NPI registry status
Active
2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1245693928 D.O.
Verify on CMS → Rohit Navlani, D.O.
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Middletown, 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 1,630 in Pain Medicine (Physical Medicine & Rehabilitation) 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
1K
Medicare Part D claims · 433 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.3/100
▲ 8 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Rohit Navlani, D.O. reported a CMS MIPS final score of 91.3/100 - above the 83.5 national average - and filed 1,141 Medicare Part D claims in 2023.
- 91.3/100
- MIPS score · +8 vs avg
- 1K
- Part D claims, 2023
- 98%
- 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.
Rohit Navlani, D.O.'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.
91 ≥ 61st percentile 61% 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 Rohit Navlani, D.O. sits
This provider among pain medicine (physical medicine & rehabilitation) physician peers
Across the 430 pain medicine (physical medicine & rehabilitation) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Rohit Navlani, D.O. writes more Part D claims than 64% of them and scores higher on MIPS quality than 69% - placing this provider in the high-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 pain medicine (physical medicine & rehabilitation) physician peer from a representative sample of 60; the gold marker is Rohit Navlani, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Rohit Navlani, D.O. 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 Rohit Navlani, D.O.?
High performer (top quartile)Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
1,141 19% vs specialty avg
MIPS final score
91.3/100 7.8 pts vs avg
Specialty distribution in New York
How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Rohit Navlani, D.O.'s 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average
- MIPS Final Score
- 91.3/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) - 91.3/100 vs national avg 83.5
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).
Rohit Navlani, D.O. appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding D.O. credentials at 155 CRYSTAL RUN RD, Middletown, NY, 10941, with a listed phone of (845) 703-6999. NPI 1245693928 was issued on 03/31/2016.
Medicare Part D records for calendar year 2023 show 1,141 prescription claims written by this provider, covering 433 Medicare beneficiaries and totaling roughly $33K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 56.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.3/100 for the 2023 performance year (Quality 74.9), compared with the 83.5 average among clinicians with a measured score.
Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,630 enrolled providers across 50 states and an average of 1,401 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 | 1245693928 |
|---|---|
| Specialty | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | D.O. |
| Gender | Male |
| NPI Issued | 03/31/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.2532
Final Score
Measured-score avg: 83.5
74.9203
Quality
91.6794
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Rohit Navlani, D.O. 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.
Peconic Bay Primary Medical Care
Riverhead, 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).
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 Rohit Navlani, D.O.. To verify Rohit Navlani, D.O.'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 · Generic-heavy
Rohit Navlani, D.O. - brand share 2.0%
Pain Medicine (Physical Medicine & Rehabilitation) Physician average
2% brand-name claims vs 98% generic, on 1,141 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.
1,141
Total Claims
$33K
Total Drug Cost
433
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,221
- Total Day Supply
- 29,749
- Brand vs Generic
- 2% brand / 98% generic
- Brand Drug Cost
- $5K
- Generic Drug Cost
- $28K
- Opioid Claims
- 641 (56.2% rate)
Patient Demographics
- Average Patient Age
- 71.8 years
- Avg HCC Risk Score
- 1.51
- Gender Split
- 68% female / 32% male
- Age Distribution
- <65: 81, 65-74: 176, 75-84: 139, 85+: 37
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Rohit Navlani, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tramadol Hcl
Tramadol Hcl
258 claims
- Gabapentin
Gabapentin
225 claims
- Acetaminophen-Code…
Acetaminophen-Codeine
160 claims
- Oxycodone Hcl 53
Oxycodone Hcl
53 claims
- Hydrocodone-Acetam… 51
Hydrocodone-Acetaminophen
51 claims
- Oxycodone-Acetamin… 44
Oxycodone-Acetaminophen
44 claims
- Pregabalin 42
Pregabalin
42 claims
- Baclofen 39
Baclofen
39 claims
| Drug | Claims |
|---|---|
| Tramadol Hcl | 258 |
| Gabapentin | 225 |
| Acetaminophen-Codeine Acetaminophen With Codeine | 160 |
| Oxycodone Hcl | 53 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 51 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 44 |
| Pregabalin | 42 |
| Baclofen | 39 |
| Buprenorphine | 33 |
| Cyclobenzaprine Hcl | 31 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Physical Medicine & Rehabilitation) Physician in NY →
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Compare specialties →
Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Rohit Navlani, D.O. fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,630
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider
Rohit Navlani, D.O.'s 1,141 claims are below the specialty average of 1,401.
Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Navlani.
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 Pain Medicine (Physical Medicine & Rehabilitation) 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 Rohit Navlani, D.O.'s specialty? ▼
Rohit Navlani, D.O. specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in Middletown, New York. Credentials: D.O..
How much does Rohit Navlani, D.O. prescribe under Medicare Part D? ▼
In 2023, Rohit Navlani, D.O. wrote 1,141 Medicare Part D claims totaling $33K in drug costs for 433 beneficiaries.
What is Rohit Navlani, D.O.'s Medicare quality score? ▼
Rohit Navlani, D.O. has a CMS MIPS Final Score of 91.3/100 (Quality: 74.9). 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 Rohit Navlani, D.O. located? ▼
Rohit Navlani, D.O. is located at 155 CRYSTAL RUN RD, Middletown, NY, 10941. Phone: (845) 703-6999.
What is Rohit Navlani, D.O.'s NPI number? ▼
Rohit Navlani, D.O.'s National Provider Identifier (NPI) is 1245693928, issued on 03/31/2016.
Does Rohit Navlani, D.O. prescribe more brand-name or generic drugs? ▼
Rohit Navlani, D.O.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $5K in brand drug costs.
Does Rohit Navlani, D.O. prescribe opioids? ▼
Yes, Rohit Navlani, D.O. had 641 opioid claims in 2023 with an opioid prescribing rate of 56.2%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,630 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does Rohit Navlani, D.O. prescribe most often? ▼
Based on 2023 Medicare Part D data, Rohit Navlani, D.O.'s most frequently prescribed drugs include Tramadol Hcl, Gabapentin, Acetaminophen-Codeine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rohit Navlani, D.O. accept Medicare? ▼
Rohit Navlani, D.O. appears in CMS Medicare data with 1,141 Part D claims and 433 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rohit Navlani, D.O.'s credentials? ▼
Rohit Navlani, D.O.'s NPI is 1245693928 with credentials D.O.. 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
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.