NPI registry status
Active
2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1457791683 MD
Verify on CMS → Vandana Jain, MD
Endocrinology, Diabetes & Metabolism Physician in Seattle, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 7,871 in Endocrinology, Diabetes & Metabolism 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
430
Medicare Part D claims · 184 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
56%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.6/100
▼ 3 pts below national avg 83.1 · Above neutral
Industry payments
$26.5
1 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
Vandana Jain, MD reported a CMS MIPS final score of 80.6/100 - below the 83.1 national average - and filed 430 Medicare Part D claims in 2023.
- 80.6/100
- MIPS score · -3 vs avg
- 430
- Part D claims, 2023
- 56%
- 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.
Vandana Jain, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
81 33rd percentile higher than 33% 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 Vandana Jain, MD sits
This provider among endocrinology, diabetes & metabolism physician peers
Across the 2,521 endocrinology, diabetes & metabolism physician providers who report both Medicare Part D prescribing and a MIPS quality score, Vandana Jain, MD writes more Part D claims than 14% of them and scores higher on MIPS quality than 36% - placing this provider in the lower-volume, lower-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 endocrinology, diabetes & metabolism physician peer from a representative sample of 60; the gold marker is Vandana Jain, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Vandana Jain, 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 Vandana Jain, MD?
Near national averagePrimary specialty
Endocrinology, Diabetes & Metabolism Physician
Medicare Part D claims
430 84% vs specialty avg
MIPS final score
80.6/100 2.5 pts vs avg
Specialty distribution in Washington
How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Washington providers
Medicare quality performance, MIPS
Vandana Jain, MD's 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average
- MIPS Final Score
- 80.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) - 80.6/100 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).
Vandana Jain, MD appears in the CMS NPPES registry as an Endocrinology, Diabetes & Metabolism Physician provider holding MD credentials at 11011 MERIDIAN AVE N STE 201, Seattle, WA, 98133, with a listed phone of (206) 668-0035. NPI 1457791683 was issued on 07/02/2013.
Medicare Part D records for calendar year 2023 show 430 prescription claims written by this provider, covering 184 Medicare beneficiaries and totaling roughly $339K in drug spend, split 41% brand-name and 56% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.6/100 for the 2023 performance year (Quality 67.4, Cost 46.5), compared with the national average of 83.1.
Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,871 enrolled providers across 54 states and an average of 2,639 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 | 1457791683 |
|---|---|
| Specialty | Endocrinology, Diabetes & Metabolism Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 07/02/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.5834
Final Score
Avg: 83.1
67.4314
Quality
46.5098
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Vandana Jain, 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.
County OF Santa Clara
San Jose, 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 Vandana Jain, MD. Source: openpaymentsdata.cms.gov.
Total received
$27
Largest payer
SANOFI PASTEUR 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 - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Vandana Jain, MD. To verify Vandana Jain, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases
WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Vandana Jain, MD - brand share 41.0%
Endocrinology, Diabetes & Metabolism Physician average
41% brand-name claims vs 56% generic, on 430 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.
430
Total Claims
$339K
Total Drug Cost
184
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,409
- Total Day Supply
- 41,642
- Brand vs Generic
- 41% brand / 56% generic
- Brand Drug Cost
- $327K
- Generic Drug Cost
- $11K
Patient Demographics
- Average Patient Age
- 72.6 years
- Avg HCC Risk Score
- 1.22
- Gender Split
- 83% female / 17% male
- Age Distribution
- <65: 20, 65-74: 79, 75-84: 65, 85+: 20
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Vandana Jain, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prolia
Prolia
116 claims
- Levothyroxine Sodium
Levothyroxine Sodium
83 claims
- Methimazole
Methimazole
69 claims
- Dexamethasone 18
Dexamethasone
18 claims
- Forteo 15
Forteo
15 claims
- Alendronate Sodium 14
Alendronate Sodium
14 claims
| Drug | Claims |
|---|---|
| Prolia Denosumab | 116 |
| Levothyroxine Sodium | 83 |
| Methimazole | 69 |
| Dexamethasone | 18 |
| Forteo Teriparatide | 15 |
| Alendronate Sodium | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Endocrinology, Diabetes & Metabolism Physician in WA →
All providers in Washington →
Compare specialties →
Endocrinology, Diabetes & Metabolism Physician Overview
How Vandana Jain, MD fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.
7,871
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider
Vandana Jain, MD's 430 claims are below the specialty average of 2,639.
Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Washington
Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Jain.
Dr. Rtika Abraham
MD
Issaquah, WA
Sonia Afshariyamchlou
Richland, WA
Dr. Iram Ahmad
M.D.
Seattle, WA
Dr. Mandana Ahmadian
MD
Bellevue, WA
Dr. Anam Akmal
M.D
Lacey, WA
Compare Endocrinology, Diabetes & Metabolism 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 Washington medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Endocrinology, Diabetes & Metabolism 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 Vandana Jain, MD's specialty? ▼
Vandana Jain, MD specializes in Endocrinology, Diabetes & Metabolism Physician and practices in Seattle, Washington. Credentials: MD.
How much does Vandana Jain, MD prescribe under Medicare Part D? ▼
In 2023, Vandana Jain, MD wrote 430 Medicare Part D claims totaling $339K in drug costs for 184 beneficiaries.
What is Vandana Jain, MD's Medicare quality score? ▼
Vandana Jain, MD has a CMS MIPS Final Score of 80.6/100 (Quality: 67.4, Cost: 46.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Vandana Jain, MD located? ▼
Vandana Jain, MD is located at 11011 MERIDIAN AVE N STE 201, Seattle, WA, 98133. Phone: (206) 668-0035.
What is Vandana Jain, MD's NPI number? ▼
Vandana Jain, MD's National Provider Identifier (NPI) is 1457791683, issued on 07/02/2013.
Does Vandana Jain, MD prescribe more brand-name or generic drugs? ▼
Vandana Jain, MD's prescribing is 41% brand-name and 56% generic drugs by claim count, with $327K in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US? ▼
There are 7,871 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does Vandana Jain, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Vandana Jain, MD's most frequently prescribed drugs include Prolia, Levothyroxine Sodium, Methimazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Vandana Jain, MD accept Medicare? ▼
Vandana Jain, MD appears in CMS Medicare data with 430 Part D claims and 184 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Vandana Jain, MD's credentials? ▼
Vandana Jain, MD's NPI is 1457791683 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
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.
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.