2026 NPPES data Cardiovascular Disease Physician NPI 1821095860 MD
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RAGHOTHAM PATLOLA, MD

Cardiovascular Disease Physician in LAFAYETTE, Louisiana. 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
4K
Medicare Part D claims · 593 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.1181/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$873.08
41 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAGHOTHAM PATLOLA, MD reported a CMS MIPS final score of 73.1181/100 — below the 83.1 national average — and filed 3,941 Medicare Part D claims in 2023.

73.1181/100
MIPS score · -10 vs avg
4K
Part D claims, 2023
84%
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.

RAGHOTHAM PATLOLA, MD's MIPS score vs every scored U.S. clinician

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

73 11th percentile higher than 11% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 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)

RAGHOTHAM PATLOLA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 5 hospital affiliations — 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 RAGHOTHAM PATLOLA, MD?

Below national average

NPI registry status

Active

Issued 07/06/2005

NPI 1821095860

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

3,941 30% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

73.1181/100 9.981899999999996% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Louisiana

How Cardiovascular Disease Physician compares to other specialties among Louisiana providers

Louisiana providers

Cardiovascular Disease Physician share within Louisiana

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Louisiana

Medicare quality performance — MIPS

RAGHOTHAM PATLOLA, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

Below national average
MIPS Final Score
73.1181/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 73.1181/100 vs national avg 83.1

0%100%National avg83%73.1%
MIPS final score (Cardiovascular Disease Physician) — 73.1181/100 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).

RAGHOTHAM PATLOLA, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 4811 AMBASSADOR CAFFERY PARKWAY, LAFAYETTE, LA, 70508, with a listed phone of (337) 456-6523. NPI 1821095860 was issued on 07/06/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PATLOLA 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 3,941 prescription claims written by this provider, covering 593 Medicare beneficiaries and totaling roughly $551K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 0.5%. 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 73.1181/100 for the 2023 performance year (Quality 79.9657, Cost 22.0947), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

4811 AMBASSADOR CAFFERY PARKWAY
LAFAYETTE, LA 70508

Provider Details

NPI 1821095860
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 07/06/2005

CMS Quality Score (MIPS)

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

73.1181
Final Score
Avg: 83.1
79.9657
Quality
22.0947
Cost
90
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAGHOTHAM PATLOLA, 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.

CLHG-AVOYELLES LLC
MARKSVILLE, LA
CLHG-OAKDALE LLC
OAKDALE, LA
CLHG-VILLE PLATTE LLC
VILLE PLATTE, LA
HAWKEYE MEDICAL, LLC
MARKSVILLE, LA
LOUISIANA CARDIOVASCULAR ASSOCIATES, LLC
LAFAYETTE, LA

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 RAGHOTHAM PATLOLA, MD. Source: openpaymentsdata.cms.gov.

Total received

$873

Largest payer

AngioDynamics, 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

RAGHOTHAM PATLOLA, MD — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 3,941 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.

3,941
Total Claims
$551K
Total Drug Cost
593
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,074
Total Day Supply
209,080
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$489K
Generic Drug Cost
$62K
Opioid Claims
21 (0.5% rate)
Antibiotic Claims
18

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.59
Gender Split
51% female / 49% male
Age Distribution
<65: 89, 65-74: 266, 75-84: 178, 85+: 60

Top Prescribed Drugs (Medicare Part D)

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

What RAGHOTHAM PATLOLA, MD 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
Carvedilol
388
Clopidogrel
Clopidogrel Bisulfate
331
Metoprolol Succinate
278
Eliquis
Apixaban
218
Atorvastatin Calcium
159
Losartan Potassium
144
Entresto
Sacubitril/Valsartan
130
Xarelto
Rivaroxaban
126
Furosemide
113
Torsemide
107

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

Cardiovascular Disease Physician Overview

How RAGHOTHAM PATLOLA, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

RAGHOTHAM PATLOLA, MD's 3,941 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Louisiana

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAGHOTHAM PATLOLA, MD's specialty?
RAGHOTHAM PATLOLA, MD specializes in Cardiovascular Disease Physician and practices in LAFAYETTE, Louisiana. Credentials: MD.
How much does RAGHOTHAM PATLOLA, MD prescribe under Medicare Part D?
In 2023, RAGHOTHAM PATLOLA, MD wrote 3,941 Medicare Part D claims totaling $551K in drug costs for 593 beneficiaries.
What is RAGHOTHAM PATLOLA, MD's Medicare quality score?
RAGHOTHAM PATLOLA, MD has a CMS MIPS Final Score of 73.1181/100 (Quality: 79.9657, Cost: 22.0947). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAGHOTHAM PATLOLA, MD located?
RAGHOTHAM PATLOLA, MD is located at 4811 AMBASSADOR CAFFERY PARKWAY, LAFAYETTE, LA, 70508. Phone: (337) 456-6523.
What is RAGHOTHAM PATLOLA, MD's NPI number?
RAGHOTHAM PATLOLA, MD's National Provider Identifier (NPI) is 1821095860, issued on 07/06/2005.
Does RAGHOTHAM PATLOLA, MD prescribe more brand-name or generic drugs?
RAGHOTHAM PATLOLA, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $489K in brand drug costs.
Does RAGHOTHAM PATLOLA, MD prescribe opioids?
Yes, RAGHOTHAM PATLOLA, MD had 21 opioid claims in 2023 with an opioid prescribing rate of 0.5%.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does RAGHOTHAM PATLOLA, MD prescribe most often?
Based on 2023 Medicare Part D data, RAGHOTHAM PATLOLA, MD's most frequently prescribed drugs include Carvedilol, Clopidogrel, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAGHOTHAM PATLOLA, MD accept Medicare?
RAGHOTHAM PATLOLA, MD appears in CMS Medicare data with 3,941 Part D claims and 593 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAGHOTHAM PATLOLA, MD's credentials?
RAGHOTHAM PATLOLA, MD's NPI is 1821095860 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.
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