2026 NPPES data Electrodiagnostic Medicine Physician NPI 1154303592 MD
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RAGHU UPENDER, MD

Electrodiagnostic Medicine Physician in NASHVILLE, Tennessee. 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
150
Medicare Part D claims · 35 beneficiaries · Electrodiagnostic Medicine Physician avg: 1K
MIPS score
97.1279/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$81.71
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAGHU UPENDER, MD is a Electrodiagnostic Medicine Physician ([object Object]) practicing in NASHVILLE, Tennessee with a Medicare Part D prescribing footprint of 150 claims across 35 beneficiaries . Their CMS MIPS Final Score of 97.1279/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $81.71 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAGHU UPENDER, MD reported a CMS MIPS final score of 97.1279 out of 100, above the 83.1 national average, and filed 150 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RAGHU UPENDER, MD 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).

RAGHU UPENDER, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 11/18/2005

NPI 1154303592

Primary specialty

Electrodiagnostic Medicine Physician

Rare

97 US NPIs in this specialty

Medicare Part D claims

150 86% vs specialty avg

2023 prescription claims

Specialty avg: 1,100

MIPS final score

97.1279/100 14.027900000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Electrodiagnostic Medicine Physician compares to other specialties among Tennessee providers

Tennessee providers

Electrodiagnostic Medicine Physician share within Tennessee

1. Electrodiagnostic Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Electrodiagnostic Medicine Physician share within Tennessee

Medicare quality performance — MIPS

RAGHU UPENDER, MD's 2023 MIPS final score plotted against the Electrodiagnostic Medicine Physician national average

High performer (top quartile)
MIPS Final Score
97.1279/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Electrodiagnostic Medicine Physician) — 97.1279/100 vs national avg 83.1

0%100%National avg83%97.1%
MIPS final score (Electrodiagnostic Medicine Physician) — 97.1279/100 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).

RAGHU UPENDER, MD is a Electrodiagnostic Medicine Physician provider practicing in NASHVILLE, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1154303592. 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.

RAGHU UPENDER, MD appears in the CMS NPPES registry as a Electrodiagnostic Medicine Physician provider holding MD credentials at 3601 THE VANDERBILT CLINIC, NASHVILLE, TN, 37232, with a listed phone of (615) 322-3000. NPI 1154303592 was issued on 11/18/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what UPENDER 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 150 prescription claims written by this provider, covering 35 Medicare beneficiaries and totaling roughly $21K in drug spend. 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 97.1279/100 for the 2023 performance year (Quality 85.6458), compared with the national average of 83.1.

Electrodiagnostic Medicine Physician is a narrow specialty nationwide, with 97 enrolled providers across 30 states and an average of 1,100 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

3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232

Provider Details

NPI 1154303592
Specialty Electrodiagnostic Medicine Physician
Credentials MD
Gender Male
NPI Issued 11/18/2005

CMS Quality Score (MIPS)

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

97.1279
Final Score
Avg: 83.1
85.6458
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where RAGHU UPENDER, 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.

VANDERBILT UNIVERSITY MEDICAL CENTER
★★★★★ 5/5
NASHVILLE, TN
Acute Care Hospitals
CMS CCN: 440039

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 RAGHU UPENDER, MD. Source: openpaymentsdata.cms.gov.

Total received

$82

Largest payer

Inspire Medical Systems, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

150
Total Claims
$21K
Total Drug Cost
35
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
271
Total Day Supply
8,072
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
67.3 years
Avg HCC Risk Score
1.44
Gender Split
63% female / 37% male
Age Distribution
<65: 11, 65-74: 15, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
49
Modafinil
31
Ropinirole Hcl
15
Neupro
Rotigotine
12

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

Electrodiagnostic Medicine Physician Overview

How RAGHU UPENDER, MD fits within the Electrodiagnostic Medicine Physician landscape nationally.

97
Electrodiagnostic Medicine Physician Providers in US
30
States with Electrodiagnostic Medicine Physician
1,100
Avg Claims per Provider

RAGHU UPENDER, MD's 150 claims are below the specialty average of 1,100.

Nearby Electrodiagnostic Medicine Physician Providers in Tennessee

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

Compare Electrodiagnostic Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAGHU UPENDER, MD's specialty?
RAGHU UPENDER, MD specializes in Electrodiagnostic Medicine Physician and practices in NASHVILLE, Tennessee. Credentials: MD.
How much does RAGHU UPENDER, MD prescribe under Medicare Part D?
In 2023, RAGHU UPENDER, MD wrote 150 Medicare Part D claims totaling $21K in drug costs for 35 beneficiaries.
What is RAGHU UPENDER, MD's Medicare quality score?
RAGHU UPENDER, MD has a CMS MIPS Final Score of 97.1279/100 (Quality: 85.6458). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAGHU UPENDER, MD located?
RAGHU UPENDER, MD is located at 3601 THE VANDERBILT CLINIC, NASHVILLE, TN, 37232. Phone: (615) 322-3000.
What is RAGHU UPENDER, MD's NPI number?
RAGHU UPENDER, MD's National Provider Identifier (NPI) is 1154303592, issued on 11/18/2005.
How many Electrodiagnostic Medicine Physician providers are there in the US?
There are 97 Electrodiagnostic Medicine Physician providers across 30 states in the US. The average Electrodiagnostic Medicine Physician provider writes 1,100 Medicare Part D claims per year.
What drugs does RAGHU UPENDER, MD prescribe most often?
Based on 2023 Medicare Part D data, RAGHU UPENDER, MD's most frequently prescribed drugs include Gabapentin, Modafinil, Ropinirole Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAGHU UPENDER, MD accept Medicare?
RAGHU UPENDER, MD appears in CMS Medicare data with 150 Part D claims and 35 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAGHU UPENDER, MD's credentials?
RAGHU UPENDER, MD's NPI is 1154303592 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