SANKAR ADUSUMILLI, MD
Colon & Rectal Surgery Physician in RALEIGH, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
SANKAR ADUSUMILLI, MD reported a CMS MIPS final score of 9.2117/100 — below the 83.1 national average — and filed 403 Medicare Part D claims in 2023.
- 9.2117/100
- MIPS score · -74 vs avg
- 403
- Part D claims, 2023
- 74%
- 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.
SANKAR ADUSUMILLI, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
9 2nd percentile higher than 2% of 477,587 scored providers
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
SANKAR ADUSUMILLI, 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 SANKAR ADUSUMILLI, MD?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in North Carolina
How Colon & Rectal Surgery Physician compares to other specialties among North Carolina providers
Colon & Rectal Surgery Physician share within North Carolina
Colon & Rectal Surgery Physician is one of the more visible NUCC categories in North Carolina
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
SANKAR ADUSUMILLI, MD's 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average
- MIPS Final Score
- 9.2117/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Colon & Rectal Surgery Physician) — 9.2117/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Colon & Rectal Surgery Physician US NPIs
9.2117/100 MIPS final score — 73.9 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Colon & Rectal Surgery Physician. Quality dim: 0. Cost dim: 30.7055.
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).
SANKAR ADUSUMILLI, MD appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding MD credentials at 2501 ATRIUM DR, RALEIGH, NC, 27607, with a listed phone of (919) 235-0216. NPI 1639161227 was issued on 08/18/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ADUSUMILLI 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 403 prescription claims written by this provider, covering 151 Medicare beneficiaries and totaling roughly $126K in drug spend, split 26% brand-name and 74% generic by claim count, with an opioid prescribing rate of 14.6%. 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 9.2117/100 for the 2023 performance year (Quality 0, Cost 30.7055), compared with the national average of 83.1.
Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 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 | 1639161227 |
|---|---|
| Specialty | Colon & Rectal Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/18/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm SANKAR ADUSUMILLI, MD's current license status, disciplinary history, and board certifications with the North Carolina Medical Board in North Carolina before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Individual
Hospital and facility affiliations
Facilities where SANKAR ADUSUMILLI, 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.
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 SANKAR ADUSUMILLI, MD. Source: openpaymentsdata.cms.gov.
Total received
$163
Largest payer
Hologic Sales and Service, LLC
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 · Above average
26% brand-name claims vs 74% generic, on 403 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.
Prescribing Breakdown
- 30-Day Fills
- 476
- Total Day Supply
- 9,328
- Brand vs Generic
- 26% brand / 74% generic
- Brand Drug Cost
- $116K
- Generic Drug Cost
- $10K
- Opioid Claims
- 59 (14.6% rate)
- Antibiotic Claims
- 49
Patient Demographics
- Average Patient Age
- 71.8 years
- Avg HCC Risk Score
- 1.60
- Gender Split
- 70% female / 30% male
- Age Distribution
- <65: 21, 65-74: 76, 75-84: 42, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What SANKAR ADUSUMILLI, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clenpiq
Clenpiq
42 claims
- Pantoprazole Sodium
Pantoprazole Sodium
38 claims
- Tramadol Hcl
Tramadol Hcl
35 claims
- Sucralfate
Sucralfate
27 claims
- Metronidazole
Metronidazole
25 claims
- Dicyclomine Hcl
Dicyclomine Hcl
24 claims
- Diphenoxylate-Atro…
Diphenoxylate-Atropine
23 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
17 claims
| Drug | Claims |
|---|---|
| Clenpiq Sod Picosulf/Mag Ox/Citric Ac | 42 |
| Pantoprazole Sodium | 38 |
| Tramadol Hcl | 35 |
| Sucralfate | 27 |
| Metronidazole | 25 |
| Dicyclomine Hcl | 24 |
| Diphenoxylate-Atropine Diphenoxylate Hcl/Atropine | 23 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 17 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 15 |
| Humira(Cf) Pen Adalimumab | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Colon & Rectal Surgery Physician Overview
How SANKAR ADUSUMILLI, MD fits within the Colon & Rectal Surgery Physician landscape nationally.
SANKAR ADUSUMILLI, MD's 403 claims are above the specialty average of 196.
Nearby Colon & Rectal Surgery Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as ADUSUMILLI.
Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
What is SANKAR ADUSUMILLI, MD's specialty? ▼
How much does SANKAR ADUSUMILLI, MD prescribe under Medicare Part D? ▼
What is SANKAR ADUSUMILLI, MD's Medicare quality score? ▼
Where is SANKAR ADUSUMILLI, MD located? ▼
What is SANKAR ADUSUMILLI, MD's NPI number? ▼
Does SANKAR ADUSUMILLI, MD prescribe more brand-name or generic drugs? ▼
Does SANKAR ADUSUMILLI, MD prescribe opioids? ▼
How many Colon & Rectal Surgery Physician providers are there in the US? ▼
What drugs does SANKAR ADUSUMILLI, MD prescribe most often? ▼
Does SANKAR ADUSUMILLI, MD accept Medicare? ▼
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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