PRIYA JAIN
Internal Medicine Physician in KETTERING, Ohio. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
PRIYA JAIN reported a CMS MIPS final score of 78.9373/100 — below the 83.1 national average — and filed 2,229 Medicare Part D claims in 2023.
- 78.9373/100
- MIPS score · -4 vs avg
- 2K
- 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.
PRIYA JAIN's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
79 27th percentile higher than 27% 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
PRIYA JAIN 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).
What does the federal data show about PRIYA JAIN?
Near national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Ohio
How Internal Medicine Physician compares to other specialties among Ohio providers
Internal Medicine Physician share within Ohio
Internal Medicine Physician is one of the more visible NUCC categories in Ohio
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
PRIYA JAIN's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 78.9373/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) — 78.9373/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Internal Medicine Physician US NPIs
78.9373/100 MIPS final score — 4.2 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Internal Medicine Physician. Quality dim: 69.8099. Cost dim: 59.9811.
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).
PRIYA JAIN appears in the CMS NPPES registry as a Internal Medicine Physician provider at 3700 SOUTHERN BLVD STE 401, KETTERING, OH, 45429, with a listed phone of (855) 500-2873. NPI 1912093360 was issued on 10/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JAIN 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 2,229 prescription claims written by this provider, covering 309 Medicare beneficiaries and totaling roughly $3.2 million in drug spend, with an opioid prescribing rate of 10.3%. 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 78.9373/100 for the 2023 performance year (Quality 69.8099, Cost 59.9811), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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 | 1912093360 |
|---|---|
| Specialty | Internal Medicine Physician |
| Gender | Female |
| NPI Issued | 10/05/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm PRIYA JAIN's current license status, disciplinary history, and board certifications with the State Medical Board of Ohio in Ohio before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where PRIYA JAIN 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.
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 PRIYA JAIN. Source: openpaymentsdata.cms.gov.
Total received
$49
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.
License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to PRIYA JAIN. To verify PRIYA JAIN's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
OMB 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 Ohio 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.
Prescribing Breakdown
- 30-Day Fills
- 3,467
- Total Day Supply
- 91,247
- Generic Drug Cost
- $97K
- Opioid Claims
- 229 (10.3% rate)
- Antibiotic Claims
- 69
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 2.01
- Gender Split
- 76% female / 24% male
- Age Distribution
- <65: 36, 65-74: 153, 75-84: 94, 85+: 26
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What PRIYA JAIN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Anastrozole
Anastrozole
274 claims
- Ondansetron Hcl 102
Ondansetron Hcl
102 claims
- Prochlorperazine M… 99
Prochlorperazine Maleate
99 claims
- Gabapentin 94
Gabapentin
94 claims
- Potassium Chloride 91
Potassium Chloride
91 claims
- Xarelto 86
Xarelto
86 claims
- Eliquis 85
Eliquis
85 claims
- Exemestane 65
Exemestane
65 claims
| Drug | Claims |
|---|---|
| Anastrozole | 274 |
| Ondansetron Hcl | 102 |
| Prochlorperazine Maleate | 99 |
| Gabapentin | 94 |
| Potassium Chloride | 91 |
| Xarelto Rivaroxaban | 86 |
| Eliquis Apixaban | 85 |
| Exemestane | 65 |
| Acyclovir | 61 |
| Morphine Sulfate Er Morphine Sulfate | 56 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How PRIYA JAIN fits within the Internal Medicine Physician landscape nationally.
PRIYA JAIN's 2,229 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as JAIN.
Compare Internal Medicine Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
What is PRIYA JAIN's specialty? ▼
How much does PRIYA JAIN prescribe under Medicare Part D? ▼
What is PRIYA JAIN's Medicare quality score? ▼
Where is PRIYA JAIN located? ▼
What is PRIYA JAIN's NPI number? ▼
Does PRIYA JAIN prescribe opioids? ▼
How many Internal Medicine Physician providers are there in the US? ▼
What drugs does PRIYA JAIN prescribe most often? ▼
Does PRIYA JAIN accept Medicare? ▼
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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