NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1114218070 M.D.
Verify on CMS → Raju Reddy, M.D.
Pulmonary Disease Physician in Austin, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,323 in Pulmonary Disease 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
97
Medicare Part D claims · 26 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
56%
generic claims · 44% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.8/100
▲ 15 pts above national avg 83.1 · Exceptional
Industry payments
$57.53
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Raju Reddy, M.D. reported a CMS MIPS final score of 97.8/100 - above the 83.1 national average - and filed 97 Medicare Part D claims in 2023.
- 97.8/100
- MIPS score · +15 vs avg
- 97
- Part D claims, 2023
- 56%
- 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.
Raju Reddy, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 15% higher than 85% of 477,587 scored providers
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
Where Raju Reddy, M.D. sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Raju Reddy, M.D. writes more Part D claims than 11% of them and scores higher on MIPS quality than 88% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Raju Reddy, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Raju Reddy, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Raju Reddy, M.D.?
High performer (top quartile)Primary specialty
Pulmonary Disease Physician
Medicare Part D claims
97 93% vs specialty avg
MIPS final score
97.8/100 14.7 pts vs avg
Specialty distribution in Texas
How Pulmonary Disease Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Raju Reddy, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 97.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 97.8/100 vs national avg 83.1
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).
Raju Reddy, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 1301 W 38TH ST, Austin, TX, 78705, with a listed phone of (512) 324-3341. NPI 1114218070 was issued on 04/27/2011.
Medicare Part D records for calendar year 2023 show 97 prescription claims written by this provider, covering 26 Medicare beneficiaries and totaling roughly $208K in drug spend, split 44% brand-name and 56% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.8/100 for the 2023 performance year (Quality 81), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,323 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
Provider Details
| NPI | 1114218070 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/27/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.83
Final Score
Avg: 83.1
80.9759
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Raju Reddy, 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.
According to CMS billing records, Raju Reddy, M.D. is affiliated with 3 Medicare-billing facilities across 2 states.
Seton Family OF Doctors
Austin, TX
University Professional Services
Portland, OR
Usacs Critical Care Medicine Services OF Texas PLLC
Cedar Park, TX
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 Raju Reddy, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$58
Largest payer
United Therapeutics Corporation
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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Raju Reddy, M.D.. To verify Raju Reddy, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Raju Reddy, M.D. - brand share 44.0%
Pulmonary Disease Physician average
44% brand-name claims vs 56% generic, on 97 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.
97
Total Claims
$208K
Total Drug Cost
26
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 140
- Total Day Supply
- 4,001
- Brand vs Generic
- 44% brand / 56% generic
- Brand Drug Cost
- $206K
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 71.0 years
- Avg HCC Risk Score
- 1.83
- Gender Split
- 54% female / 46% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Opsumit Macitentan | 15 |
| Losartan Potassium | 12 |
* 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 Raju Reddy, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,323
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Raju Reddy, M.D.'s 97 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Reddy.
Dr. Qammar Abbas
M.D.
Wylie, TX
Dr. Mohamed Abdalla
MD
San Antonio, TX
Dr. Emran Abu Atherah
M.D
Webster, TX
Dr. Bruce Ackerman
D.O.
Garland, TX
Dr. Mari Adachi
MD
Plano, TX
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Raju Reddy, M.D.'s specialty? ▼
Raju Reddy, M.D. specializes in Pulmonary Disease Physician and practices in Austin, Texas. Credentials: M.D..
How much does Raju Reddy, M.D. prescribe under Medicare Part D? ▼
In 2023, Raju Reddy, M.D. wrote 97 Medicare Part D claims totaling $208K in drug costs for 26 beneficiaries.
What is Raju Reddy, M.D.'s Medicare quality score? ▼
Raju Reddy, M.D. has a CMS MIPS Final Score of 97.8/100 (Quality: 81). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Raju Reddy, M.D. located? ▼
Raju Reddy, M.D. is located at 1301 W 38TH ST, Austin, TX, 78705. Phone: (512) 324-3341.
What is Raju Reddy, M.D.'s NPI number? ▼
Raju Reddy, M.D.'s National Provider Identifier (NPI) is 1114218070, issued on 04/27/2011.
Does Raju Reddy, M.D. prescribe more brand-name or generic drugs? ▼
Raju Reddy, M.D.'s prescribing is 44% brand-name and 56% generic drugs by claim count, with $206K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,323 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 Raju Reddy, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Raju Reddy, M.D.'s most frequently prescribed drugs include Opsumit, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Raju Reddy, M.D. accept Medicare? ▼
Raju Reddy, M.D. appears in CMS Medicare data with 97 Part D claims and 26 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Raju Reddy, M.D.'s credentials? ▼
Raju Reddy, M.D.'s NPI is 1114218070 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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.