2026 NPPES data Nephrology Physician NPI 1750658639 MD
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SWARNA GADDAM, MD

Nephrology Physician in ALBUQUERQUE, New Mexico. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
551
Medicare Part D claims · 161 beneficiaries · Nephrology Physician avg: 1K
MIPS score
83.8451/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

SWARNA GADDAM, MD reported a CMS MIPS final score of 83.8451/100 — above the 83.1 national average — and filed 551 Medicare Part D claims in 2023.

83.8451/100
MIPS score · +1 vs avg
551
Part D claims, 2023
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.

SWARNA GADDAM, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

84 42nd percentile higher than 42% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

SWARNA GADDAM, 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 SWARNA GADDAM, MD?

Near national average

NPI registry status

Active

Issued 11/21/2011

NPI 1750658639

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

551 62% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

83.8451/100 0.7451000000000079% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Nephrology Physician compares to other specialties among New Mexico providers

New Mexico providers

Nephrology Physician share within New Mexico

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within New Mexico

Medicare quality performance — MIPS

SWARNA GADDAM, MD's 2023 MIPS final score plotted against the Nephrology Physician national average

Near national average
MIPS Final Score
83.8451/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 83.8451/100 vs national avg 83.1

0%100%National avg83%83.8%
MIPS final score (Nephrology Physician) — 83.8451/100 vs national avg 83.1

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).

SWARNA GADDAM, MD is a Nephrology Physician provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1750658639. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SWARNA GADDAM, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 1100 CENTRAL AVE SE, ALBUQUERQUE, NM, 87106, with a listed phone of (505) 724-6125. NPI 1750658639 was issued on 11/21/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GADDAM 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 551 prescription claims written by this provider, covering 161 Medicare beneficiaries and totaling roughly $28K in drug spend, with an opioid prescribing rate of 3.8%. 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 83.8451/100 for the 2023 performance year (Quality 84.5974, Cost 58.6394), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106

Provider Details

NPI 1750658639
Specialty Nephrology Physician
Credentials MD
Gender Female
NPI Issued 11/21/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

83.8451
Final Score
Avg: 83.1
84.5974
Quality
58.6394
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SWARNA GADDAM, 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.

PRESBYTERIAN HEALTHCARE SERVICES
ALBUQUERQUE, NM

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

551
Total Claims
$28K
Total Drug Cost
161
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
826
Total Day Supply
21,125
Generic Drug Cost
$9K
Opioid Claims
21 (3.8% rate)
Antibiotic Claims
69

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
2.11
Gender Split
50% female / 50% male
Age Distribution
<65: 34, 65-74: 52, 75-84: 56, 85+: 19

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Tamsulosin Hcl
33
Clopidogrel
Clopidogrel Bisulfate
27
Atorvastatin Calcium
23
Lisinopril
23
Pantoprazole Sodium
22
Amlodipine Besylate
21
Prednisone
20
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
18
Furosemide
18
Metoprolol Succinate
18

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nephrology Physician Overview

How SWARNA GADDAM, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

SWARNA GADDAM, MD's 551 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as GADDAM.

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SWARNA GADDAM, MD's specialty?
SWARNA GADDAM, MD specializes in Nephrology Physician and practices in ALBUQUERQUE, New Mexico. Credentials: MD.
How much does SWARNA GADDAM, MD prescribe under Medicare Part D?
In 2023, SWARNA GADDAM, MD wrote 551 Medicare Part D claims totaling $28K in drug costs for 161 beneficiaries.
What is SWARNA GADDAM, MD's Medicare quality score?
SWARNA GADDAM, MD has a CMS MIPS Final Score of 83.8451/100 (Quality: 84.5974, Cost: 58.6394). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SWARNA GADDAM, MD located?
SWARNA GADDAM, MD is located at 1100 CENTRAL AVE SE, ALBUQUERQUE, NM, 87106. Phone: (505) 724-6125.
What is SWARNA GADDAM, MD's NPI number?
SWARNA GADDAM, MD's National Provider Identifier (NPI) is 1750658639, issued on 11/21/2011.
Does SWARNA GADDAM, MD prescribe opioids?
Yes, SWARNA GADDAM, MD had 21 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does SWARNA GADDAM, MD prescribe most often?
Based on 2023 Medicare Part D data, SWARNA GADDAM, MD's most frequently prescribed drugs include Tamsulosin Hcl, Clopidogrel, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SWARNA GADDAM, MD accept Medicare?
SWARNA GADDAM, MD appears in CMS Medicare data with 551 Part D claims and 161 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SWARNA GADDAM, MD's credentials?
SWARNA GADDAM, MD's NPI is 1750658639 with credentials MD. 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

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