NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1538325998 D.O.
Verify on CMS → Rachna Bumra, D.O.
Hospitalist Physician in Hoffman Estates, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,825 in Hospitalist Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
291
Medicare Part D claims · 119 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1/100
▲ 11 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Rachna Bumra, D.O. reported a CMS MIPS final score of 94.1/100 - above the 83.1 national average - and filed 291 Medicare Part D claims in 2023.
- 94.1/100
- MIPS score · +11 vs avg
- 291
- Part D claims, 2023
- 91%
- 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.
Rachna Bumra, D.O.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
94 Top 25% higher than 75% 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
Where Rachna Bumra, D.O. sits
This provider among hospitalist physician peers
Across the 4,437 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Rachna Bumra, D.O. writes more Part D claims than 56% of them and scores higher on MIPS quality than 68% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is Rachna Bumra, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Rachna Bumra, D.O. 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 Rachna Bumra, D.O.?
High performer (top quartile)Primary specialty
Hospitalist Physician
Medicare Part D claims
291 67% vs specialty avg
MIPS final score
94.1/100 11 pts vs avg
Specialty distribution in Illinois
How Hospitalist Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Rachna Bumra, D.O.'s 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 94.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospitalist Physician) - 94.1/100 vs national avg 83.1
How MIPS and board certification work
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).
Rachna Bumra, D.O. appears in the CMS NPPES registry as a Hospitalist Physician provider holding D.O. credentials at 2200 W HIGGINS RD, Hoffman Estates, IL, 60169, with a listed phone of (847) 781-3100. NPI 1538325998 was issued on 08/05/2008.
Medicare Part D records for calendar year 2023 show 291 prescription claims written by this provider, covering 119 Medicare beneficiaries and totaling roughly $16K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 4.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1/100 for the 2023 performance year (Quality 82.6), compared with the national average of 83.1.
Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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 | 1538325998 |
|---|---|
| Specialty | Hospitalist Physician |
| Credentials | D.O. |
| Gender | Female |
| NPI Issued | 08/05/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.1036
Final Score
Avg: 83.1
82.5938
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Rachna Bumra, 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.
Northwestern Medical Faculty Foundation
McHenry, IL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Rachna Bumra, D.O.. To verify Rachna Bumra, D.O.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Rachna Bumra, D.O. - brand share 9.0%
Hospitalist Physician average
9% brand-name claims vs 91% generic, on 291 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.
291
Total Claims
$16K
Total Drug Cost
119
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 476
- Total Day Supply
- 11,703
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $12K
- Generic Drug Cost
- $4K
- Opioid Claims
- 12 (4.1% rate)
- Antibiotic Claims
- 49
Patient Demographics
- Average Patient Age
- 76.7 years
- Avg HCC Risk Score
- 2.65
- Gender Split
- 61% female / 39% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Rachna Bumra, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Metoprolol Tartrate
Metoprolol Tartrate
23 claims
- Prednisone
Prednisone
16 claims
- Furosemide
Furosemide
15 claims
- Amlodipine Besylate
Amlodipine Besylate
11 claims
| Drug | Claims |
|---|---|
| Metoprolol Tartrate | 23 |
| Prednisone | 16 |
| Furosemide | 15 |
| Amlodipine Besylate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospitalist Physician Overview
How Rachna Bumra, D.O. fits within the Hospitalist Physician landscape nationally.
16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider
Rachna Bumra, D.O.'s 291 claims are below the specialty average of 888.
Nearby Hospitalist Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Bumra.
Dr. Osamah Abdallah
M.D.
Maywood, IL
Sufyan Abdulmujeeb
Niles, IL
Dr. Eyad Abdulrazzak
MD
Evanston, IL
Dr. Gina Abraham
MD
Franklin Park, IL
Dr. Rebecca Abraham
PA-C
Chicago, IL
Compare Hospitalist Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospitalist Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Rachna Bumra, D.O.'s specialty? ▼
Rachna Bumra, D.O. specializes in Hospitalist Physician and practices in Hoffman Estates, Illinois. Credentials: D.O..
How much does Rachna Bumra, D.O. prescribe under Medicare Part D? ▼
In 2023, Rachna Bumra, D.O. wrote 291 Medicare Part D claims totaling $16K in drug costs for 119 beneficiaries.
What is Rachna Bumra, D.O.'s Medicare quality score? ▼
Rachna Bumra, D.O. has a CMS MIPS Final Score of 94.1/100 (Quality: 82.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rachna Bumra, D.O. located? ▼
Rachna Bumra, D.O. is located at 2200 W HIGGINS RD, Hoffman Estates, IL, 60169. Phone: (847) 781-3100.
What is Rachna Bumra, D.O.'s NPI number? ▼
Rachna Bumra, D.O.'s National Provider Identifier (NPI) is 1538325998, issued on 08/05/2008.
Does Rachna Bumra, D.O. prescribe more brand-name or generic drugs? ▼
Rachna Bumra, D.O.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $12K in brand drug costs.
Does Rachna Bumra, D.O. prescribe opioids? ▼
Yes, Rachna Bumra, D.O. had 12 opioid claims in 2023 with an opioid prescribing rate of 4.1%.
How many Hospitalist Physician providers are there in the US? ▼
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does Rachna Bumra, D.O. prescribe most often? ▼
Based on 2023 Medicare Part D data, Rachna Bumra, D.O.'s most frequently prescribed drugs include Metoprolol Tartrate, Prednisone, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rachna Bumra, D.O. accept Medicare? ▼
Rachna Bumra, D.O. appears in CMS Medicare data with 291 Part D claims and 119 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rachna Bumra, D.O.'s credentials? ▼
Rachna Bumra, D.O.'s NPI is 1538325998 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.