NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1205835725 MD
Verify on CMS → Raphael Agada, MD
Internal Medicine Physician in Petersburg, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine 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
5K
Medicare Part D claims · 337 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
83%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
22.7/100
▼ 60 pts below national avg 83.1 · Below average
Industry payments
$1.2K
49 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
Raphael Agada, MD reported a CMS MIPS final score of 22.7/100 - below the 83.1 national average - and filed 4,509 Medicare Part D claims in 2023.
- 22.7/100
- MIPS score · -60 vs avg
- 5K
- Part D claims, 2023
- 83%
- 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.
Raphael Agada, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
23 3rd percentile higher than 3% 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 Raphael Agada, MD sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Raphael Agada, MD writes more Part D claims than 78% of them and scores higher on MIPS quality than 3% - placing this provider in the high-volume, lower-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 internal medicine physician peer from a representative sample of 60; the gold marker is Raphael Agada, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
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).
What does the federal data show about Raphael Agada, MD?
Below national averagePrimary specialty
Internal Medicine Physician
Medicare Part D claims
4,509 66% vs specialty avg
MIPS final score
22.7/100 60.4 pts vs avg
Specialty distribution in Virginia
How Internal Medicine Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Raphael Agada, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 22.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 22.7/100 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).
Raphael Agada, MD appears in the CMS NPPES registry as an 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.
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 83% generic by claim count, with an opioid prescribing rate of 0.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 22.7/100 for the 2023 performance year (Quality 0, Cost 75.7), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 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
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%
Internal Medicine Physician average
15% brand-name claims vs 83% 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 / 83% 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.
What Raphael Agada, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
203 claims
- Amlodipine Besylate
Amlodipine Besylate
176 claims
- Furosemide
Furosemide
145 claims
- Metformin Hcl
Metformin Hcl
133 claims
- Potassium Chloride
Potassium Chloride
131 claims
- Carvedilol
Carvedilol
108 claims
- Levothyroxine Sodium
Levothyroxine Sodium
100 claims
- Pantoprazole Sodium
Pantoprazole Sodium
97 claims
| 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.
172,737
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.
Dr. Caren Aaron
M.D.
Martinsville, VA
Dr. Michael Abadier
DO
Gloucester, VA
Dr. Salma Abbas
MD
Richmond, VA
Dr. Gohar Abbasi
MD
Chester, VA
Dr. Mustafa Abbasi
MD
Alexandria, VA
Compare Internal Medicine 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 Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine 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 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 22.7/100 (Quality: 0, Cost: 75.7). 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 83% 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 172,737 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
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.