2026 NPPES data Emergency Medicine Physician NPI 1295396026
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THARA AMILINENI

Emergency Medicine Physician in HARRISBURG, Pennsylvania. 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
130
Medicare Part D claims · 100 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.3031/100
▲ 9 pts above national avg 83.1 · [object Object]
What the federal data reveals: THARA AMILINENI is a Emergency Medicine Physician ([object Object]) practicing in HARRISBURG, Pennsylvania with a Medicare Part D prescribing footprint of 130 claims across 100 beneficiaries — 8% brand-name prescribing . Their CMS MIPS Final Score of 92.3031/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: THARA AMILINENI reported a CMS MIPS final score of 92.3031 out of 100, above the 83.1 national average, and filed 130 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

THARA AMILINENI 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).

THARA AMILINENI at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/24/2019

NPI 1295396026

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

130 63% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

92.3031/100 9.203100000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Emergency Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Emergency Medicine Physician share within Pennsylvania

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Pennsylvania

Medicare quality performance — MIPS

THARA AMILINENI's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
92.3031/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 92.3031/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Emergency Medicine Physician) — 92.3031/100 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).

THARA AMILINENI is a Emergency Medicine Physician provider practicing in HARRISBURG, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1295396026. 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.

THARA AMILINENI appears in the CMS NPPES registry as a Emergency Medicine Physician provider at 205 SOUTH FRONT STREET, HARRISBURG, PA, 17104, with a listed phone of (717) 231-8775. NPI 1295396026 was issued on 06/24/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AMILINENI 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 130 prescription claims written by this provider, covering 100 Medicare beneficiaries and totaling roughly $11K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 9.2%. 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 92.3031/100 for the 2023 performance year (Quality 81.2983, Cost 100), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

205 SOUTH FRONT STREET
HARRISBURG, PA 17104

Provider Details

NPI 1295396026
Specialty Emergency Medicine Physician
Gender Female
NPI Issued 06/24/2019

CMS Quality Score (MIPS)

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

92.3031
Final Score
Avg: 83.1
81.2983
Quality
100
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where THARA AMILINENI 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.

BAYSIDE EMERGENCY PHYSICIANS PA
ST PETERSBURG, FL

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to THARA AMILINENI. To verify THARA AMILINENI's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

THARA AMILINENI — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 130 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.

130
Total Claims
$11K
Total Drug Cost
100
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
130
Total Day Supply
1,364
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$9K
Generic Drug Cost
$2K
Opioid Claims
12 (9.2% rate)
Antibiotic Claims
51

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
1.60
Gender Split
54% female / 46% male
Age Distribution
<65: 24, 65-74: 31, 75-84: 34, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cefuroxime
Cefuroxime Axetil
19
Ondansetron Odt
Ondansetron
11

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

Emergency Medicine Physician Overview

How THARA AMILINENI fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

THARA AMILINENI's 130 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as AMILINENI.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THARA AMILINENI's specialty?
THARA AMILINENI specializes in Emergency Medicine Physician and practices in HARRISBURG, Pennsylvania.
How much does THARA AMILINENI prescribe under Medicare Part D?
In 2023, THARA AMILINENI wrote 130 Medicare Part D claims totaling $11K in drug costs for 100 beneficiaries.
What is THARA AMILINENI's Medicare quality score?
THARA AMILINENI has a CMS MIPS Final Score of 92.3031/100 (Quality: 81.2983, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THARA AMILINENI located?
THARA AMILINENI is located at 205 SOUTH FRONT STREET, HARRISBURG, PA, 17104. Phone: (717) 231-8775.
What is THARA AMILINENI's NPI number?
THARA AMILINENI's National Provider Identifier (NPI) is 1295396026, issued on 06/24/2019.
Does THARA AMILINENI prescribe more brand-name or generic drugs?
THARA AMILINENI's prescribing is 8% brand-name and 92% generic drugs by claim count, with $9K in brand drug costs.
Does THARA AMILINENI prescribe opioids?
Yes, THARA AMILINENI had 12 opioid claims in 2023 with an opioid prescribing rate of 9.2%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does THARA AMILINENI prescribe most often?
Based on 2023 Medicare Part D data, THARA AMILINENI's most frequently prescribed drugs include Cefuroxime, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THARA AMILINENI accept Medicare?
THARA AMILINENI appears in CMS Medicare data with 130 Part D claims and 100 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THARA AMILINENI's credentials?
THARA AMILINENI's NPI is 1295396026. 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