2026 NPPES data Gastroenterology Physician NPI 1932603073 MD
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PRITHVI REDDY AKEPATI, MD

Gastroenterology Physician in ALBUQUERQUE, New Mexico. 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
42
Medicare Part D claims · 20 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
69%
generic claims · 31% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$182.99
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PRITHVI REDDY AKEPATI, MD is a Gastroenterology Physician ([object Object]) practicing in ALBUQUERQUE, New Mexico with a Medicare Part D prescribing footprint of 42 claims across 20 beneficiaries — 31% brand-name prescribing . Industry payments of $182.99 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PRITHVI REDDY AKEPATI, MD filed 42 Medicare Part D claims in 2023 across ALBUQUERQUE, New Mexico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PRITHVI REDDY AKEPATI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PRITHVI REDDY AKEPATI, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/22/2018

NPI 1932603073

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

42 95% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in New Mexico

How Gastroenterology Physician compares to other specialties among New Mexico providers

New Mexico providers

Gastroenterology Physician share within New Mexico

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within New Mexico

Specialty board-certification context

Estimated specialty board-certified rate — Gastroenterology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Gastroenterology Physician ABMS/AOA estimate

Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Gastroenterology 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).

PRITHVI REDDY AKEPATI, MD is a Gastroenterology Physician provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1932603073. 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.

PRITHVI REDDY AKEPATI, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 1 UNIVERSITY OF NEW MEXICO MSC10-5550, ALBUQUERQUE, NM, 87131, with a listed phone of (505) 272-4661. NPI 1932603073 was issued on 03/22/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AKEPATI 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 42 prescription claims written by this provider, covering 20 Medicare beneficiaries and totaling roughly $85K in drug spend, split 31% brand-name and 69% 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.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

1 UNIVERSITY OF NEW MEXICO MSC10-5550
ALBUQUERQUE, NM 87131

Provider Details

NPI 1932603073
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 03/22/2018

Hospital and facility affiliations

Facilities where PRITHVI REDDY AKEPATI, 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.

UNM MEDICAL GROUP INC
ALBUQUERQUE, NM

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 PRITHVI REDDY AKEPATI, MD. Source: openpaymentsdata.cms.gov.

Total received

$183

Largest payer

ABBVIE 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 · Above average

PRITHVI REDDY AKEPATI, MD — brand share 31.0%
Specialty average (est.)

31% brand-name claims vs 69% generic, on 42 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.

42
Total Claims
$85K
Total Drug Cost
20
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
59
Total Day Supply
1,594
Brand vs Generic
31% brand / 69% generic
Brand Drug Cost
$84K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
67.6 years
Avg HCC Risk Score
2.70

Gastroenterology Physician Overview

How PRITHVI REDDY AKEPATI, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

PRITHVI REDDY AKEPATI, MD's 42 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in New Mexico

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

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

Frequently Asked Questions

What is PRITHVI REDDY AKEPATI, MD's specialty?
PRITHVI REDDY AKEPATI, MD specializes in Gastroenterology Physician and practices in ALBUQUERQUE, New Mexico. Credentials: MD.
How much does PRITHVI REDDY AKEPATI, MD prescribe under Medicare Part D?
In 2023, PRITHVI REDDY AKEPATI, MD wrote 42 Medicare Part D claims totaling $85K in drug costs for 20 beneficiaries.
Where is PRITHVI REDDY AKEPATI, MD located?
PRITHVI REDDY AKEPATI, MD is located at 1 UNIVERSITY OF NEW MEXICO MSC10-5550, ALBUQUERQUE, NM, 87131. Phone: (505) 272-4661.
What is PRITHVI REDDY AKEPATI, MD's NPI number?
PRITHVI REDDY AKEPATI, MD's National Provider Identifier (NPI) is 1932603073, issued on 03/22/2018.
Does PRITHVI REDDY AKEPATI, MD prescribe more brand-name or generic drugs?
PRITHVI REDDY AKEPATI, MD's prescribing is 31% brand-name and 69% generic drugs by claim count, with $84K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
Does PRITHVI REDDY AKEPATI, MD accept Medicare?
PRITHVI REDDY AKEPATI, MD appears in CMS Medicare data with 42 Part D claims and 20 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRITHVI REDDY AKEPATI, MD's credentials?
PRITHVI REDDY AKEPATI, MD's NPI is 1932603073 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