NPI registry status
Active
2026 NPPES data Specialist NPI 1497720650 MD
Verify on CMS → Rogi Paul, MD
Specialist in Murrysville, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,567 in Specialist, 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
17K
Medicare Part D claims · 411 beneficiaries · Specialist avg: 2K
Generic prescribing
82%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.5/100
▼ 5 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Rogi Paul, MD reported a CMS MIPS final score of 78.5/100 - below the 83.5 national average - and filed 17,100 Medicare Part D claims in 2024.
- 78.5/100
- MIPS score · -5 vs avg
- 17K
- Part D claims, 2024
- 82%
- generic prescribing
- ≥23rd
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Rogi Paul, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1497720650), first enumerated 02/21/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 17,100 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 78.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Rogi Paul, MD's individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1497720650 · Specialist
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-BELOW · RX-HEAVY · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1497720650
- ENUM-LEGACY 2006
- TAX-MEGA 70K Specialist
- MIPS-BELOW 78.5/100
- RX-HEAVY 17K claims
- BOOK-LIGHT 2,448 in Pennsylvania
- PHOTO-FINISH Robert Pinke, M.D. · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Paul · this prov…
Paul · this provider
78.5 MIPS pts
- Konrad Stepniako…
Konrad Stepniakowski, MD
78.5 MIPS pts
- Frederick Simoni…
Frederick Simonie, M.D.
78.6 MIPS pts
- Eileen Bishop, M…
Eileen Bishop, M.D.
78.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Rogi Paul, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
79 ≥ 23rd percentile 23% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Rogi Paul, MD sits
This provider among specialist peers
Across the 4,261 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Rogi Paul, MD writes more Part D claims than 99% of them and scores higher on MIPS quality than 37% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one specialist peer from a representative sample of 60; the gold marker is Rogi Paul, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Rogi Paul, MD?
Near national averagePrimary specialty
Specialist
Medicare Part D claims
17,100 11× vs specialty avg
MIPS final score
78.5/100 5 pts vs avg
Specialty distribution in Pennsylvania
How Specialist compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Rogi Paul, MD's 2023 MIPS final score plotted against the Specialist national average
- MIPS Final Score
- 78.5/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1497720650 |
|---|---|
| Specialty | Specialist |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/21/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.5339
Final Score
Measured-score avg: 83.5
74.6181
Quality
53.8283
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Rogi Paul, 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.
Upmc Community Medicine Inc
Monroeville, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Rogi Paul, MD. To verify Rogi Paul, MD'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.
Brand vs generic prescribing mix · Typical
Rogi Paul, MD - brand share 17.0%
Specialist average
17% brand-name claims vs 82% generic, on 17,100 2024 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 2024.
17,100
Total Claims
$1.3M
Total Drug Cost
411
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 22,594.467
- Total Day Supply
- 584,895
- Brand vs Generic
- 17% brand / 82% generic
- Brand Drug Cost
- $889K
- Generic Drug Cost
- $366K
- Opioid Claims
- 241 (1.4% rate)
- Antibiotic Claims
- 404
Patient Demographics
- Average Patient Age
- 76.3 years
- Avg HCC Risk Score
- 2.07
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 43, 65-74: 141, 75-84: 117, 85+: 110
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Rogi Paul, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
962 claims
- Eliquis
Eliquis
733 claims
- Levothyroxine Sodium
Levothyroxine Sodium
587 claims
- Gabapentin
Gabapentin
549 claims
- Furosemide
Furosemide
520 claims
- Pantoprazole Sodium
Pantoprazole Sodium
433 claims
- Amlodipine Besylate
Amlodipine Besylate
423 claims
- Lisinopril
Lisinopril
405 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 962 |
| Eliquis Apixaban | 733 |
| Levothyroxine Sodium | 587 |
| Gabapentin | 549 |
| Furosemide | 520 |
| Pantoprazole Sodium | 433 |
| Amlodipine Besylate | 423 |
| Lisinopril | 405 |
| Trazodone Hcl | 393 |
| Sertraline Hcl | 355 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Specialist Overview
How Rogi Paul, MD fits within the Specialist landscape nationally.
69,567
Specialist Providers in US
55
States with Specialist
1,524
Avg Claims per Provider
Rogi Paul, MD's 17,100 claims are above the specialty average of 1,524.
Nationwide Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Paul, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (78.5 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Specialist Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Paul.
One of 2,448 Specialist providers enrolled in Pennsylvania, 5 are shown here.
Dr. Edwin Abbott
D.O
West Chester, PA
Rula Abbud-Antaki
Allison Park, PA
Dr. Elie Abdallah
M.D.
Greensburg, PA
Dr. Houssam Abdul-Al
M.D.
Danville, PA
Dr. Raed Abdullah
MD
Pittsburgh, PA
Compare Specialist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Rogi Paul, MD's specialty? ▼
Rogi Paul, MD specializes in Specialist and practices in Murrysville, Pennsylvania. Credentials: MD.
How much does Rogi Paul, MD prescribe under Medicare Part D? ▼
In 2024, Rogi Paul, MD wrote 17,100 Medicare Part D claims totaling $1.3M in drug costs for 411 beneficiaries.
What is Rogi Paul, MD's Medicare quality score? ▼
Rogi Paul, MD has a CMS MIPS Final Score of 78.5/100 (Quality: 74.6, Cost: 53.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rogi Paul, MD located? ▼
Rogi Paul, MD is located at 4212 OLD WILLIAM PENN HWY, Murrysville, PA, 15668. Phone: (724) 733-1725.
What is Rogi Paul, MD's NPI number? ▼
Rogi Paul, MD's National Provider Identifier (NPI) is 1497720650, issued on 02/21/2006.
Does Rogi Paul, MD prescribe more brand-name or generic drugs? ▼
Rogi Paul, MD's prescribing is 17% brand-name and 82% generic drugs by claim count, with $889K in brand drug costs.
Does Rogi Paul, MD prescribe opioids? ▼
Yes, Rogi Paul, MD had 241 opioid claims in 2024 with an opioid prescribing rate of 1.4%.
How many Specialist providers are there in the US? ▼
There are 69,567 Specialist providers across 55 states in the US. The average Specialist provider writes 1,524 Medicare Part D claims per year.
What drugs does Rogi Paul, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Rogi Paul, MD's most frequently prescribed drugs include Atorvastatin Calcium, Eliquis, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rogi Paul, MD accept Medicare? ▼
Rogi Paul, MD appears in CMS Medicare data with 17,100 Part D claims and 411 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rogi Paul, MD's credentials? ▼
Rogi Paul, MD's NPI is 1497720650 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.