2026 NPPES data Hospitalist Physician NPI 1306100375 M.D.
Verify on CMS →

RAKESH GADDAM, M.D.

Hospitalist Physician in MESA, Arizona. 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
824
Medicare Part D claims · 302 beneficiaries · Hospitalist Physician avg: 888
MIPS score
81.4923/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$144.98
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAKESH GADDAM, M.D. is a Hospitalist Physician ([object Object]) practicing in MESA, Arizona with a Medicare Part D prescribing footprint of 824 claims across 302 beneficiaries . Their CMS MIPS Final Score of 81.4923/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $144.98 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAKESH GADDAM, M.D. reported a CMS MIPS final score of 81.4923 out of 100, below the 83.1 national average, and filed 824 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)

RAKESH GADDAM, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 5 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

RAKESH GADDAM, M.D. at a glance

Near national average

NPI registry status

Active

Issued 06/25/2012

NPI 1306100375

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

824 7% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

81.4923/100 1.6076999999999941% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Arizona

How Hospitalist Physician compares to other specialties among Arizona providers

Arizona providers

Hospitalist Physician share within Arizona

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

Medicare quality performance — MIPS

RAKESH GADDAM, M.D.'s 2023 MIPS final score plotted against the Hospitalist Physician national average

Near national average
MIPS Final Score
81.4923/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 81.4923/100 vs national avg 83.1

0%100%National avg83%81.5%
MIPS final score (Hospitalist Physician) — 81.4923/100 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).

RAKESH GADDAM, M.D. is a Hospitalist Physician provider practicing in MESA, Arizona, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1306100375. 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.

RAKESH GADDAM, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 5358 E BASELINE RD, MESA, AZ, 85206, with a listed phone of (602) 748-9187. NPI 1306100375 was issued on 06/25/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GADDAM 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 824 prescription claims written by this provider, covering 302 Medicare beneficiaries and totaling roughly $41K in drug spend, with an opioid prescribing rate of 7.5%. 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 81.4923/100 for the 2023 performance year, compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

5358 E BASELINE RD
MESA, AZ 85206

Provider Details

NPI 1306100375
Specialty Hospitalist Physician
Credentials M.D.
Gender Male
NPI Issued 06/25/2012

CMS Quality Score (MIPS)

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

81.4923
Final Score
Avg: 83.1
38.3075
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAKESH GADDAM, 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.

ALLIED INTERNAL MEDICINE PLLC
MESA, AZ
BANNER CANCER CENTER SPECIALISTS LLC
GILBERT, AZ
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
GILBERT, AZ
HOPE DIABETES CENTER LLC
MESA, AZ
PIONEER HOSPITALISTS, PLLC
GILBERT, AZ

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 RAKESH GADDAM, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$145

Largest payer

Janssen Pharmaceuticals, 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.

824
Total Claims
$41K
Total Drug Cost
302
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
841
Total Day Supply
16,900
Generic Drug Cost
$16K
Opioid Claims
62 (7.5% rate)
Antibiotic Claims
127

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
2.33
Gender Split
56% female / 44% male
Age Distribution
<65: 38, 65-74: 113, 75-84: 101, 85+: 50

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Furosemide
49
Atorvastatin Calcium
35
Prednisone
32
Cefdinir
31
Oxycodone Hcl
31
Pantoprazole Sodium
27
Nifedipine Er
Nifedipine
26
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
24
Eliquis
Apixaban
24
Clopidogrel
Clopidogrel Bisulfate
23

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

Hospitalist Physician Overview

How RAKESH GADDAM, M.D. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

RAKESH GADDAM, M.D.'s 824 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Arizona

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

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

Frequently Asked Questions

What is RAKESH GADDAM, M.D.'s specialty?
RAKESH GADDAM, M.D. specializes in Hospitalist Physician and practices in MESA, Arizona. Credentials: M.D..
How much does RAKESH GADDAM, M.D. prescribe under Medicare Part D?
In 2023, RAKESH GADDAM, M.D. wrote 824 Medicare Part D claims totaling $41K in drug costs for 302 beneficiaries.
What is RAKESH GADDAM, M.D.'s Medicare quality score?
RAKESH GADDAM, M.D. has a CMS MIPS Final Score of 81.4923/100, Cost: 38.3075. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAKESH GADDAM, M.D. located?
RAKESH GADDAM, M.D. is located at 5358 E BASELINE RD, MESA, AZ, 85206. Phone: (602) 748-9187.
What is RAKESH GADDAM, M.D.'s NPI number?
RAKESH GADDAM, M.D.'s National Provider Identifier (NPI) is 1306100375, issued on 06/25/2012.
Does RAKESH GADDAM, M.D. prescribe opioids?
Yes, RAKESH GADDAM, M.D. had 62 opioid claims in 2023 with an opioid prescribing rate of 7.5%.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does RAKESH GADDAM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAKESH GADDAM, M.D.'s most frequently prescribed drugs include Furosemide, Atorvastatin Calcium, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAKESH GADDAM, M.D. accept Medicare?
RAKESH GADDAM, M.D. appears in CMS Medicare data with 824 Part D claims and 302 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAKESH GADDAM, M.D.'s credentials?
RAKESH GADDAM, M.D.'s NPI is 1306100375 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