NPI registry status
Active
2026 NPPES data Facial Plastic Surgery Physician NPI 1851558936 M.D.
Verify on CMS → Roheen Raithatha, M.D.
Facial Plastic Surgery Physician in New York, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 614 in Facial Plastic Surgery 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
181
Medicare Part D claims · 69 beneficiaries · Facial Plastic Surgery Physician avg: 428
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.3/100
▲ 8 pts above national avg 83.1 · Exceptional
Industry payments
$135.3K
167 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
Roheen Raithatha, M.D. reported a CMS MIPS final score of 91.3/100 - above the 83.1 national average - and filed 181 Medicare Part D claims in 2023.
- 91.3/100
- MIPS score · +8 vs avg
- 181
- Part D claims, 2023
- 70%
- 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.
Roheen Raithatha, 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
91 Top 37% higher than 63% 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 Roheen Raithatha, M.D. sits
This provider among facial plastic surgery physician peers
Across the 160 facial plastic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Roheen Raithatha, M.D. writes more Part D claims than 23% of them and scores higher on MIPS quality than 66% - placing this provider in the lower-volume, high-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 facial plastic surgery physician peer from a representative sample of 60; the gold marker is Roheen Raithatha, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Roheen Raithatha, M.D. 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 Roheen Raithatha, M.D.?
High performer (top quartile)Primary specialty
Facial Plastic Surgery Physician
Medicare Part D claims
181 58% vs specialty avg
MIPS final score
91.3/100 8.2 pts vs avg
Specialty distribution in New York
How Facial Plastic Surgery Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Roheen Raithatha, M.D.'s 2023 MIPS final score plotted against the Facial Plastic Surgery Physician national average
- MIPS Final Score
- 91.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Facial Plastic Surgery Physician) - 91.3/100 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).
Roheen Raithatha, M.D. appears in the CMS NPPES registry as a Facial Plastic Surgery Physician provider holding M.D. credentials at 261 5TH AVE RM 901, New York, NY, 10016, with a listed phone of (212) 679-3499. NPI 1851558936 was issued on 05/17/2008.
Medicare Part D records for calendar year 2023 show 181 prescription claims written by this provider, covering 69 Medicare beneficiaries and totaling roughly $183K in drug spend, split 30% brand-name and 70% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.3/100 for the 2023 performance year (Quality 84.2), compared with the national average of 83.1.
Facial Plastic Surgery Physician is a narrow specialty nationwide, with 614 enrolled providers across 47 states and an average of 428 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 | 1851558936 |
|---|---|
| Specialty | Facial Plastic Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/17/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.2882
Final Score
Avg: 83.1
84.1603
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Roheen Raithatha, M.D. 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.
Ent And Allergy Associates LLP
Yonkers, NY
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 Roheen Raithatha, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$135.3K
Largest payer
GENZYME CORPORATION
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.
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Roheen Raithatha, M.D.. To verify Roheen Raithatha, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Roheen Raithatha, M.D. - brand share 30.0%
Facial Plastic Surgery Physician average
30% brand-name claims vs 70% generic, on 181 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.
181
Total Claims
$183K
Total Drug Cost
69
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 225
- Total Day Supply
- 5,429
- Brand vs Generic
- 30% brand / 70% generic
- Brand Drug Cost
- $180K
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 29
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 0.91
- Gender Split
- 46% female / 54% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Roheen Raithatha, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Fluticasone Propio…
Fluticasone Propionate
51 claims
- Dupixent Pen
Dupixent Pen
26 claims
- Dupixent Syringe 14
Dupixent Syringe
14 claims
- Amoxicillin-Clavul… 11
Amoxicillin-Clavulanate Potass
11 claims
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 51 |
| Dupixent Pen Dupilumab | 26 |
| Dupixent Syringe Dupilumab | 14 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Facial Plastic Surgery Physician Overview
How Roheen Raithatha, M.D. fits within the Facial Plastic Surgery Physician landscape nationally.
614
Facial Plastic Surgery Physician Providers in US
47
States with Facial Plastic Surgery Physician
428
Avg Claims per Provider
Roheen Raithatha, M.D.'s 181 claims are below the specialty average of 428.
Nearby Facial Plastic Surgery Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Raithatha.
Dr. Michel Abboud
MD
New York, NY
Dr. Manoj Abraham
M.D., F.A.C.S.
Poughkeepsie, NY
Dr. Stuart Arnold
MD
Manhasset, NY
Dr. Garrett Bennett
M.D.
New York, NY
Dr. Michael Bergstein
M.D.
Tarrytown, NY
Compare Facial Plastic Surgery 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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Facial Plastic Surgery 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 Roheen Raithatha, M.D.'s specialty? ▼
Roheen Raithatha, M.D. specializes in Facial Plastic Surgery Physician and practices in New York, New York. Credentials: M.D..
How much does Roheen Raithatha, M.D. prescribe under Medicare Part D? ▼
In 2023, Roheen Raithatha, M.D. wrote 181 Medicare Part D claims totaling $183K in drug costs for 69 beneficiaries.
What is Roheen Raithatha, M.D.'s Medicare quality score? ▼
Roheen Raithatha, M.D. has a CMS MIPS Final Score of 91.3/100 (Quality: 84.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Roheen Raithatha, M.D. located? ▼
Roheen Raithatha, M.D. is located at 261 5TH AVE RM 901, New York, NY, 10016. Phone: (212) 679-3499.
What is Roheen Raithatha, M.D.'s NPI number? ▼
Roheen Raithatha, M.D.'s National Provider Identifier (NPI) is 1851558936, issued on 05/17/2008.
Does Roheen Raithatha, M.D. prescribe more brand-name or generic drugs? ▼
Roheen Raithatha, M.D.'s prescribing is 30% brand-name and 70% generic drugs by claim count, with $180K in brand drug costs.
How many Facial Plastic Surgery Physician providers are there in the US? ▼
There are 614 Facial Plastic Surgery Physician providers across 47 states in the US. The average Facial Plastic Surgery Physician provider writes 428 Medicare Part D claims per year.
What drugs does Roheen Raithatha, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Roheen Raithatha, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Dupixent Pen, Dupixent Syringe. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Roheen Raithatha, M.D. accept Medicare? ▼
Roheen Raithatha, M.D. appears in CMS Medicare data with 181 Part D claims and 69 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roheen Raithatha, M.D.'s credentials? ▼
Roheen Raithatha, M.D.'s NPI is 1851558936 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
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.