2026 NPPES data Gastroenterology Physician NPI 1285695221 M.D.
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RAJ BUTANI, M.D.

Gastroenterology Physician in BELLEVUE, Washington. 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
705
Medicare Part D claims · 272 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.7K
46 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAJ BUTANI, M.D. filed 705 Medicare Part D claims in 2023 as a Gastroenterology Physician in BELLEVUE, Washington, prescribing 86% generic.

705
Part D claims, 2023
86%
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 BUTANI, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

705 Top 29% higher than 71% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

RAJ BUTANI, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 RAJ BUTANI, M.D.?

Quality data not reported

NPI registry status

Active

Issued 03/29/2006

NPI 1285695221

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

705 15% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in Washington

How Gastroenterology Physician compares to other specialties among Washington providers

Washington providers

Gastroenterology Physician share within Washington

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Gastroenterology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Gastroenterology Physician ABMS/AOA estimate

Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

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 BUTANI, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 1135 116TH AVE NE, BELLEVUE, WA, 98004, with a listed phone of (425) 467-0150. NPI 1285695221 was issued on 03/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BUTANI 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 705 prescription claims written by this provider, covering 272 Medicare beneficiaries and totaling roughly $237K in drug spend, split 14% brand-name and 86% 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.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

1135 116TH AVE NE
BELLEVUE, WA 98004

Provider Details

NPI 1285695221
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 03/29/2006

Hospital and facility affiliations

Facilities where RAJ BUTANI, 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.

WASHINGTON GASTROENTEROLOGY PLLC
BELLEVUE, WA

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 BUTANI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

Largest payer

ABBVIE 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.

License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to RAJ BUTANI, M.D.. To verify RAJ BUTANI, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

RAJ BUTANI, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 705 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.

705
Total Claims
$237K
Total Drug Cost
272
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,385
Total Day Supply
36,601
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$200K
Generic Drug Cost
$37K
Antibiotic Claims
15

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.05
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

What RAJ BUTANI, M.D. 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
Omeprazole
185
Pantoprazole Sodium
110
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
31
Mesalamine
25
Esomeprazole Magnesium
21
Linzess
Linaclotide
18
Ondansetron Odt
Ondansetron
15
Dicyclomine Hcl
14
Dexlansoprazole Dr
Dexlansoprazole
13
Furosemide
12

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

Gastroenterology Physician Overview

How RAJ BUTANI, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

RAJ BUTANI, M.D.'s 705 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Washington

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

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAJ BUTANI, M.D.'s specialty?
RAJ BUTANI, M.D. specializes in Gastroenterology Physician and practices in BELLEVUE, Washington. Credentials: M.D..
How much does RAJ BUTANI, M.D. prescribe under Medicare Part D?
In 2023, RAJ BUTANI, M.D. wrote 705 Medicare Part D claims totaling $237K in drug costs for 272 beneficiaries.
Where is RAJ BUTANI, M.D. located?
RAJ BUTANI, M.D. is located at 1135 116TH AVE NE, BELLEVUE, WA, 98004. Phone: (425) 467-0150.
What is RAJ BUTANI, M.D.'s NPI number?
RAJ BUTANI, M.D.'s National Provider Identifier (NPI) is 1285695221, issued on 03/29/2006.
Does RAJ BUTANI, M.D. prescribe more brand-name or generic drugs?
RAJ BUTANI, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $200K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does RAJ BUTANI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAJ BUTANI, M.D.'s most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Peg 3350-Electrolyte. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAJ BUTANI, M.D. accept Medicare?
RAJ BUTANI, M.D. appears in CMS Medicare data with 705 Part D claims and 272 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAJ BUTANI, M.D.'s credentials?
RAJ BUTANI, M.D.'s NPI is 1285695221 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

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.
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