2026 NPPES data Nephrology Physician NPI 1366478687 MD
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RAJESH YALAVARTHY, MD

Nephrology Physician in ARVADA, Colorado. 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
2K
Medicare Part D claims · 231 beneficiaries · Nephrology Physician avg: 1K
MIPS score
95.0209/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$2.4K
12 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAJESH YALAVARTHY, MD reported a CMS MIPS final score of 95.0209/100 — above the 83.1 national average — and filed 1,709 Medicare Part D claims in 2023.

95.0209/100
MIPS score · +12 vs avg
2K
Part D claims, 2023
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.

RAJESH YALAVARTHY, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

95 Top 21% higher than 79% 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)

RAJESH YALAVARTHY, 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 RAJESH YALAVARTHY, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/26/2006

NPI 1366478687

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

1,709 18% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

95.0209/100 11.920900000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Colorado

How Nephrology Physician compares to other specialties among Colorado providers

Colorado providers

Nephrology Physician share within Colorado

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

Medicare quality performance — MIPS

RAJESH YALAVARTHY, MD's 2023 MIPS final score plotted against the Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
95.0209/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 95.0209/100 vs national avg 83.1

0%100%National avg83%95%
MIPS final score (Nephrology Physician) — 95.0209/100 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).

RAJESH YALAVARTHY, MD is a Nephrology Physician provider practicing in ARVADA, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1366478687. 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.

RAJESH YALAVARTHY, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 5265 VANCE ST, ARVADA, CO, 80002, with a listed phone of (303) 232-3366. NPI 1366478687 was issued on 06/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what YALAVARTHY 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 1,709 prescription claims written by this provider, covering 231 Medicare beneficiaries and totaling roughly $181K 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 95.0209/100 for the 2023 performance year (Quality 80.5284), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

5265 VANCE ST
ARVADA, CO 80002

Provider Details

NPI 1366478687
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 06/26/2006

CMS Quality Score (MIPS)

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

95.0209
Final Score
Avg: 83.1
80.5284
Quality
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAJESH YALAVARTHY, 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.

WESTERN NEPHROLOGY AND METABOLIC BONE DISEASE, P.C.
ARVADA, CO

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 RAJESH YALAVARTHY, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.4K

Largest payer

CSL Behring

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.

1,709
Total Claims
$181K
Total Drug Cost
231
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,691
Total Day Supply
109,583
Generic Drug Cost
$56K
Antibiotic Claims
18

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
3.17
Gender Split
49% female / 51% male
Age Distribution
<65: 29, 65-74: 85, 75-84: 81, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amlodipine Besylate
122
Losartan Potassium
108
Calcitriol
102
Furosemide
99
Torsemide
89
Lisinopril
75
Carvedilol
66
Jardiance
Empagliflozin
57
Potassium Chloride
46
Valsartan
44

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

Nephrology Physician Overview

How RAJESH YALAVARTHY, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

RAJESH YALAVARTHY, MD's 1,709 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in Colorado

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

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

Frequently Asked Questions

What is RAJESH YALAVARTHY, MD's specialty?
RAJESH YALAVARTHY, MD specializes in Nephrology Physician and practices in ARVADA, Colorado. Credentials: MD.
How much does RAJESH YALAVARTHY, MD prescribe under Medicare Part D?
In 2023, RAJESH YALAVARTHY, MD wrote 1,709 Medicare Part D claims totaling $181K in drug costs for 231 beneficiaries.
What is RAJESH YALAVARTHY, MD's Medicare quality score?
RAJESH YALAVARTHY, MD has a CMS MIPS Final Score of 95.0209/100 (Quality: 80.5284). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAJESH YALAVARTHY, MD located?
RAJESH YALAVARTHY, MD is located at 5265 VANCE ST, ARVADA, CO, 80002. Phone: (303) 232-3366.
What is RAJESH YALAVARTHY, MD's NPI number?
RAJESH YALAVARTHY, MD's National Provider Identifier (NPI) is 1366478687, issued on 06/26/2006.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does RAJESH YALAVARTHY, MD prescribe most often?
Based on 2023 Medicare Part D data, RAJESH YALAVARTHY, MD's most frequently prescribed drugs include Amlodipine Besylate, Losartan Potassium, Calcitriol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAJESH YALAVARTHY, MD accept Medicare?
RAJESH YALAVARTHY, MD appears in CMS Medicare data with 1,709 Part D claims and 231 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAJESH YALAVARTHY, MD's credentials?
RAJESH YALAVARTHY, MD's NPI is 1366478687 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