NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1235420621 M.D.
Verify on CMS → Suma Chennubhotla, M.D.
Gastroenterology Physician in Crestview Hills, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology 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
646
Medicare Part D claims · 261 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.4/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$1.2K
64 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Suma Chennubhotla, M.D. reported a CMS MIPS final score of 90.4/100 - above the 83.1 national average - and filed 646 Medicare Part D claims in 2023.
- 90.4/100
- MIPS score · +7 vs avg
- 646
- Part D claims, 2023
- 79%
- 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.
Suma Chennubhotla, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 40% higher than 60% 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
Where Suma Chennubhotla, M.D. sits
This provider among gastroenterology physician peers
Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Suma Chennubhotla, M.D. writes more Part D claims than 42% of them and scores higher on MIPS quality than 65% - placing this provider in the lower-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
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Suma Chennubhotla, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Suma Chennubhotla, 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 Suma Chennubhotla, M.D.?
High performer (top quartile)Primary specialty
Gastroenterology Physician
Medicare Part D claims
646 22% vs specialty avg
MIPS final score
90.4/100 7.3 pts vs avg
Specialty distribution in Kentucky
How Gastroenterology Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Suma Chennubhotla, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 90.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 90.4/100 vs national avg 83.1
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).
Suma Chennubhotla, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 651 CENTRE VIEW BOULEVARD, Crestview Hills, KY, 41017, with a listed phone of (859) 331-6466. NPI 1235420621 was issued on 04/20/2011.
Medicare Part D records for calendar year 2023 show 646 prescription claims written by this provider, covering 261 Medicare beneficiaries and totaling roughly $279K in drug spend, split 21% brand-name and 79% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.4/100 for the 2023 performance year (Quality 80.8), compared with the national average of 83.1.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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 | 1235420621 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 04/20/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Suma Chennubhotla, 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.
Summit Medical Group Inc
Florence, KY
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 Suma Chennubhotla, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.2K
Largest payer
ABBVIE 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.
Brand vs generic prescribing mix · Typical
Suma Chennubhotla, M.D. - brand share 21.0%
Gastroenterology Physician average
21% brand-name claims vs 79% generic, on 646 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.
646
Total Claims
$279K
Total Drug Cost
261
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 952
- Total Day Supply
- 22,303
- Brand vs Generic
- 21% brand / 79% generic
- Brand Drug Cost
- $254K
- Generic Drug Cost
- $25K
- Antibiotic Claims
- 12
Patient Demographics
- Average Patient Age
- 68.6 years
- Avg HCC Risk Score
- 1.33
- Gender Split
- 72% female / 28% male
- Age Distribution
- <65: 56, 65-74: 147, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Suma Chennubhotla, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pantoprazole Sodium
Pantoprazole Sodium
192 claims
- Omeprazole 36
Omeprazole
36 claims
- Linzess 26
Linzess
26 claims
- Famotidine 24
Famotidine
24 claims
- Mesalamine 13
Mesalamine
13 claims
- Relistor 12
Relistor
12 claims
- Trulance 11
Trulance
11 claims
- Viberzi 11
Viberzi
11 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 192 |
| Omeprazole | 36 |
| Linzess Linaclotide | 26 |
| Famotidine | 24 |
| Mesalamine | 13 |
| Relistor Methylnaltrexone Bromide | 12 |
| Trulance Plecanatide | 11 |
| Viberzi Eluxadoline | 11 |
| Gavilyte-G "Peg3350/Sod Sulf | N/A |
| Peg-3350 And Electrolytes "Peg3350/Sod Sulf | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Suma Chennubhotla, M.D. fits within the Gastroenterology Physician landscape nationally.
16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Suma Chennubhotla, M.D.'s 646 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Chennubhotla.
Dr. Thomas Abell
MD
Louisville, KY
Dr. Edward Adler
MD
Louisville, KY
Dr. Chike Anusionwu
MD
Florence, KY
Dr. Avinash Aravantagi
M.D.
Bowling Green, KY
Dr. Abrar Arshad
MD
Bowling Green, KY
Compare Gastroenterology 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 Kentucky medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology 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.
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Frequently Asked Questions
What is Suma Chennubhotla, M.D.'s specialty? ▼
Suma Chennubhotla, M.D. specializes in Gastroenterology Physician and practices in Crestview Hills, Kentucky. Credentials: M.D..
How much does Suma Chennubhotla, M.D. prescribe under Medicare Part D? ▼
In 2023, Suma Chennubhotla, M.D. wrote 646 Medicare Part D claims totaling $279K in drug costs for 261 beneficiaries.
What is Suma Chennubhotla, M.D.'s Medicare quality score? ▼
Suma Chennubhotla, M.D. has a CMS MIPS Final Score of 90.4/100 (Quality: 80.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Suma Chennubhotla, M.D. located? ▼
Suma Chennubhotla, M.D. is located at 651 CENTRE VIEW BOULEVARD, Crestview Hills, KY, 41017. Phone: (859) 331-6466.
What is Suma Chennubhotla, M.D.'s NPI number? ▼
Suma Chennubhotla, M.D.'s National Provider Identifier (NPI) is 1235420621, issued on 04/20/2011.
Does Suma Chennubhotla, M.D. prescribe more brand-name or generic drugs? ▼
Suma Chennubhotla, M.D.'s prescribing is 21% brand-name and 79% generic drugs by claim count, with $254K in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Suma Chennubhotla, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Suma Chennubhotla, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Linzess. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Suma Chennubhotla, M.D. accept Medicare? ▼
Suma Chennubhotla, M.D. appears in CMS Medicare data with 646 Part D claims and 261 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Suma Chennubhotla, M.D.'s credentials? ▼
Suma Chennubhotla, M.D.'s NPI is 1235420621 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
Compiled from official public sources by the PlainDoctor editorial team.