2026 NPPES data Pediatric Hospice and Palliative Medicine Physician NPI 1790096659 M.D.
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RATNA BEHAL, M.D.

Pediatric Hospice and Palliative Medicine Physician in PHILADELPHIA, Pennsylvania. 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.
MIPS score
80.5085/100
▼ 3 pts below national avg 83.1 · [object Object]

What the federal data shows

RATNA BEHAL, M.D. reported a CMS MIPS final score of 80.5085/100 — below the 83.1 national average.

80.5085/100
MIPS score · -3 vs avg
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.

RATNA BEHAL, 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

81 33rd percentile higher than 33% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

RATNA BEHAL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 RATNA BEHAL, M.D.?

Near national average

NPI registry status

Active

Issued 06/25/2010

NPI 1790096659

Primary specialty

Pediatric Hospice and Palliative Medicine Physician

Rare

199 US NPIs in this specialty

MIPS final score

80.5085/100 2.5914999999999964% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Pediatric Hospice and Palliative Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pediatric Hospice and Palliative Medicine Physician share within Pennsylvania

1. Pediatric Hospice and Palliative Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Hospice and Palliative Medicine Physician share within Pennsylvania

Medicare quality performance — MIPS

RATNA BEHAL, M.D.'s 2023 MIPS final score plotted against the Pediatric Hospice and Palliative Medicine Physician national average

Near national average
MIPS Final Score
80.5085/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Hospice and Palliative Medicine Physician) — 80.5085/100 vs national avg 83.1

0%100%National avg83%80.5%
MIPS final score (Pediatric Hospice and Palliative Medicine Physician) — 80.5085/100 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).

RATNA BEHAL, M.D. is a Pediatric Hospice and Palliative Medicine Physician provider practicing in PHILADELPHIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1790096659. 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.

RATNA BEHAL, M.D. appears in the CMS NPPES registry as a Pediatric Hospice and Palliative Medicine Physician provider holding M.D. credentials at 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA, 19104, with a listed phone of (215) 590-1000. NPI 1790096659 was issued on 06/25/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BEHAL 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pediatric Hospice and Palliative Medicine Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.5085/100 for the 2023 performance year (Quality 80.838, Cost 20.857), compared with the national average of 83.1.

Pediatric Hospice and Palliative Medicine Physician is a narrow specialty nationwide, with 199 enrolled providers across 39 states and an average of 134 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

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Provider Details

NPI 1790096659
Specialty Pediatric Hospice and Palliative Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 06/25/2010

CMS Quality Score (MIPS)

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

80.5085
Final Score
Avg: 83.1
80.838
Quality
20.857
Cost
100
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to RATNA BEHAL, M.D.. To verify RATNA BEHAL, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Pediatric Hospice and Palliative Medicine Physician Overview

How RATNA BEHAL, M.D. fits within the Pediatric Hospice and Palliative Medicine Physician landscape nationally.

199
Pediatric Hospice and Palliative Medicine Physician Providers in US
39
States with Pediatric Hospice and Palliative Medicine Physician
134
Avg Claims per Provider

Nearby Pediatric Hospice and Palliative Medicine Physician Providers in Pennsylvania

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

Compare Pediatric Hospice and Palliative Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RATNA BEHAL, M.D.'s specialty?
RATNA BEHAL, M.D. specializes in Pediatric Hospice and Palliative Medicine Physician and practices in PHILADELPHIA, Pennsylvania. Credentials: M.D..
What is RATNA BEHAL, M.D.'s Medicare quality score?
RATNA BEHAL, M.D. has a CMS MIPS Final Score of 80.5085/100 (Quality: 80.838, Cost: 20.857). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RATNA BEHAL, M.D. located?
RATNA BEHAL, M.D. is located at 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA, 19104. Phone: (215) 590-1000.
What is RATNA BEHAL, M.D.'s NPI number?
RATNA BEHAL, M.D.'s National Provider Identifier (NPI) is 1790096659, issued on 06/25/2010.
How many Pediatric Hospice and Palliative Medicine Physician providers are there in the US?
There are 199 Pediatric Hospice and Palliative Medicine Physician providers across 39 states in the US. The average Pediatric Hospice and Palliative Medicine Physician provider writes 134 Medicare Part D claims per year.
Does RATNA BEHAL, M.D. accept Medicare?
RATNA BEHAL, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RATNA BEHAL, M.D.'s credentials?
RATNA BEHAL, M.D.'s NPI is 1790096659 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.
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