NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1194706143 M.D.
Verify on CMS → Sandhya Adusumilli, M.D.
Rheumatology Physician in Lancaster, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,377 in Rheumatology 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
4K
Medicare Part D claims · 522 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
79%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Sandhya Adusumilli, M.D. filed 3,739 Medicare Part D claims in 2024 as a Rheumatology Physician in Lancaster, Pennsylvania, prescribing 79% generic.
- 4K
- Part D claims, 2024
- 79%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥91st
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Sandhya Adusumilli, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1194706143), first enumerated 11/08/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 3,739 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Sandhya Adusumilli, M.D.'s individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1194706143 · Rheumatology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1194706143
- ENUM-LEGACY 2005
- TAX-MID 6K Rheumatology Physician
- RX-MID 3,739
- BOOK-THIN 336 in Pennsylvania
- PHOTO-ENUM Gary Rosenblum · 2005
Sandhya Adusumilli, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
3,739 ≥ 91st percentile 91% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Sandhya Adusumilli, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Sandhya Adusumilli, M.D.?
Quality data not reportedPrimary specialty
Rheumatology Physician
Medicare Part D claims
3,739 82% vs specialty avg
Specialty distribution in Pennsylvania
How Rheumatology Physician compares to other specialties among Pennsylvania 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 Rheumatology 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).
Practice Address
Provider Details
| NPI | 1194706143 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 11/08/2005 |
Hospital and facility affiliations
Facilities where Sandhya Adusumilli, M.D. 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.
Lancaster General Medical Group
Ephrata, PA
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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Sandhya Adusumilli, M.D.. To verify Sandhya Adusumilli, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Sandhya Adusumilli, M.D. - brand share 18.0%
Rheumatology Physician average
18% brand-name claims vs 79% generic, on 3,739 2024 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 2024.
3,739
Total Claims
$1.9M
Total Drug Cost
522
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,713.967
- Total Day Supply
- 197,938
- Brand vs Generic
- 18% brand / 79% generic
- Brand Drug Cost
- $1.8M
- Generic Drug Cost
- $91K
- Opioid Claims
- 67 (1.8% rate)
Patient Demographics
- Average Patient Age
- 73.9 years
- Avg HCC Risk Score
- 1.57
- Gender Split
- 75% female / 25% male
- Age Distribution
- <65: 50, 65-74: 213, 75-84: 207, 85+: 52
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Sandhya Adusumilli, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
1,190 claims
- Methotrexate 428
Methotrexate
428 claims
- Sulfasalazine 394
Sulfasalazine
394 claims
- Alendronate Sodium 312
Alendronate Sodium
312 claims
- Prednisone 227
Prednisone
227 claims
- Duloxetine Hcl 150
Duloxetine Hcl
150 claims
- Leflunomide 102
Leflunomide
102 claims
- Ultra-Fine Mini Pe… 70
Ultra-Fine Mini Pen Needle
70 claims
| Drug | Claims |
|---|---|
| Hydroxychloroquine Sulfate | 1,190 |
| Methotrexate Methotrexate Sodium | 428 |
| Sulfasalazine | 394 |
| Alendronate Sodium | 312 |
| Prednisone | 227 |
| Duloxetine Hcl | 150 |
| Leflunomide | 102 |
| Ultra-Fine Mini Pen Needle Pen Needle, Diabetic | 70 |
| Humira(Cf) Pen Adalimumab | 66 |
| Enbrel Sureclick Etanercept | 65 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Sandhya Adusumilli, M.D. fits within the Rheumatology Physician landscape nationally.
6,377
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,058
Avg Claims per Provider
Sandhya Adusumilli, M.D.'s 3,739 claims are above the specialty average of 2,058.
Nationwide Rheumatology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Adusumilli, both outside Pennsylvania so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Rheumatology Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Adusumilli.
One of 336 Rheumatology Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Ravi Acharya
M.D.
Gettysburg, PA
Antonio Achkar
Pittsburgh, PA
Dr. Rohit Aggarwal
M.D.
Pittsburgh, PA
Dr. Shirley Albano
MD
Hershey, PA
Dr. Marco Albornoz
MD
Media, PA
Compare Rheumatology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Sandhya Adusumilli, M.D.'s specialty? ▼
Sandhya Adusumilli, M.D. specializes in Rheumatology Physician and practices in Lancaster, Pennsylvania. Credentials: M.D..
How much does Sandhya Adusumilli, M.D. prescribe under Medicare Part D? ▼
In 2024, Sandhya Adusumilli, M.D. wrote 3,739 Medicare Part D claims totaling $1.9M in drug costs for 522 beneficiaries.
Where is Sandhya Adusumilli, M.D. located? ▼
Sandhya Adusumilli, M.D. is located at 2108 HARRISBURG PIKE, Lancaster, PA, 17601. Phone: (717) 299-1301.
What is Sandhya Adusumilli, M.D.'s NPI number? ▼
Sandhya Adusumilli, M.D.'s National Provider Identifier (NPI) is 1194706143, issued on 11/08/2005.
Does Sandhya Adusumilli, M.D. prescribe more brand-name or generic drugs? ▼
Sandhya Adusumilli, M.D.'s prescribing is 18% brand-name and 79% generic drugs by claim count, with $1.8M in brand drug costs.
Does Sandhya Adusumilli, M.D. prescribe opioids? ▼
Yes, Sandhya Adusumilli, M.D. had 67 opioid claims in 2024 with an opioid prescribing rate of 1.8%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,377 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,058 Medicare Part D claims per year.
What drugs does Sandhya Adusumilli, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Sandhya Adusumilli, M.D.'s most frequently prescribed drugs include Hydroxychloroquine Sulfate, Methotrexate, Sulfasalazine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sandhya Adusumilli, M.D. accept Medicare? ▼
Sandhya Adusumilli, M.D. appears in CMS Medicare data with 3,739 Part D claims and 522 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sandhya Adusumilli, M.D.'s credentials? ▼
Sandhya Adusumilli, M.D.'s NPI is 1194706143 with credentials M.D.. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.