREETI RAGHAVAN, D.O. is located at 1800 ORLEANS ST, BALTIMORE, MD, 21287. Phone: (410) 955-5000.
What is PREETI RAGHAVAN, D.O.'s NPI number?
PREETI RAGHAVAN, D.O.'s National Provider Identifier (NPI) is 1265400139, issued on 03/08/2006.
Does PREETI RAGHAVAN, D.O. prescribe more brand-name or generic drugs?
PREETI RAGHAVAN, D.O.'s prescribing is 35% brand-name and 65% generic drugs by claim count, with $9K in brand drug costs.
How many Rehabilitation Practitioner providers are there in the US?
There are 18,261 Rehabilitation Practitioner providers across 51 states in the US. The average Rehabilitation Practitioner provider writes 543 Medicare Part D claims per year.
Does PREETI RAGHAVAN, D.O. accept Medicare?
PREETI RAGHAVAN, D.O. appears in CMS Medicare data with 31 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PREETI RAGHAVAN, D.O.'s credentials?
PREETI RAGHAVAN, D.O.'s NPI is 1265400139 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

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