NPI registry status
Active
2026 NPPES data Pediatric Nephrology Physician NPI 1295939734 MD
Verify on CMS → Rupesh Raina, MD
Pediatric Nephrology Physician in Akron, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 724 in Pediatric Nephrology 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
809
Medicare Part D claims · 159 beneficiaries · Pediatric Nephrology Physician avg: 97
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$3.6K
13 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
Rupesh Raina, MD filed 809 Medicare Part D claims in 2023 as a Pediatric Nephrology Physician in Akron, Ohio, prescribing 81% generic.
- 809
- Part D claims, 2023
- 81%
- 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.
Rupesh Raina, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
809 Top 27% higher than 73% 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)
Rupesh Raina, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - 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 Rupesh Raina, MD?
Quality data not reportedPrimary specialty
Pediatric Nephrology Physician
Medicare Part D claims
809 8× vs specialty avg
Specialty distribution in Ohio
How Pediatric Nephrology Physician compares to other specialties among Ohio 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 Pediatric Nephrology 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).
Rupesh Raina, MD appears in the CMS NPPES registry as a Pediatric Nephrology Physician provider holding MD credentials at 224 W EXCHANGE ST, Akron, OH, 44302, with a listed phone of (330) 436-3150. NPI 1295939734 was issued on 06/11/2007.
Medicare Part D records for calendar year 2023 show 809 prescription claims written by this provider, covering 159 Medicare beneficiaries and totaling roughly $470K in drug spend, split 19% brand-name and 81% generic by claim count.
Pediatric Nephrology Physician is a narrow specialty nationwide, with 724 enrolled providers across 50 states and an average of 97 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 | 1295939734 |
|---|---|
| Specialty | Pediatric Nephrology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/11/2007 |
Hospital and facility affiliations
Facilities where Rupesh Raina, 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.
Americare Kidney Institute LLC
Westlake, OH
Children's Hospital Medical Center OF Akron
Akron, OH
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 Rupesh Raina, MD. Source: openpaymentsdata.cms.gov.
Total received
$3.6K
Largest payer
Novartis Pharmaceuticals 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 - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Rupesh Raina, MD. To verify Rupesh Raina, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Rupesh Raina, MD - brand share 19.0%
Pediatric Nephrology Physician average
19% brand-name claims vs 81% generic, on 809 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.
809
Total Claims
$470K
Total Drug Cost
159
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,510
- Total Day Supply
- 44,112
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $410K
- Generic Drug Cost
- $60K
- Antibiotic Claims
- 42
Patient Demographics
- Average Patient Age
- 69.4 years
- Avg HCC Risk Score
- 4.84
- Gender Split
- 47% female / 53% male
- Age Distribution
- <65: 39, 65-74: 52, 75-84: 52, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Rupesh Raina, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Furosemide
Furosemide
58 claims
- Amlodipine Besylate
Amlodipine Besylate
53 claims
- Sevelamer Carbonate
Sevelamer Carbonate
45 claims
- Velphoro
Velphoro
41 claims
- Lisinopril
Lisinopril
35 claims
- Allopurinol
Allopurinol
34 claims
- Hydralazine Hcl
Hydralazine Hcl
31 claims
- Torsemide
Torsemide
31 claims
| Drug | Claims |
|---|---|
| Furosemide | 58 |
| Amlodipine Besylate | 53 |
| Sevelamer Carbonate | 45 |
| Velphoro Sucroferric Oxyhydroxide | 41 |
| Lisinopril | 35 |
| Allopurinol | 34 |
| Hydralazine Hcl | 31 |
| Torsemide | 31 |
| Farxiga Dapagliflozin Propanediol | 29 |
| Bumetanide | 26 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Nephrology Physician Overview
How Rupesh Raina, MD fits within the Pediatric Nephrology Physician landscape nationally.
724
Pediatric Nephrology Physician Providers in US
50
States with Pediatric Nephrology Physician
97
Avg Claims per Provider
Rupesh Raina, MD's 809 claims are above the specialty average of 97.
Nearby Pediatric Nephrology Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Raina.
Dr. Donald Batisky
MD
Cincinnati, OH
Dr. Michael Becknell
MD, PHD
Columbus, OH
Dr. Amy Bobrowski
M.D.
Cleveland, OH
Dr. Ben Brouhard
MD
Cleveland, OH
Dr. Timothy Bunchman
MD
Akron, OH
Compare Pediatric Nephrology 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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Nephrology 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
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Rupesh Raina, MD's specialty? ▼
Rupesh Raina, MD specializes in Pediatric Nephrology Physician and practices in Akron, Ohio. Credentials: MD.
How much does Rupesh Raina, MD prescribe under Medicare Part D? ▼
In 2023, Rupesh Raina, MD wrote 809 Medicare Part D claims totaling $470K in drug costs for 159 beneficiaries.
Where is Rupesh Raina, MD located? ▼
Rupesh Raina, MD is located at 224 W EXCHANGE ST, Akron, OH, 44302. Phone: (330) 436-3150.
What is Rupesh Raina, MD's NPI number? ▼
Rupesh Raina, MD's National Provider Identifier (NPI) is 1295939734, issued on 06/11/2007.
Does Rupesh Raina, MD prescribe more brand-name or generic drugs? ▼
Rupesh Raina, MD's prescribing is 19% brand-name and 81% generic drugs by claim count, with $410K in brand drug costs.
How many Pediatric Nephrology Physician providers are there in the US? ▼
There are 724 Pediatric Nephrology Physician providers across 50 states in the US. The average Pediatric Nephrology Physician provider writes 97 Medicare Part D claims per year.
What drugs does Rupesh Raina, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Rupesh Raina, MD's most frequently prescribed drugs include Furosemide, Amlodipine Besylate, Sevelamer Carbonate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rupesh Raina, MD accept Medicare? ▼
Rupesh Raina, MD appears in CMS Medicare data with 809 Part D claims and 159 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rupesh Raina, MD's credentials? ▼
Rupesh Raina, MD's NPI is 1295939734 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.
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.