2026 NPPES data Hospitalist Physician NPI 1548794761
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RICKI KUMAR

Hospitalist Physician in GRAND JUNCTION, Colorado. 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
219
Medicare Part D claims · 63 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
54%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.9724/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

RICKI KUMAR reported a CMS MIPS final score of 83.9724/100 — above the 83.1 national average — and filed 219 Medicare Part D claims in 2023.

83.9724/100
MIPS score · +1 vs avg
219
Part D claims, 2023
54%
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.

RICKI KUMAR's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

84 42nd percentile higher than 42% 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)

RICKI KUMAR practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — 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 RICKI KUMAR?

Near national average

NPI registry status

Active

Issued 04/13/2017

NPI 1548794761

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

219 75% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

83.9724/100 0.872399999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Hospitalist Physician compares to other specialties among Colorado providers

Colorado providers

Hospitalist Physician share within Colorado

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

Medicare quality performance — MIPS

RICKI KUMAR's 2023 MIPS final score plotted against the Hospitalist Physician national average

Near national average
MIPS Final Score
83.9724/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 83.9724/100 vs national avg 83.1

0%100%National avg83%84%
MIPS final score (Hospitalist Physician) — 83.9724/100 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).

RICKI KUMAR appears in the CMS NPPES registry as a Hospitalist Physician provider at 688 23 1/2 RD STE 303, GRAND JUNCTION, CO, 81505, with a listed phone of (970) 263-2680. NPI 1548794761 was issued on 04/13/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KUMAR 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 219 prescription claims written by this provider, covering 63 Medicare beneficiaries and totaling roughly $123K in drug spend, split 46% brand-name and 54% generic by claim count. 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 83.9724/100 for the 2023 performance year (Quality 73.8008, Cost 57.1654), 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

688 23 1/2 RD STE 303
GRAND JUNCTION, CO 81505

Provider Details

NPI 1548794761
Specialty Hospitalist Physician
Gender Male
NPI Issued 04/13/2017

CMS Quality Score (MIPS)

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

83.9724
Final Score
Avg: 83.1
73.8008
Quality
57.1654
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RICKI KUMAR 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.

VALLEY VIEW HOSPITAL ASSOCIATION
★★★★☆ 4/5
GLENWOOD SPGS, CO
Acute Care Hospitals
CMS CCN: 060075
COLORADO WEST HEALTHCARE SYSTEM
GRAND JUNCTION, CO
COMMUNITY MEDICAL GROUP LLC
GRAND JUNCTION, CO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

RICKI KUMAR — brand share 46.0%
Specialty average (est.)

46% brand-name claims vs 54% generic, on 219 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.

219
Total Claims
$123K
Total Drug Cost
63
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
394
Total Day Supply
11,187
Brand vs Generic
46% brand / 54% generic
Brand Drug Cost
$119K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
1.85
Gender Split
54% female / 46% male

Top Prescribed Drugs (Medicare Part D)

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

What RICKI KUMAR prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
22
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
22
Montelukast Sodium
20
Spiriva Handihaler
Tiotropium Bromide
18
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
14
Prednisone
14

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

Hospitalist Physician Overview

How RICKI KUMAR fits within the Hospitalist Physician landscape nationally.

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

RICKI KUMAR's 219 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Colorado

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

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

Frequently Asked Questions

What is RICKI KUMAR's specialty?
RICKI KUMAR specializes in Hospitalist Physician and practices in GRAND JUNCTION, Colorado.
How much does RICKI KUMAR prescribe under Medicare Part D?
In 2023, RICKI KUMAR wrote 219 Medicare Part D claims totaling $123K in drug costs for 63 beneficiaries.
What is RICKI KUMAR's Medicare quality score?
RICKI KUMAR has a CMS MIPS Final Score of 83.9724/100 (Quality: 73.8008, Cost: 57.1654). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RICKI KUMAR located?
RICKI KUMAR is located at 688 23 1/2 RD STE 303, GRAND JUNCTION, CO, 81505. Phone: (970) 263-2680.
What is RICKI KUMAR's NPI number?
RICKI KUMAR's National Provider Identifier (NPI) is 1548794761, issued on 04/13/2017.
Does RICKI KUMAR prescribe more brand-name or generic drugs?
RICKI KUMAR's prescribing is 46% brand-name and 54% generic drugs by claim count, with $119K in brand drug costs.
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 RICKI KUMAR prescribe most often?
Based on 2023 Medicare Part D data, RICKI KUMAR's most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICKI KUMAR accept Medicare?
RICKI KUMAR appears in CMS Medicare data with 219 Part D claims and 63 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICKI KUMAR's credentials?
RICKI KUMAR's NPI is 1548794761. 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