2026 NPPES data Rheumatology Physician NPI 1205069002 M.D.
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PRIMALJYOT BHATIA, M.D.

Rheumatology Physician in CATONSVILLE, 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
1K
Medicare Part D claims · 156 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$1.3K
60 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PRIMALJYOT BHATIA, M.D. is a Rheumatology Physician ([object Object]) practicing in CATONSVILLE, Maryland with a Medicare Part D prescribing footprint of 1K claims across 156 beneficiaries . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.3K across 60 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PRIMALJYOT BHATIA, M.D. reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 1,060 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PRIMALJYOT BHATIA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PRIMALJYOT BHATIA, M.D. at a glance

Below national average

NPI registry status

Active

Issued 08/26/2009

NPI 1205069002

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

1,060 48% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maryland

How Rheumatology Physician compares to other specialties among Maryland providers

Maryland providers

Rheumatology Physician share within Maryland

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within Maryland

Medicare quality performance — MIPS

PRIMALJYOT BHATIA, M.D.'s 2023 MIPS final score plotted against the Rheumatology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Rheumatology Physician) — 75/100 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).

PRIMALJYOT BHATIA, M.D. is a Rheumatology Physician provider practicing in CATONSVILLE, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1205069002. 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.

PRIMALJYOT BHATIA, M.D. appears in the CMS NPPES registry as a Rheumatology Physician provider holding M.D. credentials at 716 MAIDEN CHOICE LN, CATONSVILLE, MD, 21228, with a listed phone of (410) 788-2000. NPI 1205069002 was issued on 08/26/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BHATIA 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 1,060 prescription claims written by this provider, covering 156 Medicare beneficiaries and totaling roughly $547K in drug spend. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

716 MAIDEN CHOICE LN
CATONSVILLE, MD 21228

Provider Details

NPI 1205069002
Specialty Rheumatology Physician
Credentials M.D.
Gender Female
NPI Issued 08/26/2009

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where PRIMALJYOT BHATIA, M.D. 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.

ANNAPOLIS RHEUMATOLOGY LLC
ANNAPOLIS, 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).

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 PRIMALJYOT BHATIA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

Novartis Pharmaceuticals Corporation

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,060
Total Claims
$547K
Total Drug Cost
156
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,789
Total Day Supply
52,545
Generic Drug Cost
$44K

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.19
Gender Split
73% female / 27% male
Age Distribution
<65: 16, 65-74: 69, 75-84: 59, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydroxychloroquine Sulfate
255
Methotrexate
Methotrexate Sodium
200
Prednisone
132
Allopurinol
69
Duloxetine Hcl
60
Alendronate Sodium
57
Pregabalin
37
Humira(Cf) Pen
Adalimumab
32
Meloxicam
26
Gabapentin
23

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

Rheumatology Physician Overview

How PRIMALJYOT BHATIA, M.D. fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

PRIMALJYOT BHATIA, M.D.'s 1,060 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Maryland

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

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRIMALJYOT BHATIA, M.D.'s specialty?
PRIMALJYOT BHATIA, M.D. specializes in Rheumatology Physician and practices in CATONSVILLE, Maryland. Credentials: M.D..
How much does PRIMALJYOT BHATIA, M.D. prescribe under Medicare Part D?
In 2023, PRIMALJYOT BHATIA, M.D. wrote 1,060 Medicare Part D claims totaling $547K in drug costs for 156 beneficiaries.
What is PRIMALJYOT BHATIA, M.D.'s Medicare quality score?
PRIMALJYOT BHATIA, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRIMALJYOT BHATIA, M.D. located?
PRIMALJYOT BHATIA, M.D. is located at 716 MAIDEN CHOICE LN, CATONSVILLE, MD, 21228. Phone: (410) 788-2000.
What is PRIMALJYOT BHATIA, M.D.'s NPI number?
PRIMALJYOT BHATIA, M.D.'s National Provider Identifier (NPI) is 1205069002, issued on 08/26/2009.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does PRIMALJYOT BHATIA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PRIMALJYOT BHATIA, M.D.'s most frequently prescribed drugs include Hydroxychloroquine Sulfate, Methotrexate, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRIMALJYOT BHATIA, M.D. accept Medicare?
PRIMALJYOT BHATIA, M.D. appears in CMS Medicare data with 1,060 Part D claims and 156 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRIMALJYOT BHATIA, M.D.'s credentials?
PRIMALJYOT BHATIA, M.D.'s NPI is 1205069002 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

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