2026 NPPES data Vascular & Interventional Radiology Physician NPI 1962761007 M.D.
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RAJ GONDALIA, M.D.

Vascular & Interventional Radiology Physician in RALEIGH, North Carolina. 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
13
Medicare Part D claims · Vascular & Interventional Radiology Physician avg: 72
MIPS score
75.6937/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$183.22
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAJ GONDALIA, M.D. is a Vascular & Interventional Radiology Physician ([object Object]) practicing in RALEIGH, North Carolina with a Medicare Part D prescribing footprint of 13 claims . Their CMS MIPS Final Score of 75.6937/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $183.22 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAJ GONDALIA, M.D. reported a CMS MIPS final score of 75.6937 out of 100, below the 83.1 national average, and filed 13 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RAJ GONDALIA, M.D. 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).

RAJ GONDALIA, M.D. at a glance

Below national average

NPI registry status

Active

Issued 05/10/2012

NPI 1962761007

Primary specialty

Vascular & Interventional Radiology Physician

Niche

2,981 US NPIs in this specialty

Medicare Part D claims

13 82% vs specialty avg

2023 prescription claims

Specialty avg: 72

MIPS final score

75.6937/100 7.4062999999999874% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Vascular & Interventional Radiology Physician compares to other specialties among North Carolina providers

North Carolina providers

Vascular & Interventional Radiology Physician share within North Carolina

1. Vascular & Interventional Radiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Vascular & Interventional Radiology Physician share within North Carolina

Medicare quality performance — MIPS

RAJ GONDALIA, M.D.'s 2023 MIPS final score plotted against the Vascular & Interventional Radiology Physician national average

Below national average
MIPS Final Score
75.6937/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Vascular & Interventional Radiology Physician) — 75.6937/100 vs national avg 83.1

0%100%National avg83%75.7%
MIPS final score (Vascular & Interventional Radiology Physician) — 75.6937/100 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 GONDALIA, M.D. is a Vascular & Interventional Radiology Physician provider practicing in RALEIGH, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1962761007. 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 GONDALIA, M.D. appears in the CMS NPPES registry as a Vascular & Interventional Radiology Physician provider holding M.D. credentials at 3949 BROWNING PL, RALEIGH, NC, 27609, with a listed phone of (919) 787-7411. NPI 1962761007 was issued on 05/10/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GONDALIA 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 13 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $63 in drug spend. 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 75.6937/100 for the 2023 performance year (Quality 71.4043), compared with the national average of 83.1.

Vascular & Interventional Radiology Physician is a narrow specialty nationwide, with 2,981 enrolled providers across 53 states and an average of 72 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

3949 BROWNING PL
RALEIGH, NC 27609

Provider Details

NPI 1962761007
Specialty Vascular & Interventional Radiology Physician
Credentials M.D.
Gender Male
NPI Issued 05/10/2012

CMS Quality Score (MIPS)

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

75.6937
Final Score
Avg: 83.1
71.4043
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAJ GONDALIA, 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.

WAKE RADIOLOGY CONSULTANTS PA
RALEIGH, NC
WAKE RADIOLOGY DIAGNOSTIC IMAGING INC.
RALEIGH, NC

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

Total received

$183

Largest payer

Galvanize Therapeutics, 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 2023.

13
Total Claims
$63
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13
Total Day Supply
87
Brand Drug Cost
$0
Generic Drug Cost
$63

Patient Demographics

Average Patient Age
77.5 years
Avg HCC Risk Score
3.39

Vascular & Interventional Radiology Physician Overview

How RAJ GONDALIA, M.D. fits within the Vascular & Interventional Radiology Physician landscape nationally.

2,981
Vascular & Interventional Radiology Physician Providers in US
53
States with Vascular & Interventional Radiology Physician
72
Avg Claims per Provider

RAJ GONDALIA, M.D.'s 13 claims are below the specialty average of 72.

Nearby Vascular & Interventional Radiology Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as GONDALIA.

Compare Vascular & Interventional Radiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAJ GONDALIA, M.D.'s specialty?
RAJ GONDALIA, M.D. specializes in Vascular & Interventional Radiology Physician and practices in RALEIGH, North Carolina. Credentials: M.D..
How much does RAJ GONDALIA, M.D. prescribe under Medicare Part D?
In 2023, RAJ GONDALIA, M.D. wrote 13 Medicare Part D claims totaling $63 in drug costs for N/A beneficiaries.
What is RAJ GONDALIA, M.D.'s Medicare quality score?
RAJ GONDALIA, M.D. has a CMS MIPS Final Score of 75.6937/100 (Quality: 71.4043). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAJ GONDALIA, M.D. located?
RAJ GONDALIA, M.D. is located at 3949 BROWNING PL, RALEIGH, NC, 27609. Phone: (919) 787-7411.
What is RAJ GONDALIA, M.D.'s NPI number?
RAJ GONDALIA, M.D.'s National Provider Identifier (NPI) is 1962761007, issued on 05/10/2012.
How many Vascular & Interventional Radiology Physician providers are there in the US?
There are 2,981 Vascular & Interventional Radiology Physician providers across 53 states in the US. The average Vascular & Interventional Radiology Physician provider writes 72 Medicare Part D claims per year.
Does RAJ GONDALIA, M.D. accept Medicare?
RAJ GONDALIA, M.D. appears in CMS Medicare data with 13 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAJ GONDALIA, M.D.'s credentials?
RAJ GONDALIA, M.D.'s NPI is 1962761007 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.
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