2026 NPPES data Specialist NPI 1245264449 M.D.
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VINAY VERMANI, M.D.

Specialist in ASHLAND, Kentucky. 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
644
Medicare Part D claims · 152 beneficiaries · Specialist avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.9435/100
▼ 0 pts below national avg 83.1 · [object Object]
Industry payments
$668.7
24 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

VINAY VERMANI, M.D. reported a CMS MIPS final score of 82.9435/100 — below the 83.1 national average — and filed 644 Medicare Part D claims in 2023.

82.9435/100
MIPS score · 0 vs avg
644
Part D claims, 2023
91%
generic prescribing
$668.7
industry payments (Sunshine Act)

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.

VINAY VERMANI, 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

83 39th percentile higher than 39% 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

What does the federal data show about VINAY VERMANI, M.D.?

Near national average

NPI registry status

Active

Issued 07/11/2006

NPI 1245264449

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

644 56% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

82.9435/100 0.1564999999999941% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Specialist compares to other specialties among Kentucky providers

Kentucky providers

Specialist share within Kentucky

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Kentucky

Medicare quality performance — MIPS

VINAY VERMANI, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Near national average
MIPS Final Score
82.9435/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 82.9435/100 vs national avg 83.1

0%100%National avg83%82.9%
MIPS final score (Specialist) — 82.9435/100 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).

VINAY VERMANI, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 617 23RD ST STE 19, ASHLAND, KY, 41101, with a listed phone of (606) 325-2221. NPI 1245264449 was issued on 07/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VERMANI 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 644 prescription claims written by this provider, covering 152 Medicare beneficiaries and totaling roughly $610K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 14.8%. 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 82.9435/100 for the 2023 performance year (Quality 70.0105, Cost 65.5754), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

617 23RD ST STE 19
ASHLAND, KY 41101

Provider Details

NPI 1245264449
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 07/11/2006

CMS Quality Score (MIPS)

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

82.9435
Final Score
Avg: 83.1
70.0105
Quality
65.5754
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where VINAY VERMANI, 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.

KINGS DAUGHTERS MEDICAL SPECIALTIES INC
ASHLAND, KY

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 VINAY VERMANI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$669

Largest payer

SHIELD THERAPEUTICS 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.

Brand vs generic prescribing mix · Generic-heavy

VINAY VERMANI, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 644 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.

644
Total Claims
$610K
Total Drug Cost
152
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
951
Total Day Supply
25,791
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$521K
Generic Drug Cost
$89K
Opioid Claims
95 (14.8% rate)
Antibiotic Claims
18

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
2.31
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

What VINAY VERMANI, 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
Anastrozole
191
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
52
Tamoxifen Citrate
34
Potassium Chloride
26
Hydroxyurea
25
Ondansetron Hcl
22
Lidocaine-Prilocaine
Lidocaine/Prilocaine
20
Gabapentin
18
Klor-Con M20
Potassium Chloride
16
Levofloxacin
15

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

Specialist Overview

How VINAY VERMANI, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

VINAY VERMANI, M.D.'s 644 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Kentucky

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is VINAY VERMANI, M.D.'s specialty?
VINAY VERMANI, M.D. specializes in Specialist and practices in ASHLAND, Kentucky. Credentials: M.D..
How much does VINAY VERMANI, M.D. prescribe under Medicare Part D?
In 2023, VINAY VERMANI, M.D. wrote 644 Medicare Part D claims totaling $610K in drug costs for 152 beneficiaries.
What is VINAY VERMANI, M.D.'s Medicare quality score?
VINAY VERMANI, M.D. has a CMS MIPS Final Score of 82.9435/100 (Quality: 70.0105, Cost: 65.5754). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VINAY VERMANI, M.D. located?
VINAY VERMANI, M.D. is located at 617 23RD ST STE 19, ASHLAND, KY, 41101. Phone: (606) 325-2221.
What is VINAY VERMANI, M.D.'s NPI number?
VINAY VERMANI, M.D.'s National Provider Identifier (NPI) is 1245264449, issued on 07/11/2006.
Does VINAY VERMANI, M.D. prescribe more brand-name or generic drugs?
VINAY VERMANI, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $521K in brand drug costs.
Does VINAY VERMANI, M.D. prescribe opioids?
Yes, VINAY VERMANI, M.D. had 95 opioid claims in 2023 with an opioid prescribing rate of 14.8%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does VINAY VERMANI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, VINAY VERMANI, M.D.'s most frequently prescribed drugs include Anastrozole, Oxycodone-Acetaminophen, Tamoxifen Citrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VINAY VERMANI, M.D. accept Medicare?
VINAY VERMANI, M.D. appears in CMS Medicare data with 644 Part D claims and 152 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VINAY VERMANI, M.D.'s credentials?
VINAY VERMANI, M.D.'s NPI is 1245264449 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