SAMBA SIVA REDDY BATHULA, M.D appears in the CMS NPPES registry as a Pediatric Otolaryngology Physician provider holding M.D credentials at 4160 JOHN R ST STE 1007, DETROIT, MI, 48201, with a listed phone of (313) 966-9471. NPI 1013223239 was issued on 08/25/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BATHULA 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 780 prescription claims written by this provider, covering 255 Medicare beneficiaries and totaling roughly $16K in drug spend, split 3% brand-name and 97% 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 80.5931/100 for the 2023 performance year (Quality 53.5515, Cost 52.0303), compared with the national average of 83.1.

Pediatric Otolaryngology Physician is a narrow specialty nationwide, with 574 enrolled providers across 43 states and an average of 313 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.