NPI registry status
Active
2026 NPPES data Clinical Neurophysiology Physician NPI 1457779506 M.D.
Verify on CMS → Rahul Guha, M.D.
Clinical Neurophysiology Physician in Lynchburg, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 650 in Clinical Neurophysiology 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
462
Medicare Part D claims · 145 beneficiaries · Clinical Neurophysiology Physician avg: 2K
MIPS score
75.8/100
▼ 8 pts below national avg 83.5 · Above neutral
Industry payments
$1.3K
73 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Rahul Guha, M.D. reported a CMS MIPS final score of 75.8/100 - below the 83.5 national average - and filed 462 Medicare Part D claims in 2024.
- 75.8/100
- MIPS score · -8 vs avg
- 462
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥15th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Rahul Guha, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1457779506), first enumerated 04/04/2014.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 462 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 75.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$1.3K in reported industry payments (73 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1457779506 · Clinical Neurophysiology Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1457779506
- ENUM-MID 2014
- TAX-NARROW 650
- MIPS-BELOW 75.8/100
- RX-LIGHT 462
- BOOK-THIN 13 in Virginia
- PHOTO-FINISH Robert Angels, MD · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Sheri Hart, MD ·…
Sheri Hart, MD
75.2 MIPS pts
- Guha · this prov…
Guha · this provider
75.8 MIPS pts
- John Broderick, …
John Broderick, M.D.
75.8 MIPS pts
- Robert Angels, M…
Robert Angels, MD
75.8 MIPS pts
- Kavitha Velichet…
Kavitha Velicheti, MD
75.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Rahul Guha, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
76 ≥ 15th percentile 15% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Rahul Guha, M.D. sits
This provider among clinical neurophysiology physician peers
Across the 176 clinical neurophysiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Rahul Guha, M.D. writes more Part D claims than 31% of them and scores higher on MIPS quality than 16% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one clinical neurophysiology physician peer from a representative sample of 60; the gold marker is Rahul Guha, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Rahul Guha, M.D. 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 Rahul Guha, M.D.?
Below national averagePrimary specialty
Clinical Neurophysiology Physician
Medicare Part D claims
462 71% vs specialty avg
MIPS final score
75.8/100 7.7 pts vs avg
Specialty distribution in Virginia
How Clinical Neurophysiology Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Rahul Guha, M.D.'s 2023 MIPS final score plotted against the Clinical Neurophysiology Physician national average
- MIPS Final Score
- 75.8/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1457779506 |
|---|---|
| Specialty | Clinical Neurophysiology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/04/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75.8046
Final Score
Measured-score avg: 83.5
68.6551
Quality
50.6935
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Rahul Guha, M.D. 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.
Hackensack Meridian Health Medical Group - Specialty Care PC
Neptune, NJ
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 Rahul Guha, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.3K
Largest payer
PFIZER 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 2024.
462
Total Claims
$246K
Total Drug Cost
145
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 891.267
- Total Day Supply
- 25,841
- Generic Drug Cost
- $21K
Patient Demographics
- Average Patient Age
- 65.8 years
- Avg HCC Risk Score
- 2.35
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 48, 65-74: 52, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Rahul Guha, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Levetiracetam
Levetiracetam
100 claims
- Lacosamide
Lacosamide
49 claims
- Lamotrigine 33
Lamotrigine
33 claims
- Briviact 30
Briviact
30 claims
- Oxcarbazepine 28
Oxcarbazepine
28 claims
- Valtoco 28
Valtoco
28 claims
- Xcopri 27
Xcopri
27 claims
- Zonisamide 19
Zonisamide
19 claims
| Drug | Claims |
|---|---|
| Levetiracetam | 100 |
| Lacosamide | 49 |
| Lamotrigine | 33 |
| Briviact Brivaracetam | 30 |
| Oxcarbazepine | 28 |
| Valtoco Diazepam | 28 |
| Xcopri Cenobamate | 27 |
| Zonisamide | 19 |
| Gabapentin | 18 |
| Levetiracetam Er Levetiracetam | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Clinical Neurophysiology Physician Overview
How Rahul Guha, M.D. fits within the Clinical Neurophysiology Physician landscape nationally.
650
Clinical Neurophysiology Physician Providers in US
50
States with Clinical Neurophysiology Physician
1,582
Avg Claims per Provider
Rahul Guha, M.D.'s 462 claims are below the specialty average of 1,582.
Nationwide Clinical Neurophysiology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Guha, both outside Virginia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75.8 here).
Same NPPES enumeration year (2014)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Clinical Neurophysiology Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Guha.
One of 13 Clinical Neurophysiology Physician providers enrolled in Virginia, 5 are shown here.
Dr. Eskedar Ayele Angamo
MD, PHD
Richmond, VA
Dr. Divya Chauhan
MD
Leesburg, VA
Dr. Matthew Dailey
MD
Roanoke, VA
Dr. Eric Goldberg
MD
Portsmouth, VA
Dr. Richard Monti
M.D.
Fairfax, VA
Compare Clinical Neurophysiology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Rahul Guha, M.D.'s specialty? ▼
Rahul Guha, M.D. specializes in Clinical Neurophysiology Physician and practices in Lynchburg, Virginia. Credentials: M.D..
How much does Rahul Guha, M.D. prescribe under Medicare Part D? ▼
In 2024, Rahul Guha, M.D. wrote 462 Medicare Part D claims totaling $246K in drug costs for 145 beneficiaries.
What is Rahul Guha, M.D.'s Medicare quality score? ▼
Rahul Guha, M.D. has a CMS MIPS Final Score of 75.8/100 (Quality: 68.7, Cost: 50.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rahul Guha, M.D. located? ▼
Rahul Guha, M.D. is located at 2025 TATE SPRINGS RD, Lynchburg, VA, 24501. Phone: (434) 200-2905.
What is Rahul Guha, M.D.'s NPI number? ▼
Rahul Guha, M.D.'s National Provider Identifier (NPI) is 1457779506, issued on 04/04/2014.
How many Clinical Neurophysiology Physician providers are there in the US? ▼
There are 650 Clinical Neurophysiology Physician providers across 50 states in the US. The average Clinical Neurophysiology Physician provider writes 1,582 Medicare Part D claims per year.
What drugs does Rahul Guha, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Rahul Guha, M.D.'s most frequently prescribed drugs include Levetiracetam, Lacosamide, Lamotrigine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rahul Guha, M.D. accept Medicare? ▼
Rahul Guha, M.D. appears in CMS Medicare data with 462 Part D claims and 145 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rahul Guha, M.D.'s credentials? ▼
Rahul Guha, M.D.'s NPI is 1457779506 with credentials M.D.. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.