NPI registry status
Active
2026 NPPES data Nephrology Physician NPI 1417226721 MBBS
Verify on CMS → Rama Kethineni, MBBS
Nephrology Physician in Fayetteville, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,569 in Nephrology 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
2K
Medicare Part D claims · 356 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$577.4
25 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
Rama Kethineni, MBBS reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 1,776 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 2K
- Part D claims, 2023
- 88%
- 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.
Rama Kethineni, MBBS's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
100 Top 7% higher than 93% 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 Rama Kethineni, MBBS sits
This provider among nephrology physician peers
Across the 2,476 nephrology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Rama Kethineni, MBBS writes more Part D claims than 69% of them and scores higher on MIPS quality than 93% - placing this provider in the high-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 nephrology physician peer from a representative sample of 60; the gold marker is Rama Kethineni, MBBS. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Rama Kethineni, MBBS 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 Rama Kethineni, MBBS?
High performer (top quartile)Primary specialty
Nephrology Physician
Medicare Part D claims
1,776 22% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in North Carolina
How Nephrology Physician compares to other specialties among North Carolina providers
Medicare quality performance, MIPS
Rama Kethineni, MBBS's 2023 MIPS final score plotted against the Nephrology Physician national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nephrology Physician) - 100/100 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).
Rama Kethineni, MBBS appears in the CMS NPPES registry as a Nephrology Physician provider holding MBBS credentials at 557 SANDHURST DR, Fayetteville, NC, 28304, with a listed phone of (910) 484-8114. NPI 1417226721 was issued on 12/16/2011.
Medicare Part D records for calendar year 2023 show 1,776 prescription claims written by this provider, covering 356 Medicare beneficiaries and totaling roughly $276K in drug spend, split 12% brand-name and 88% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 88.6, Cost 93.6), compared with the national average of 83.1.
Nephrology Physician is a mid-sized specialty nationwide, with 10,569 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
Provider Details
| NPI | 1417226721 |
|---|---|
| Specialty | Nephrology Physician |
| Credentials | MBBS |
| Gender | Male |
| NPI Issued | 12/16/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
88.5812
Quality
93.553
Cost
Reporting: Individual
Hospital and facility affiliations
Facilities where Rama Kethineni, MBBS 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.
Carolina Kidney Care PA
Fayetteville, 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 Rama Kethineni, MBBS. Source: openpaymentsdata.cms.gov.
Total received
$577
Largest payer
Aurinia Pharma U.S., 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.
Brand vs generic prescribing mix · Typical
Rama Kethineni, MBBS - brand share 12.0%
Nephrology Physician average
12% brand-name claims vs 88% generic, on 1,776 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.
1,776
Total Claims
$276K
Total Drug Cost
356
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,712
- Total Day Supply
- 109,962
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $223K
- Generic Drug Cost
- $53K
- Antibiotic Claims
- 17
Patient Demographics
- Average Patient Age
- 67.5 years
- Avg HCC Risk Score
- 4.94
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 116, 65-74: 141, 75-84: 78, 85+: 21
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Rama Kethineni, MBBS prescribes most
Top Medicare Part D drugs by claim count, 2023
- Losartan Potassium
Losartan Potassium
231 claims
- Farxiga
Farxiga
135 claims
- Amlodipine Besylate
Amlodipine Besylate
120 claims
- Torsemide
Torsemide
120 claims
- Calcium Acetate 91
Calcium Acetate
91 claims
- Carvedilol 79
Carvedilol
79 claims
- Furosemide 77
Furosemide
77 claims
- Calcitriol 68
Calcitriol
68 claims
| Drug | Claims |
|---|---|
| Losartan Potassium | 231 |
| Farxiga Dapagliflozin Propanediol | 135 |
| Amlodipine Besylate | 120 |
| Torsemide | 120 |
| Calcium Acetate | 91 |
| Carvedilol | 79 |
| Furosemide | 77 |
| Calcitriol | 68 |
| Sevelamer Carbonate | 65 |
| Hydralazine Hcl | 64 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nephrology Physician Overview
How Rama Kethineni, MBBS fits within the Nephrology Physician landscape nationally.
10,569
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider
Rama Kethineni, MBBS's 1,776 claims are above the specialty average of 1,454.
Nearby Nephrology Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Kethineni.
Dr. Sosan Abdullah
MD
Morganton, NC
Dr. Tariq Abo-Kamil
MD
Henderson, NC
Dr. Moses Aboagye-Kumi
M.D.
Fayetteville, NC
Dr. Maureen Achuko
M.D.
Fayetteville, NC
Dr. Patricia Adams
MD
Winston Salem, NC
Compare Nephrology 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 North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Nephrology 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 Rama Kethineni, MBBS's specialty? ▼
Rama Kethineni, MBBS specializes in Nephrology Physician and practices in Fayetteville, North Carolina. Credentials: MBBS.
How much does Rama Kethineni, MBBS prescribe under Medicare Part D? ▼
In 2023, Rama Kethineni, MBBS wrote 1,776 Medicare Part D claims totaling $276K in drug costs for 356 beneficiaries.
What is Rama Kethineni, MBBS's Medicare quality score? ▼
Rama Kethineni, MBBS has a CMS MIPS Final Score of 100/100 (Quality: 88.6, Cost: 93.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rama Kethineni, MBBS located? ▼
Rama Kethineni, MBBS is located at 557 SANDHURST DR, Fayetteville, NC, 28304. Phone: (910) 484-8114.
What is Rama Kethineni, MBBS's NPI number? ▼
Rama Kethineni, MBBS's National Provider Identifier (NPI) is 1417226721, issued on 12/16/2011.
Does Rama Kethineni, MBBS prescribe more brand-name or generic drugs? ▼
Rama Kethineni, MBBS's prescribing is 12% brand-name and 88% generic drugs by claim count, with $223K in brand drug costs.
How many Nephrology Physician providers are there in the US? ▼
There are 10,569 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 Rama Kethineni, MBBS prescribe most often? ▼
Based on 2023 Medicare Part D data, Rama Kethineni, MBBS's most frequently prescribed drugs include Losartan Potassium, Farxiga, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rama Kethineni, MBBS accept Medicare? ▼
Rama Kethineni, MBBS appears in CMS Medicare data with 1,776 Part D claims and 356 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rama Kethineni, MBBS's credentials? ▼
Rama Kethineni, MBBS's NPI is 1417226721 with credentials MBBS. 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.