NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1225531635
Verify on CMS → Roopa Achuri
Physician Assistant in Neenah, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 149,975 in Physician Assistant, 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
2K
Medicare Part D claims · 408 beneficiaries · Physician Assistant avg: 790
Generic prescribing
89%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$3.0K
132 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
Roopa Achuri filed 1,918 Medicare Part D claims in 2023 as a Physician Assistant in Neenah, Wisconsin, prescribing 89% generic.
- 2K
- Part D claims, 2023
- 89%
- generic prescribing
- $3.0K
- industry payments (Sunshine Act)
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.
Roopa Achuri's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,918 Top 16% higher than 84% 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
What does the federal data show about Roopa Achuri?
Quality data not reportedPrimary specialty
Physician Assistant
Medicare Part D claims
1,918 143% vs specialty avg
Specialty distribution in Wisconsin
How Physician Assistant compares to other specialties among Wisconsin 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 Physician Assistant. 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).
Roopa Achuri appears in the CMS NPPES registry as a Physician Assistant provider at 200 THEDA CLARK MEDICAL PLZ STE 240, Neenah, WI, 54956, with a listed phone of (920) 831-5050. NPI 1225531635 was issued on 03/12/2018.
Medicare Part D records for calendar year 2023 show 1,918 prescription claims written by this provider, covering 408 Medicare beneficiaries and totaling roughly $975K in drug spend, split 10% brand-name and 89% generic by claim count, with an opioid prescribing rate of 5.8%.
Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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 | 1225531635 |
|---|---|
| Specialty | Physician Assistant |
| Gender | Female |
| NPI Issued | 03/12/2018 |
Hospital and facility affiliations
Facilities where Roopa Achuri 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.
Arthritis Consultants OF Tidewater
Virginia Beach, VA
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 Roopa Achuri. Source: openpaymentsdata.cms.gov.
Total received
$3.0K
Largest payer
Amgen 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.
Brand vs generic prescribing mix · Typical
Roopa Achuri - brand share 10.0%
Physician Assistant average
10% brand-name claims vs 89% generic, on 1,918 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.
1,918
Total Claims
$975K
Total Drug Cost
408
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,861
- Total Day Supply
- 112,587
- Brand vs Generic
- 10% brand / 89% generic
- Brand Drug Cost
- $928K
- Generic Drug Cost
- $47K
- Opioid Claims
- 111 (5.8% rate)
Patient Demographics
- Average Patient Age
- 71.7 years
- Avg HCC Risk Score
- 1.45
- Gender Split
- 77% female / 23% male
- Age Distribution
- <65: 61, 65-74: 189, 75-84: 122, 85+: 36
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Roopa Achuri prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
262 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
201 claims
- Methotrexate
Methotrexate
141 claims
- Celecoxib
Celecoxib
127 claims
- Gabapentin
Gabapentin
125 claims
- Tramadol Hcl 104
Tramadol Hcl
104 claims
- Alendronate Sodium 95
Alendronate Sodium
95 claims
- Meloxicam 85
Meloxicam
85 claims
| Drug | Claims |
|---|---|
| Prednisone | 262 |
| Hydroxychloroquine Sulfate | 201 |
| Methotrexate Methotrexate Sodium | 141 |
| Celecoxib | 127 |
| Gabapentin | 125 |
| Tramadol Hcl | 104 |
| Alendronate Sodium | 95 |
| Meloxicam | 85 |
| Allopurinol | 74 |
| Diclofenac Sodium | 45 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Roopa Achuri fits within the Physician Assistant landscape nationally.
149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider
Roopa Achuri's 1,918 claims are above the specialty average of 790.
Nearby Physician Assistant Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Achuri.
Dr. Amber Abraham
PA-C
Green Bay, WI
Dr. Carleen Acker
PA-C
Madison, WI
Dr. Lauren Ackerman
PA-C
Cudahy, WI
Dr. Jocelyn Acompanado
PA-C
Sheboygan, WI
Dr. Kora Adam
PA-C
Burlington, WI
Compare Physician Assistant 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 Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Physician Assistant 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
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How insurance networks affect your costs
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Explore Wisconsin
Frequently Asked Questions
What is Roopa Achuri's specialty? ▼
Roopa Achuri specializes in Physician Assistant and practices in Neenah, Wisconsin.
How much does Roopa Achuri prescribe under Medicare Part D? ▼
In 2023, Roopa Achuri wrote 1,918 Medicare Part D claims totaling $975K in drug costs for 408 beneficiaries.
Where is Roopa Achuri located? ▼
Roopa Achuri is located at 200 THEDA CLARK MEDICAL PLZ STE 240, Neenah, WI, 54956. Phone: (920) 831-5050.
What is Roopa Achuri's NPI number? ▼
Roopa Achuri's National Provider Identifier (NPI) is 1225531635, issued on 03/12/2018.
Does Roopa Achuri prescribe more brand-name or generic drugs? ▼
Roopa Achuri's prescribing is 10% brand-name and 89% generic drugs by claim count, with $928K in brand drug costs.
Does Roopa Achuri prescribe opioids? ▼
Yes, Roopa Achuri had 111 opioid claims in 2023 with an opioid prescribing rate of 5.8%.
How many Physician Assistant providers are there in the US? ▼
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does Roopa Achuri prescribe most often? ▼
Based on 2023 Medicare Part D data, Roopa Achuri's most frequently prescribed drugs include Prednisone, Hydroxychloroquine Sulfate, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Roopa Achuri accept Medicare? ▼
Roopa Achuri appears in CMS Medicare data with 1,918 Part D claims and 408 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roopa Achuri's credentials? ▼
Roopa Achuri's NPI is 1225531635. 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.