2026 NPPES data Pulmonary Disease Physician NPI 1447281704 MD
Verify on CMS →

RAJ BHATIA, MD

Pulmonary Disease Physician in OXNARD, California. 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
625
Medicare Part D claims · 135 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
34%
generic claims · 66% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$156.97
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAJ BHATIA, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 625 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
625
Part D claims, 2023
34%
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.

RAJ BHATIA, 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

Board certification likely (heuristic — not verified)

RAJ BHATIA, 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 RAJ BHATIA, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/05/2006

NPI 1447281704

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

625 57% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Pulmonary Disease Physician compares to other specialties among California providers

California providers

Pulmonary Disease Physician share within California

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

Medicare quality performance — MIPS

RAJ BHATIA, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

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

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

0%100%National avg83%99%
MIPS final score (Pulmonary Disease 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).

RAJ BHATIA, MD is a Pulmonary Disease Physician provider practicing in OXNARD, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1447281704. 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.

RAJ BHATIA, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 1910 OUTLET CENTER DR, OXNARD, CA, 93036, with a listed phone of (805) 485-2400. NPI 1447281704 was issued on 07/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BHATIA 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 625 prescription claims written by this provider, covering 135 Medicare beneficiaries and totaling roughly $521K in drug spend, split 66% brand-name and 34% generic by claim count. 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 (Quality 100), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

1910 OUTLET CENTER DR
OXNARD, CA 93036

Provider Details

NPI 1447281704
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 07/05/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAJ BHATIA, 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.

GILA RIVER HEALTH CARE CORPORATION
SACATON, AZ
WEST COAST PULMONARY PHYSICIANS A PROFESSIONAL MEDICAL CORPORATION
OXNARD, CA

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 RAJ BHATIA, MD. Source: openpaymentsdata.cms.gov.

Total received

$157

Largest payer

GlaxoSmithKline, LLC.

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to RAJ BHATIA, MD. To verify RAJ BHATIA, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

RAJ BHATIA, MD — brand share 66.0%
Specialty average (est.)

66% brand-name claims vs 34% generic, on 625 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.

625
Total Claims
$521K
Total Drug Cost
135
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
956
Total Day Supply
27,235
Brand vs Generic
66% brand / 34% generic
Brand Drug Cost
$470K
Generic Drug Cost
$51K
Antibiotic Claims
25

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
2.46
Gender Split
57% female / 43% male
Age Distribution
<65: 12, 65-74: 55, 75-84: 41, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
115
Breo Ellipta
Fluticasone/Vilanterol
105
Albuterol Sulfate Hfa
Albuterol Sulfate
47
Ventolin Hfa
Albuterol Sulfate
29
Montelukast Sodium
20
Prednisone
19
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
18
Modafinil
17
Combivent Respimat
Ipratropium/Albuterol Sulfate
13
Ropinirole Hcl
13

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

Pulmonary Disease Physician Overview

How RAJ BHATIA, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

RAJ BHATIA, MD's 625 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in California

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

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

Frequently Asked Questions

What is RAJ BHATIA, MD's specialty?
RAJ BHATIA, MD specializes in Pulmonary Disease Physician and practices in OXNARD, California. Credentials: MD.
How much does RAJ BHATIA, MD prescribe under Medicare Part D?
In 2023, RAJ BHATIA, MD wrote 625 Medicare Part D claims totaling $521K in drug costs for 135 beneficiaries.
What is RAJ BHATIA, MD's Medicare quality score?
RAJ BHATIA, MD has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAJ BHATIA, MD located?
RAJ BHATIA, MD is located at 1910 OUTLET CENTER DR, OXNARD, CA, 93036. Phone: (805) 485-2400.
What is RAJ BHATIA, MD's NPI number?
RAJ BHATIA, MD's National Provider Identifier (NPI) is 1447281704, issued on 07/05/2006.
Does RAJ BHATIA, MD prescribe more brand-name or generic drugs?
RAJ BHATIA, MD's prescribing is 66% brand-name and 34% generic drugs by claim count, with $470K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does RAJ BHATIA, MD prescribe most often?
Based on 2023 Medicare Part D data, RAJ BHATIA, MD's most frequently prescribed drugs include Trelegy Ellipta, Breo Ellipta, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAJ BHATIA, MD accept Medicare?
RAJ BHATIA, MD appears in CMS Medicare data with 625 Part D claims and 135 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAJ BHATIA, MD's credentials?
RAJ BHATIA, MD's NPI is 1447281704 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