2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1538156633 M.D.
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RACHAKONDA PRABHU, M.D.

Critical Care Medicine (Internal Medicine) Physician in LAS VEGAS, Nevada. 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
6K
Medicare Part D claims · 573 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
7.4691/100
▼ 76 pts below national avg 83.1 · [object Object]
Industry payments
$653.17
13 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RACHAKONDA PRABHU, M.D. reported a CMS MIPS final score of 7.4691/100 — below the 83.1 national average — and filed 5,889 Medicare Part D claims in 2023.

7.4691/100
MIPS score · -76 vs avg
6K
Part D claims, 2023
81%
generic prescribing
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.

RACHAKONDA PRABHU, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

7 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

RACHAKONDA PRABHU, 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).

What does the federal data show about RACHAKONDA PRABHU, M.D.?

Below national average

NPI registry status

Active

Issued 10/04/2005

NPI 1538156633

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

5,889 451% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

7.4691/100 75.6309% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Nevada

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Nevada providers

Nevada providers

Critical Care Medicine (Internal Medicine) Physician share within Nevada

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Nevada

Medicare quality performance — MIPS

RACHAKONDA PRABHU, M.D.'s 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
7.4691/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 7.4691/100 vs national avg 83.1

0%100%National avg83%7.5%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 7.4691/100 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).

RACHAKONDA PRABHU, M.D. appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D. credentials at 5701 W. CHARLESTON BLVD., LAS VEGAS, NV, 89146, with a listed phone of (702) 877-9514. NPI 1538156633 was issued on 10/04/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PRABHU 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 5,889 prescription claims written by this provider, covering 573 Medicare beneficiaries and totaling roughly $1.6 million in drug spend, split 19% brand-name and 81% generic by claim count, with an opioid prescribing rate of 3.8%. 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 7.4691/100 for the 2023 performance year (Quality 0, Cost 24.897), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

5701 W. CHARLESTON BLVD.
LAS VEGAS, NV 89146

Provider Details

NPI 1538156633
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 10/04/2005

CMS Quality Score (MIPS)

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

7.4691
Final Score
Avg: 83.1
0
Quality
24.897
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where RACHAKONDA PRABHU, 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.

RD PRABHU-LATA K SHETE MDS LTD
LAS VEGAS, NV

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 RACHAKONDA PRABHU, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$653

Largest payer

JAZZ PHARMACEUTICALS 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 · Typical

RACHAKONDA PRABHU, M.D. — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 5,889 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.

5,889
Total Claims
$1.6M
Total Drug Cost
573
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,734
Total Day Supply
280,830
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$1.5M
Generic Drug Cost
$79K
Opioid Claims
222 (3.8% rate)
Antibiotic Claims
214

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.60
Gender Split
58% female / 42% male
Age Distribution
<65: 125, 65-74: 245, 75-84: 160, 85+: 43

Top Prescribed Drugs (Medicare Part D)

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

What RACHAKONDA PRABHU, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Zolpidem Tartrate
301
Albuterol Sulfate Hfa
Albuterol Sulfate
296
Alprazolam
212
Omeprazole
209
Atorvastatin Calcium
170
Amlodipine Besylate
168
Levothyroxine Sodium
137
Fluticasone Propionate
133
Montelukast Sodium
116
Prednisone
108

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

Critical Care Medicine (Internal Medicine) Physician Overview

How RACHAKONDA PRABHU, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

RACHAKONDA PRABHU, M.D.'s 5,889 claims are above the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Nevada

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

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RACHAKONDA PRABHU, M.D.'s specialty?
RACHAKONDA PRABHU, M.D. specializes in Critical Care Medicine (Internal Medicine) Physician and practices in LAS VEGAS, Nevada. Credentials: M.D..
How much does RACHAKONDA PRABHU, M.D. prescribe under Medicare Part D?
In 2023, RACHAKONDA PRABHU, M.D. wrote 5,889 Medicare Part D claims totaling $1.6M in drug costs for 573 beneficiaries.
What is RACHAKONDA PRABHU, M.D.'s Medicare quality score?
RACHAKONDA PRABHU, M.D. has a CMS MIPS Final Score of 7.4691/100 (Quality: 0, Cost: 24.897). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RACHAKONDA PRABHU, M.D. located?
RACHAKONDA PRABHU, M.D. is located at 5701 W. CHARLESTON BLVD., LAS VEGAS, NV, 89146. Phone: (702) 877-9514.
What is RACHAKONDA PRABHU, M.D.'s NPI number?
RACHAKONDA PRABHU, M.D.'s National Provider Identifier (NPI) is 1538156633, issued on 10/04/2005.
Does RACHAKONDA PRABHU, M.D. prescribe more brand-name or generic drugs?
RACHAKONDA PRABHU, M.D.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $1.5M in brand drug costs.
Does RACHAKONDA PRABHU, M.D. prescribe opioids?
Yes, RACHAKONDA PRABHU, M.D. had 222 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does RACHAKONDA PRABHU, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RACHAKONDA PRABHU, M.D.'s most frequently prescribed drugs include Zolpidem Tartrate, Albuterol Sulfate Hfa, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RACHAKONDA PRABHU, M.D. accept Medicare?
RACHAKONDA PRABHU, M.D. appears in CMS Medicare data with 5,889 Part D claims and 573 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RACHAKONDA PRABHU, M.D.'s credentials?
RACHAKONDA PRABHU, M.D.'s NPI is 1538156633 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