2026 NPPES data Pain Medicine Physician NPI 1659418119 MD
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Raghunath Gudibanda, MD

Pain Medicine Physician in Louisville, Kentucky. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 951 in Pain Medicine 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
3K
Medicare Part D claims · 338 beneficiaries · Pain Medicine Physician avg: 2K
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$200.71
5 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Raghunath Gudibanda, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 2,552 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
3K
Part D claims, 2023
99%
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.

Raghunath Gudibanda, MD's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Where Raghunath Gudibanda, MD sits

This provider among pain medicine physician peers

Across the 286 pain medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Raghunath Gudibanda, MD writes more Part D claims than 62% of them and scores higher on MIPS quality than 95% — 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 18Raghunath Gudibanda, MD — Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 95
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pain medicine physician peer from a representative sample of 60; the gold marker is Raghunath Gudibanda, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Raghunath Gudibanda, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 Raghunath Gudibanda, MD?

High performer (top quartile)

NPI registry status

Active

Issued 01/31/2007

NPI 1659418119

Primary specialty

Pain Medicine Physician

Niche

951 US NPIs in this specialty

Medicare Part D claims

2,552 23% vs specialty avg

2023 prescription claims

Specialty avg: 2,078

MIPS final score

100/100 16.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Pain Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Largest specialties in Kentucky (% of in-state providers)

Family Nurse Practitioner — 5.9%Family Nurse Practitioner5.9%Student in an Organized Health Care Education/Training Program — 5.2%Student in an Organized Health Care Education/Training Program5.2%Pharmacist — 4.8%Pharmacist4.8%Mental Health Counselor — 4.6%Mental Health Counselor4.6%Clinical Social Worker — 4.1%Clinical Social Worker4.1%Physical Therapist — 3.7%Physical Therapist3.7%Pain Medicine Physician — 0%Pain Medicine Physician0%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance — MIPS

Raghunath Gudibanda, MD's 2023 MIPS final score plotted against the Pain Medicine Physician national average

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

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

0%100%National avg83%99%
MIPS final score (Pain Medicine Physician) — 100/100 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).

Raghunath Gudibanda, MD appears in the CMS NPPES registry as a Pain Medicine Physician provider holding MD credentials at 315 E BROADWAY STE 185E, Louisville, KY, 40202, with a listed phone of (502) 629-5455. NPI 1659418119 was issued on 01/31/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Gudibanda 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 2,552 prescription claims written by this provider, covering 338 Medicare beneficiaries and totaling roughly $117K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 60.1%. 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Pain Medicine Physician is a narrow specialty nationwide, with 951 enrolled providers across 49 states and an average of 2,078 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

315 E BROADWAY STE 185E
Louisville, KY 40202

Provider Details

NPI 1659418119
Specialty Pain Medicine Physician
Credentials MD
Gender Male
NPI Issued 01/31/2007

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Raghunath Gudibanda, 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.

Norton Hospitals, Inc
★★☆☆☆ 2/5
Louisville, KY
Acute Care Hospitals
CMS CCN: 180088
Community Medical Associates Inc
Louisville, KY

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 Raghunath Gudibanda, MD. Source: openpaymentsdata.cms.gov.

Total received

$201

Largest payer

Vertos Medical, 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 · Generic-heavy

Raghunath Gudibanda, MD — brand share 1.0%
Pain Medicine Physician average

1% brand-name claims vs 99% generic, on 2,552 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.

2,552
Total Claims
$117K
Total Drug Cost
338
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,707
Total Day Supply
78,627
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$5K
Generic Drug Cost
$111K
Opioid Claims
1,533 (60.1% rate)

Patient Demographics

Average Patient Age
67.0 years
Avg HCC Risk Score
1.85
Gender Split
70% female / 30% male
Age Distribution
<65: 109, 65-74: 160, 75-84: 56, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

What Raghunath Gudibanda, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
1,056
Gabapentin
364
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
307
Tizanidine Hcl
235
Cyclobenzaprine Hcl
99
Tramadol Hcl
49
Diclofenac Sodium
44
Oxycodone Hcl
42
Pregabalin
39
Baclofen
33

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

Pain Medicine Physician Overview

How Raghunath Gudibanda, MD fits within the Pain Medicine Physician landscape nationally.

951
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,078
Avg Claims per Provider

Raghunath Gudibanda, MD's 2,552 claims are above the specialty average of 2,078.

Nearby Pain Medicine Physician Providers in Kentucky

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

Compare Pain Medicine 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 Kentucky medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pain Medicine 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.

Frequently Asked Questions

What is Raghunath Gudibanda, MD's specialty?
Raghunath Gudibanda, MD specializes in Pain Medicine Physician and practices in Louisville, Kentucky. Credentials: MD.
How much does Raghunath Gudibanda, MD prescribe under Medicare Part D?
In 2023, Raghunath Gudibanda, MD wrote 2,552 Medicare Part D claims totaling $117K in drug costs for 338 beneficiaries.
What is Raghunath Gudibanda, MD's Medicare quality score?
Raghunath Gudibanda, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Raghunath Gudibanda, MD located?
Raghunath Gudibanda, MD is located at 315 E BROADWAY STE 185E, Louisville, KY, 40202. Phone: (502) 629-5455.
What is Raghunath Gudibanda, MD's NPI number?
Raghunath Gudibanda, MD's National Provider Identifier (NPI) is 1659418119, issued on 01/31/2007.
Does Raghunath Gudibanda, MD prescribe more brand-name or generic drugs?
Raghunath Gudibanda, MD's prescribing is 1% brand-name and 99% generic drugs by claim count, with $5K in brand drug costs.
Does Raghunath Gudibanda, MD prescribe opioids?
Yes, Raghunath Gudibanda, MD had 1,533 opioid claims in 2023 with an opioid prescribing rate of 60.1%.
How many Pain Medicine Physician providers are there in the US?
There are 951 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,078 Medicare Part D claims per year.
What drugs does Raghunath Gudibanda, MD prescribe most often?
Based on 2023 Medicare Part D data, Raghunath Gudibanda, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Raghunath Gudibanda, MD accept Medicare?
Raghunath Gudibanda, MD appears in CMS Medicare data with 2,552 Part D claims and 338 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Raghunath Gudibanda, MD's credentials?
Raghunath Gudibanda, MD's NPI is 1659418119 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

Compiled from official public sources by the PlainDoctor editorial team.