2026 NPPES data Pain Medicine Physician NPI 1003022500 M.D.
Verify on CMS →

VENKATESH SUNDARARAJAN, M.D.

Pain Medicine Physician in HORSHAM, 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
2K
Medicare Part D claims · 292 beneficiaries · Pain Medicine Physician avg: 2K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.7457/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$348.04
16 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

VENKATESH SUNDARARAJAN, M.D. reported a CMS MIPS final score of 76.7457/100 — below the 83.1 national average — and filed 1,964 Medicare Part D claims in 2023.

76.7457/100
MIPS score · -6 vs avg
2K
Part D claims, 2023
96%
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.

VENKATESH SUNDARARAJAN, 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

77 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

VENKATESH SUNDARARAJAN, 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 VENKATESH SUNDARARAJAN, M.D.?

Below national average

NPI registry status

Active

Issued 05/14/2007

NPI 1003022500

Primary specialty

Pain Medicine Physician

Niche

951 US NPIs in this specialty

Medicare Part D claims

1,964 5% vs specialty avg

2023 prescription claims

Specialty avg: 2,078

MIPS final score

76.7457/100 6.354299999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Pain Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pain Medicine Physician share within Pennsylvania

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

Medicare quality performance — MIPS

VENKATESH SUNDARARAJAN, M.D.'s 2023 MIPS final score plotted against the Pain Medicine Physician national average

Below national average
MIPS Final Score
76.7457/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine Physician) — 76.7457/100 vs national avg 83.1

0%100%National avg83%76.7%
MIPS final score (Pain Medicine Physician) — 76.7457/100 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).

VENKATESH SUNDARARAJAN, M.D. appears in the CMS NPPES registry as a Pain Medicine Physician provider holding M.D. credentials at 300 WELSH RD STE 104, HORSHAM, PA, 19044, with a listed phone of (844) 365-7246. NPI 1003022500 was issued on 05/14/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SUNDARARAJAN 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 1,964 prescription claims written by this provider, covering 292 Medicare beneficiaries and totaling roughly $117K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 63.2%. 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 76.7457/100 for the 2023 performance year (Quality 90.309, Cost 95.957), compared with the national average of 83.1.

Pain Medicine Physician is a narrow specialty nationwide, with 951 enrolled providers across 49 states and an average of 2,078 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

300 WELSH RD STE 104
HORSHAM, PA 19044

Provider Details

NPI 1003022500
Specialty Pain Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 05/14/2007

CMS Quality Score (MIPS)

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

76.7457
Final Score
Avg: 83.1
90.309
Quality
95.957
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where VENKATESH SUNDARARAJAN, 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.

CENTER FOR INTERVENTIONAL PAIN SPINE LLC
LANCASTER, PA

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 VENKATESH SUNDARARAJAN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$348

Largest payer

Abbott Laboratories

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 — 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 VENKATESH SUNDARARAJAN, M.D.. To verify VENKATESH SUNDARARAJAN, M.D.'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

VENKATESH SUNDARARAJAN, M.D. — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 1,964 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.

1,964
Total Claims
$117K
Total Drug Cost
292
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,108
Total Day Supply
56,768
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$59K
Generic Drug Cost
$58K
Opioid Claims
1,242 (63.2% rate)

Patient Demographics

Average Patient Age
68.5 years
Avg HCC Risk Score
1.59
Gender Split
62% female / 38% male
Age Distribution
<65: 89, 65-74: 126, 75-84: 58, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

What VENKATESH SUNDARARAJAN, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Oxycodone Hcl
351
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
276
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
242
Gabapentin
180
Tramadol Hcl
156
Tizanidine Hcl
83
Cyclobenzaprine Hcl
59
Pregabalin
55
Duloxetine Hcl
53
Morphine Sulfate Er
Morphine Sulfate
41

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

Pain Medicine Physician Overview

How VENKATESH SUNDARARAJAN, M.D. fits within the Pain Medicine Physician landscape nationally.

951
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,078
Avg Claims per Provider

VENKATESH SUNDARARAJAN, M.D.'s 1,964 claims are below the specialty average of 2,078.

Nearby Pain Medicine Physician Providers in Pennsylvania

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

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

Frequently Asked Questions

What is VENKATESH SUNDARARAJAN, M.D.'s specialty?
VENKATESH SUNDARARAJAN, M.D. specializes in Pain Medicine Physician and practices in HORSHAM, Pennsylvania. Credentials: M.D..
How much does VENKATESH SUNDARARAJAN, M.D. prescribe under Medicare Part D?
In 2023, VENKATESH SUNDARARAJAN, M.D. wrote 1,964 Medicare Part D claims totaling $117K in drug costs for 292 beneficiaries.
What is VENKATESH SUNDARARAJAN, M.D.'s Medicare quality score?
VENKATESH SUNDARARAJAN, M.D. has a CMS MIPS Final Score of 76.7457/100 (Quality: 90.309, Cost: 95.957). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VENKATESH SUNDARARAJAN, M.D. located?
VENKATESH SUNDARARAJAN, M.D. is located at 300 WELSH RD STE 104, HORSHAM, PA, 19044. Phone: (844) 365-7246.
What is VENKATESH SUNDARARAJAN, M.D.'s NPI number?
VENKATESH SUNDARARAJAN, M.D.'s National Provider Identifier (NPI) is 1003022500, issued on 05/14/2007.
Does VENKATESH SUNDARARAJAN, M.D. prescribe more brand-name or generic drugs?
VENKATESH SUNDARARAJAN, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $59K in brand drug costs.
Does VENKATESH SUNDARARAJAN, M.D. prescribe opioids?
Yes, VENKATESH SUNDARARAJAN, M.D. had 1,242 opioid claims in 2023 with an opioid prescribing rate of 63.2%.
How many Pain Medicine Physician providers are there in the US?
There are 951 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,078 Medicare Part D claims per year.
What drugs does VENKATESH SUNDARARAJAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, VENKATESH SUNDARARAJAN, M.D.'s most frequently prescribed drugs include Oxycodone Hcl, Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VENKATESH SUNDARARAJAN, M.D. accept Medicare?
VENKATESH SUNDARARAJAN, M.D. appears in CMS Medicare data with 1,964 Part D claims and 292 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VENKATESH SUNDARARAJAN, M.D.'s credentials?
VENKATESH SUNDARARAJAN, M.D.'s NPI is 1003022500 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

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