NPI registry status
Active
2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1376864512 MD
Verify on CMS → Raheel Bengali, MD
Pain Medicine (Anesthesiology) Physician in San Antonio, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,020 in Pain Medicine (Anesthesiology) 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
2K
Medicare Part D claims · 517 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
42.4/100
▼ 41 pts below national avg 83.1 · Below average
Industry payments
$2.8K
65 payments · CMS Open Payments (Sunshine Act)
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
Raheel Bengali, MD reported a CMS MIPS final score of 42.4/100 - below the 83.1 national average - and filed 2,276 Medicare Part D claims in 2023.
- 42.4/100
- MIPS score · -41 vs avg
- 2K
- Part D claims, 2023
- 98%
- 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.
Raheel Bengali, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
42 4th percentile higher than 4% 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 Raheel Bengali, MD sits
This provider among pain medicine (anesthesiology) physician peers
Across the 1,110 pain medicine (anesthesiology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Raheel Bengali, MD writes more Part D claims than 69% of them and scores higher on MIPS quality than 12% - placing this provider in the high-volume, lower-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 pain medicine (anesthesiology) physician peer from a representative sample of 60; the gold marker is Raheel Bengali, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Raheel Bengali, 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).
What does the federal data show about Raheel Bengali, MD?
Below national averagePrimary specialty
Pain Medicine (Anesthesiology) Physician
Medicare Part D claims
2,276 37% vs specialty avg
MIPS final score
42.4/100 40.7 pts vs avg
Specialty distribution in Texas
How Pain Medicine (Anesthesiology) Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Raheel Bengali, MD's 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average
- MIPS Final Score
- 42.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pain Medicine (Anesthesiology) Physician) - 42.4/100 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).
Raheel Bengali, MD appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding MD credentials at 21038 US HIGHWAY 281 N STE 100, San Antonio, TX, 78258, with a listed phone of (210) 874-5260. NPI 1376864512 was issued on 06/22/2010.
Medicare Part D records for calendar year 2023 show 2,276 prescription claims written by this provider, covering 517 Medicare beneficiaries and totaling roughly $91K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 89.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 42.4/100 for the 2023 performance year (Quality 60.6, Cost 30.8), compared with the national average of 83.1.
Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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 | 1376864512 |
|---|---|
| Specialty | Pain Medicine (Anesthesiology) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/22/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
42.4299
Final Score
Avg: 83.1
60.6499
Quality
30.783
Cost
0
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Raheel Bengali, 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.
Privia Medical Group Gulf Coast PLLC
Austin, TX
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 Raheel Bengali, MD. Source: openpaymentsdata.cms.gov.
Total received
$2.8K
Largest payer
Nevro Corp.
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.
License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Raheel Bengali, MD. To verify Raheel Bengali, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Raheel Bengali, MD - brand share 2.0%
Pain Medicine (Anesthesiology) Physician average
2% brand-name claims vs 98% generic, on 2,276 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.
2,276
Total Claims
$91K
Total Drug Cost
517
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,293
- Total Day Supply
- 67,508
- Brand vs Generic
- 2% brand / 98% generic
- Brand Drug Cost
- $12K
- Generic Drug Cost
- $79K
- Opioid Claims
- 2,027 (89.1% rate)
- Antibiotic Claims
- 12
Patient Demographics
- Average Patient Age
- 64.8 years
- Avg HCC Risk Score
- 1.96
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 242, 65-74: 181, 75-84: 79, 85+: 15
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Raheel Bengali, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
1,476 claims
- Oxycodone-Acetamin… 184
Oxycodone-Acetaminophen
184 claims
- Oxycodone Hcl 102
Oxycodone Hcl
102 claims
- Hydromorphone Hcl 92
Hydromorphone Hcl
92 claims
- Tizanidine Hcl 80
Tizanidine Hcl
80 claims
- Gabapentin 54
Gabapentin
54 claims
- Pregabalin 45
Pregabalin
45 claims
- Tramadol Hcl 32
Tramadol Hcl
32 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 1,476 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 184 |
| Oxycodone Hcl | 102 |
| Hydromorphone Hcl | 92 |
| Tizanidine Hcl | 80 |
| Gabapentin | 54 |
| Pregabalin | 45 |
| Tramadol Hcl | 32 |
| Acetaminophen-Codeine Acetaminophen With Codeine | 27 |
| Morphine Sulfate Er Morphine Sulfate | 24 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Anesthesiology) Physician in TX →
All providers in Texas →
Compare specialties →
Pain Medicine (Anesthesiology) Physician Overview
How Raheel Bengali, MD fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.
4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider
Raheel Bengali, MD's 2,276 claims are above the specialty average of 1,657.
Nearby Pain Medicine (Anesthesiology) Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Bengali.
Dr. Basem Abdelfattah
M.D.
Dallas, TX
Dr. Mena Abdelmalak
MD
College Station, TX
Dr. Salahadin Abdi
MD
Houston, TX
Dr. Amre Aboul-Fettouh
DO
Garland, TX
Dr. Clayton Adams
M.D.
Austin, TX
Compare Pain Medicine (Anesthesiology) 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine (Anesthesiology) 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 Raheel Bengali, MD's specialty? ▼
Raheel Bengali, MD specializes in Pain Medicine (Anesthesiology) Physician and practices in San Antonio, Texas. Credentials: MD.
How much does Raheel Bengali, MD prescribe under Medicare Part D? ▼
In 2023, Raheel Bengali, MD wrote 2,276 Medicare Part D claims totaling $91K in drug costs for 517 beneficiaries.
What is Raheel Bengali, MD's Medicare quality score? ▼
Raheel Bengali, MD has a CMS MIPS Final Score of 42.4/100 (Quality: 60.6, Cost: 30.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Raheel Bengali, MD located? ▼
Raheel Bengali, MD is located at 21038 US HIGHWAY 281 N STE 100, San Antonio, TX, 78258. Phone: (210) 874-5260.
What is Raheel Bengali, MD's NPI number? ▼
Raheel Bengali, MD's National Provider Identifier (NPI) is 1376864512, issued on 06/22/2010.
Does Raheel Bengali, MD prescribe more brand-name or generic drugs? ▼
Raheel Bengali, MD's prescribing is 2% brand-name and 98% generic drugs by claim count, with $12K in brand drug costs.
Does Raheel Bengali, MD prescribe opioids? ▼
Yes, Raheel Bengali, MD had 2,027 opioid claims in 2023 with an opioid prescribing rate of 89.1%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US? ▼
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does Raheel Bengali, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Raheel Bengali, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Raheel Bengali, MD accept Medicare? ▼
Raheel Bengali, MD appears in CMS Medicare data with 2,276 Part D claims and 517 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Raheel Bengali, MD's credentials? ▼
Raheel Bengali, MD's NPI is 1376864512 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
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.