NPI registry status
Active
2026 NPPES data Obesity Medicine (Family Medicine) Physician NPI 1740581776 M.D.
Verify on CMS → Sushmita Prathipati, M.D.
Obesity Medicine (Family Medicine) Physician in Rochelle, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 152 in Obesity Medicine (Family 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
4K
Medicare Part D claims · 630 beneficiaries · Obesity Medicine (Family Medicine) Physician avg: 2K
Generic prescribing
87%
generic claims · 12% 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
Sushmita Prathipati, M.D. filed 4,467 Medicare Part D claims in 2024 as an Obesity Medicine (Family Medicine) Physician in Rochelle, Illinois, prescribing 87% generic.
- 4K
- Part D claims, 2024
- 87%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥92nd
- 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 Sushmita Prathipati, 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 1740581776), first enumerated 11/08/2010.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 4,467 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
Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Sushmita Prathipati, M.D.'s individual license status. Verify directly with the state medical board.
Source: IDFPR 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 1740581776 · Obesity Medicine (Family Medicine) Physician
NPI-10 · ENUM-MID · TAX-TRACE · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1740581776
- ENUM-MID 2010
- TAX-TRACE 152
- RX-MID 4,467
- BOOK-THIN 15 in Illinois
- PHOTO-ENUM Vanessa Cortes De Jo… · 2010
Sushmita Prathipati, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
4,467 ≥ 92nd percentile 92% 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)
Sushmita Prathipati, 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 Sushmita Prathipati, M.D.?
Quality data not reportedPrimary specialty
Obesity Medicine (Family Medicine) Physician
Medicare Part D claims
4,467 197% vs specialty avg
Specialty distribution in Illinois
How Obesity Medicine (Family Medicine) Physician compares to other specialties among Illinois 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 Obesity Medicine (Family Medicine) 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 | 1740581776 |
|---|---|
| Specialty | Obesity Medicine (Family Medicine) Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 11/08/2010 |
Hospital and facility affiliations
Facilities where Sushmita Prathipati, 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.
Ottawa Regional Hospital And Healthcare Center
Ottawa, IL
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 - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Sushmita Prathipati, M.D.. To verify Sushmita Prathipati, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Sushmita Prathipati, M.D. - brand share 12.0%
Obesity Medicine (Family Medicine) Physician average
12% brand-name claims vs 87% generic, on 4,467 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.
4,467
Total Claims
$312K
Total Drug Cost
630
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 8,577.833
- Total Day Supply
- 238,682
- Brand vs Generic
- 12% brand / 87% generic
- Brand Drug Cost
- $251K
- Generic Drug Cost
- $59K
- Opioid Claims
- 178 (4.0% rate)
- Antibiotic Claims
- 259
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 1.09
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 60, 65-74: 338, 75-84: 163, 85+: 69
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Sushmita Prathipati, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
257 claims
- Losartan Potassium
Losartan Potassium
159 claims
- Levothyroxine Sodium
Levothyroxine Sodium
158 claims
- Amlodipine Besylate
Amlodipine Besylate
122 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
112 claims
- Pantoprazole Sodium
Pantoprazole Sodium
108 claims
- Hydrocodone-Acetam… 91
Hydrocodone-Acetaminophen
91 claims
- Methylprednisolone 87
Methylprednisolone
87 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 257 |
| Losartan Potassium | 159 |
| Levothyroxine Sodium | 158 |
| Amlodipine Besylate | 122 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 112 |
| Pantoprazole Sodium | 108 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 91 |
| Methylprednisolone | 87 |
| Omeprazole | 86 |
| Hydrochlorothiazide | 85 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Obesity Medicine (Family Medicine) Physician in IL →
All providers in Illinois →
Compare specialties →
Obesity Medicine (Family Medicine) Physician Overview
How Sushmita Prathipati, M.D. fits within the Obesity Medicine (Family Medicine) Physician landscape nationally.
152
Obesity Medicine (Family Medicine) Physician Providers in US
38
States with Obesity Medicine (Family Medicine) Physician
1,505
Avg Claims per Provider
Sushmita Prathipati, M.D.'s 4,467 claims are above the specialty average of 1,505.
Nationwide Obesity Medicine (Family Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Prathipati, both outside Illinois so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Obesity Medicine (Family Medicine) Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Prathipati.
One of 15 Obesity Medicine (Family Medicine) Physician providers enrolled in Illinois, 5 are shown here.
Dr. Muhammad Ali
M.D.
Crystal Lake, IL
Dr. Joan Alvarado
MD
Charleston, IL
Dr. Manpreet Aujla
MD
Addison, IL
Dr. Paula Barnes
M.D.
Westmont, IL
Dr. Grzegorz Blecharz
M.D.
Mount Prospect, IL
Compare Obesity Medicine (Family Medicine) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Sushmita Prathipati, M.D.'s specialty? ▼
Sushmita Prathipati, M.D. specializes in Obesity Medicine (Family Medicine) Physician and practices in Rochelle, Illinois. Credentials: M.D..
How much does Sushmita Prathipati, M.D. prescribe under Medicare Part D? ▼
In 2024, Sushmita Prathipati, M.D. wrote 4,467 Medicare Part D claims totaling $312K in drug costs for 630 beneficiaries.
Where is Sushmita Prathipati, M.D. located? ▼
Sushmita Prathipati, M.D. is located at 510 LINCOLN HWY, Rochelle, IL, 61068. Phone: (815) 561-8335.
What is Sushmita Prathipati, M.D.'s NPI number? ▼
Sushmita Prathipati, M.D.'s National Provider Identifier (NPI) is 1740581776, issued on 11/08/2010.
Does Sushmita Prathipati, M.D. prescribe more brand-name or generic drugs? ▼
Sushmita Prathipati, M.D.'s prescribing is 12% brand-name and 87% generic drugs by claim count, with $251K in brand drug costs.
Does Sushmita Prathipati, M.D. prescribe opioids? ▼
Yes, Sushmita Prathipati, M.D. had 178 opioid claims in 2024 with an opioid prescribing rate of 4.0%.
How many Obesity Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 152 Obesity Medicine (Family Medicine) Physician providers across 38 states in the US. The average Obesity Medicine (Family Medicine) Physician provider writes 1,505 Medicare Part D claims per year.
What drugs does Sushmita Prathipati, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Sushmita Prathipati, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sushmita Prathipati, M.D. accept Medicare? ▼
Sushmita Prathipati, M.D. appears in CMS Medicare data with 4,467 Part D claims and 630 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sushmita Prathipati, M.D.'s credentials? ▼
Sushmita Prathipati, M.D.'s NPI is 1740581776 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.