2026 NPPES data Pulmonary Disease Physician NPI 1356470884 MD
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Salvadeeswaran Lakshmi-Narayanan, MD

Pulmonary Disease Physician in Espanola, New Mexico. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease 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 · 232 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
0%
generic claims · 75% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85/100
▲ 2 pts above national avg 83.1 · Above neutral
Industry payments
$21.72
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Salvadeeswaran Lakshmi-Narayanan, MD reported a CMS MIPS final score of 85/100 - above the 83.1 national average - and filed 1,432 Medicare Part D claims in 2023.

85/100
MIPS score · +2 vs avg
1K
Part D claims, 2023
0%
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.

Salvadeeswaran Lakshmi-Narayanan, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

85 49th percentile higher than 49% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Salvadeeswaran Lakshmi-Narayanan, MD sits

This provider among pulmonary disease physician peers

Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Salvadeeswaran Lakshmi-Narayanan, MD writes more Part D claims than 59% of them and scores higher on MIPS quality than 52% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 40Salvadeeswaran Lakshmi-Narayanan, MD-Part D claim volume, percentile in specialty: 59 · MIPS quality, percentile: 52
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Salvadeeswaran Lakshmi-Narayanan, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Salvadeeswaran Lakshmi-Narayanan, MD 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 Salvadeeswaran Lakshmi-Narayanan, MD?

High performer (top quartile)

NPI registry status

Active

Issued 03/02/2007

NPI 1356470884

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,432 2% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

85/100 1.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Pulmonary Disease Physician compares to other specialties among New Mexico providers

New Mexico providers

Largest specialties in New Mexico (% of in-state providers)

Behavior Technician - 9.5%Behavior Technician9.5%Case Manager/Care Coordinator - 6.3%Case Manager/Care Coordinator6.3%Mental Health Counselor - 5.1%Mental Health Counselor5.1%Student in an Organized Health Care Education/Training Program - 3.9%Student in an Organized Health Care Education/Training Program3.9%Counselor - 3.8%Counselor3.8%Clinical Social Worker - 3.8%Clinical Social Worker3.8%Pulmonary Disease Physician - 0.1%Pulmonary Disease Physician0.1%
Largest specialties in New Mexico (% of in-state providers)

Medicare quality performance, MIPS

Salvadeeswaran Lakshmi-Narayanan, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

High performer (top quartile)
MIPS Final Score
85/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) - 85/100 vs national avg 83.1

0%100%National avg83%85%
MIPS final score (Pulmonary Disease Physician) - 85/100 vs national avg 83.1

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).

Salvadeeswaran Lakshmi-Narayanan, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 1010 SPRUCE ST, Espanola, NM, 87532, with a listed phone of (505) 367-0340. NPI 1356470884 was issued on 03/02/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Lakshmi-Narayanan most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,432 prescription claims written by this provider, covering 232 Medicare beneficiaries and totaling roughly $524K in drug spend, split 75% brand-name and 0% generic by claim count. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85/100 for the 2023 performance year (Quality 100, Cost 100), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

1010 SPRUCE ST
Espanola, NM 87532

Provider Details

NPI 1356470884
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 03/02/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

85
Final Score
Avg: 83.1
100
Quality
100
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Salvadeeswaran Lakshmi-Narayanan, 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.

Presbyterian Healthcare Services
Espanola, NM

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 Salvadeeswaran Lakshmi-Narayanan, MD. Source: openpaymentsdata.cms.gov.

Total received

$22

Largest payer

AstraZeneca Pharmaceuticals LP

Most common payment type

Education

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 · Brand-heavy

Salvadeeswaran Lakshmi-Narayanan, MD - brand share 75.0%
Pulmonary Disease Physician average

75% brand-name claims vs 0% generic, on 1,432 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.

1,432
Total Claims
$524K
Total Drug Cost
232
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,908
Total Day Supply
52,425
Brand vs Generic
75% brand / 0% generic
Brand Drug Cost
$514K
Antibiotic Claims
48

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.64
Gender Split
56% female / 44% male
Age Distribution
<65: 51, 65-74: 97, 75-84: 70, 85+: 14

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Salvadeeswaran Lakshmi-Narayanan, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
212
Ventolin Hfa
Albuterol Sulfate
144
Symbicort
Budesonide/Formoterol Fumarate
122
Spiriva Respimat
Tiotropium Bromide
111
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
82
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
78
Montelukast Sodium
76
Flovent Hfa
Fluticasone Propionate
73
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
70
Prednisone
56

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pulmonary Disease Physician Overview

How Salvadeeswaran Lakshmi-Narayanan, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

Salvadeeswaran Lakshmi-Narayanan, MD's 1,432 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Lakshmi-Narayanan.

Compare Pulmonary Disease 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 Mexico medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pulmonary Disease 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.

Frequently Asked Questions

What is Salvadeeswaran Lakshmi-Narayanan, MD's specialty?
Salvadeeswaran Lakshmi-Narayanan, MD specializes in Pulmonary Disease Physician and practices in Espanola, New Mexico. Credentials: MD.
How much does Salvadeeswaran Lakshmi-Narayanan, MD prescribe under Medicare Part D?
In 2023, Salvadeeswaran Lakshmi-Narayanan, MD wrote 1,432 Medicare Part D claims totaling $524K in drug costs for 232 beneficiaries.
What is Salvadeeswaran Lakshmi-Narayanan, MD's Medicare quality score?
Salvadeeswaran Lakshmi-Narayanan, MD has a CMS MIPS Final Score of 85/100 (Quality: 100, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Salvadeeswaran Lakshmi-Narayanan, MD located?
Salvadeeswaran Lakshmi-Narayanan, MD is located at 1010 SPRUCE ST, Espanola, NM, 87532. Phone: (505) 367-0340.
What is Salvadeeswaran Lakshmi-Narayanan, MD's NPI number?
Salvadeeswaran Lakshmi-Narayanan, MD's National Provider Identifier (NPI) is 1356470884, issued on 03/02/2007.
Does Salvadeeswaran Lakshmi-Narayanan, MD prescribe more brand-name or generic drugs?
Salvadeeswaran Lakshmi-Narayanan, MD's prescribing is 75% brand-name and 0% generic drugs by claim count, with $514K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Salvadeeswaran Lakshmi-Narayanan, MD prescribe most often?
Based on 2023 Medicare Part D data, Salvadeeswaran Lakshmi-Narayanan, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Ventolin Hfa, Symbicort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Salvadeeswaran Lakshmi-Narayanan, MD accept Medicare?
Salvadeeswaran Lakshmi-Narayanan, MD appears in CMS Medicare data with 1,432 Part D claims and 232 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Salvadeeswaran Lakshmi-Narayanan, MD's credentials?
Salvadeeswaran Lakshmi-Narayanan, MD's NPI is 1356470884 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

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.