2026 NPPES data Internal Medicine Physician NPI 1205835725 MD
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RAPHAEL AGADA, MD

Internal Medicine Physician in PETERSBURG, Virginia. 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
5K
Medicare Part D claims · 337 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
22.7016/100
▼ 60 pts below national avg 83.1 · [object Object]
Industry payments
$1.2K
49 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAPHAEL AGADA, MD is a Internal Medicine Physician ([object Object]) practicing in PETERSBURG, Virginia with a Medicare Part D prescribing footprint of 5K claims across 337 beneficiaries — 15% brand-name prescribing . Their CMS MIPS Final Score of 22.7016/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.2K across 49 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAPHAEL AGADA, MD reported a CMS MIPS final score of 22.7016 out of 100, below the 83.1 national average, and filed 4,509 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)

RAPHAEL AGADA, 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).

RAPHAEL AGADA, MD at a glance

Below national average

NPI registry status

Active

Issued 07/18/2005

NPI 1205835725

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

4,509 66% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

22.7016/100 60.398399999999995% pts

Below average band

vs 83.1 national avg

Specialty distribution in Virginia

How Internal Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Internal Medicine Physician share within Virginia

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

Medicare quality performance — MIPS

RAPHAEL AGADA, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
22.7016/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 22.7016/100 vs national avg 83.1

0%100%National avg83%22.7%
MIPS final score (Internal Medicine Physician) — 22.7016/100 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).

RAPHAEL AGADA, MD is a Internal Medicine Physician provider practicing in PETERSBURG, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1205835725. 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.

RAPHAEL AGADA, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 801 S ADAMS ST, PETERSBURG, VA, 23803, with a listed phone of (804) 862-5991. NPI 1205835725 was issued on 07/18/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGADA 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 4,509 prescription claims written by this provider, covering 337 Medicare beneficiaries and totaling roughly $441K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 0.8%. 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 22.7016/100 for the 2023 performance year (Quality 0, Cost 75.672), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

801 S ADAMS ST
PETERSBURG, VA 23803

Provider Details

NPI 1205835725
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/18/2005

CMS Quality Score (MIPS)

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

22.7016
Final Score
Avg: 83.1
0
Quality
75.672
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where RAPHAEL AGADA, 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.

RIVERSBEND HOSPITALISTS P.C.
HOPEWELL, VA

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 RAPHAEL AGADA, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

AstraZeneca Pharmaceuticals LP

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

RAPHAEL AGADA, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 4,509 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.

4,509
Total Claims
$441K
Total Drug Cost
337
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,295
Total Day Supply
204,925
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$362K
Generic Drug Cost
$76K
Opioid Claims
38 (0.8% rate)
Antibiotic Claims
174

Patient Demographics

Average Patient Age
69.0 years
Avg HCC Risk Score
2.35
Gender Split
57% female / 43% male
Age Distribution
<65: 104, 65-74: 121, 75-84: 80, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
203
Amlodipine Besylate
176
Furosemide
145
Metformin Hcl
133
Potassium Chloride
131
Carvedilol
108
Levothyroxine Sodium
100
Pantoprazole Sodium
97
Albuterol Sulfate Hfa
Albuterol Sulfate
84
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
84

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

Internal Medicine Physician Overview

How RAPHAEL AGADA, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

RAPHAEL AGADA, MD's 4,509 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Virginia

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAPHAEL AGADA, MD's specialty?
RAPHAEL AGADA, MD specializes in Internal Medicine Physician and practices in PETERSBURG, Virginia. Credentials: MD.
How much does RAPHAEL AGADA, MD prescribe under Medicare Part D?
In 2023, RAPHAEL AGADA, MD wrote 4,509 Medicare Part D claims totaling $441K in drug costs for 337 beneficiaries.
What is RAPHAEL AGADA, MD's Medicare quality score?
RAPHAEL AGADA, MD has a CMS MIPS Final Score of 22.7016/100 (Quality: 0, Cost: 75.672). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAPHAEL AGADA, MD located?
RAPHAEL AGADA, MD is located at 801 S ADAMS ST, PETERSBURG, VA, 23803. Phone: (804) 862-5991.
What is RAPHAEL AGADA, MD's NPI number?
RAPHAEL AGADA, MD's National Provider Identifier (NPI) is 1205835725, issued on 07/18/2005.
Does RAPHAEL AGADA, MD prescribe more brand-name or generic drugs?
RAPHAEL AGADA, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $362K in brand drug costs.
Does RAPHAEL AGADA, MD prescribe opioids?
Yes, RAPHAEL AGADA, MD had 38 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does RAPHAEL AGADA, MD prescribe most often?
Based on 2023 Medicare Part D data, RAPHAEL AGADA, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAPHAEL AGADA, MD accept Medicare?
RAPHAEL AGADA, MD appears in CMS Medicare data with 4,509 Part D claims and 337 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAPHAEL AGADA, MD's credentials?
RAPHAEL AGADA, MD's NPI is 1205835725 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