NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1013011055 M.D.
Verify on CMS → Soma Krishnamoorthi, M.D.
Internal Medicine Physician in Escalon, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine 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
8K
Medicare Part D claims · 711 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
83%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.5 · Exceptional
Industry payments
$292.82
15 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Soma Krishnamoorthi, M.D. reported a CMS MIPS final score of 100/100 - above the 83.5 national average - and filed 7,569 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 8K
- Part D claims, 2023
- 83%
- 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.
CMS NPPES provider registry desk
NPI 1013011055 · Internal Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ELITE · RX-MID · BOOK-MID · PHOTO-FINISH
- NPI-10 1013011055
- ENUM-LEGACY 2006
- TAX-MEGA 173K Internal Medicine
- MIPS-ELITE 100/100
- RX-MID 7,569
- BOOK-MID 20,046 in California
- PHOTO-FINISH Justin Aaron · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Krishnamoorthi ·…
Krishnamoorthi · this provider
100 MIPS pts
- Hosam Abdallah ·…
Hosam Abdallah
100 MIPS pts
- Justin Aaron · n…
Justin Aaron
100 MIPS pts
- Alina Aasim · near
Alina Aasim
100 MIPS pts
- Marwah Abdalla ·…
Marwah Abdalla
100 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Soma Krishnamoorthi, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
100 ≥ 92nd percentile 92% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Soma Krishnamoorthi, M.D. sits
This provider among internal medicine physician peers
Across the 34,612 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Soma Krishnamoorthi, M.D. writes more Part D claims than 88% of them and scores higher on MIPS quality than 93% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Soma Krishnamoorthi, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Soma Krishnamoorthi, M.D. 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 Soma Krishnamoorthi, M.D.?
High performer (top quartile)Primary specialty
Internal Medicine Physician
Medicare Part D claims
7,569 179% vs specialty avg
MIPS final score
100/100 16.5 pts vs avg
Specialty distribution in California
How Internal Medicine Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Soma Krishnamoorthi, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 100/100
- vs 83.5 national avg · 2023 performance year
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 | 1013011055 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 09/11/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Measured-score avg: 83.5
100
Quality
98.4222
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Soma Krishnamoorthi, 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.
Krishnamoorthi MD Inc A Professional Medical Corporation
Modesto, CA
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 Soma Krishnamoorthi, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$293
Largest payer
Boehringer Ingelheim Pharmaceuticals, Inc.
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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Soma Krishnamoorthi, M.D.. To verify Soma Krishnamoorthi, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Soma Krishnamoorthi, M.D. - brand share 16.0%
Internal Medicine Physician average
16% brand-name claims vs 83% generic, on 7,569 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.
7,569
Total Claims
$958K
Total Drug Cost
711
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 16,198
- Total Day Supply
- 464,238
- Brand vs Generic
- 16% brand / 83% generic
- Brand Drug Cost
- $779K
- Generic Drug Cost
- $176K
- Opioid Claims
- 203 (2.7% rate)
- Antibiotic Claims
- 166
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 1.38
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 115, 65-74: 325, 75-84: 221, 85+: 50
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Soma Krishnamoorthi, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
464 claims
- Levothyroxine Sodium
Levothyroxine Sodium
338 claims
- Lisinopril
Lisinopril
253 claims
- Losartan Potassium
Losartan Potassium
238 claims
- Gabapentin
Gabapentin
237 claims
- Pantoprazole Sodium
Pantoprazole Sodium
209 claims
- Amlodipine Besylate
Amlodipine Besylate
203 claims
- Furosemide
Furosemide
188 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 464 |
| Levothyroxine Sodium | 338 |
| Lisinopril | 253 |
| Losartan Potassium | 238 |
| Gabapentin | 237 |
| Pantoprazole Sodium | 209 |
| Amlodipine Besylate | 203 |
| Furosemide | 188 |
| Omeprazole | 180 |
| Rosuvastatin Calcium | 170 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Soma Krishnamoorthi, M.D. fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Soma Krishnamoorthi, M.D.'s 7,569 claims are above the specialty average of 2,716.
Nationwide Internal Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Krishnamoorthi, both outside California so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (100 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Internal Medicine Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Krishnamoorthi.
One of 20,046 Internal Medicine Physician providers enrolled in California, 5 are shown here.
Dr. Jacob Aaron
MD
San Francisco, CA
Dr. Alistair Aaronson
MD
Stanford, CA
Dr. Jose Abad.
MD
Sacramento, CA
Dr. Donna Abare
MD
Oakland, CA
Marce Abare
Scotts Valley, CA
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Soma Krishnamoorthi, M.D.'s specialty? ▼
Soma Krishnamoorthi, M.D. specializes in Internal Medicine Physician and practices in Escalon, California. Credentials: M.D..
How much does Soma Krishnamoorthi, M.D. prescribe under Medicare Part D? ▼
In 2023, Soma Krishnamoorthi, M.D. wrote 7,569 Medicare Part D claims totaling $958K in drug costs for 711 beneficiaries.
What is Soma Krishnamoorthi, M.D.'s Medicare quality score? ▼
Soma Krishnamoorthi, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 100, Cost: 98.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Soma Krishnamoorthi, M.D. located? ▼
Soma Krishnamoorthi, M.D. is located at 850 W CALIFORNIA STREET, Escalon, CA, 95320. Phone: (209) 838-2278.
What is Soma Krishnamoorthi, M.D.'s NPI number? ▼
Soma Krishnamoorthi, M.D.'s National Provider Identifier (NPI) is 1013011055, issued on 09/11/2006.
Does Soma Krishnamoorthi, M.D. prescribe more brand-name or generic drugs? ▼
Soma Krishnamoorthi, M.D.'s prescribing is 16% brand-name and 83% generic drugs by claim count, with $779K in brand drug costs.
Does Soma Krishnamoorthi, M.D. prescribe opioids? ▼
Yes, Soma Krishnamoorthi, M.D. had 203 opioid claims in 2023 with an opioid prescribing rate of 2.7%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Soma Krishnamoorthi, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Soma Krishnamoorthi, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Soma Krishnamoorthi, M.D. accept Medicare? ▼
Soma Krishnamoorthi, M.D. appears in CMS Medicare data with 7,569 Part D claims and 711 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Soma Krishnamoorthi, M.D.'s credentials? ▼
Soma Krishnamoorthi, M.D.'s NPI is 1013011055 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 (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
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.