NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1255506903 MD
Verify on CMS → Rohini Bogineni, MD
Surgery Physician in Modesto, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,191 in 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
172
Medicare Part D claims · 114 beneficiaries · Surgery Physician avg: 169
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$2.0K
19 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
Rohini Bogineni, MD filed 172 Medicare Part D claims in 2023 as a Surgery Physician in Modesto, California, prescribing 91% generic.
- 172
- Part D claims, 2023
- 91%
- 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.
Rohini Bogineni, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
172 35th percentile higher than 35% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Rohini Bogineni, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Rohini Bogineni, MD?
Quality data not reportedPrimary specialty
Surgery Physician
Medicare Part D claims
172 2% vs specialty avg
Specialty distribution in California
How Surgery Physician compares to other specialties among California providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Surgery Physician. Verify directly:
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).
Rohini Bogineni, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 1541 FLORIDA AVE STE 200, Modesto, CA, 95350, with a listed phone of (209) 577-3388. NPI 1255506903 was issued on 04/24/2008.
Medicare Part D records for calendar year 2023 show 172 prescription claims written by this provider, covering 114 Medicare beneficiaries and totaling roughly $3K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 51.2%.
Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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 | 1255506903 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 04/24/2008 |
Hospital and facility affiliations
Facilities where Rohini Bogineni, 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.
First Choice Physician Partners
Modesto, CA
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 Rohini Bogineni, MD. Source: openpaymentsdata.cms.gov.
Total received
$2.0K
Largest payer
INTUITIVE SURGICAL, INC.
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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Rohini Bogineni, MD. To verify Rohini Bogineni, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Rohini Bogineni, MD - brand share 9.0%
Surgery Physician average
9% brand-name claims vs 91% generic, on 172 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.
172
Total Claims
$3K
Total Drug Cost
114
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 200
- Total Day Supply
- 2,547
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $750
- Generic Drug Cost
- $2K
- Opioid Claims
- 88 (51.2% rate)
- Antibiotic Claims
- 34
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.28
- Gender Split
- 67% female / 33% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 75 |
| Levothyroxine Sodium | 19 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How Rohini Bogineni, MD fits within the Surgery Physician landscape nationally.
36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider
Rohini Bogineni, MD's 172 claims are above the specialty average of 169.
Nearby Surgery Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Bogineni.
Dr. Oliver Aalami
M.D.
Stanford, CA
Dr. Shahram Aarabi
MD
Oakland, CA
Dr. Miriam Abaunza
M.D.
Los Angeles, CA
Dr. Benjamin Abbadessa
M.D.
San Diego, CA
Abdul-Rahman Abdel-Reheem
Los Angeles, CA
Compare 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 California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
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Frequently Asked Questions
What is Rohini Bogineni, MD's specialty? ▼
Rohini Bogineni, MD specializes in Surgery Physician and practices in Modesto, California. Credentials: MD.
How much does Rohini Bogineni, MD prescribe under Medicare Part D? ▼
In 2023, Rohini Bogineni, MD wrote 172 Medicare Part D claims totaling $3K in drug costs for 114 beneficiaries.
Where is Rohini Bogineni, MD located? ▼
Rohini Bogineni, MD is located at 1541 FLORIDA AVE STE 200, Modesto, CA, 95350. Phone: (209) 577-3388.
What is Rohini Bogineni, MD's NPI number? ▼
Rohini Bogineni, MD's National Provider Identifier (NPI) is 1255506903, issued on 04/24/2008.
Does Rohini Bogineni, MD prescribe more brand-name or generic drugs? ▼
Rohini Bogineni, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $750 in brand drug costs.
Does Rohini Bogineni, MD prescribe opioids? ▼
Yes, Rohini Bogineni, MD had 88 opioid claims in 2023 with an opioid prescribing rate of 51.2%.
How many Surgery Physician providers are there in the US? ▼
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does Rohini Bogineni, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Rohini Bogineni, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rohini Bogineni, MD accept Medicare? ▼
Rohini Bogineni, MD appears in CMS Medicare data with 172 Part D claims and 114 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rohini Bogineni, MD's credentials? ▼
Rohini Bogineni, MD's NPI is 1255506903 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.
- 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.