NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1497247571 MD
Verify on CMS → Vrunda Vithalani, MD
Pediatrics Physician in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,576 in Pediatrics 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
105
Medicare Part D claims · 44 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.3/100
▲ 8 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Vrunda Vithalani, MD reported a CMS MIPS final score of 91.3/100 - above the 83.5 national average - and filed 105 Medicare Part D claims in 2023.
- 91.3/100
- MIPS score · +8 vs avg
- 105
- Part D claims, 2023
- 86%
- 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.
Vrunda Vithalani, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
91 Top 39% higher than 61% of 454,083 measured providers
Each bar is a band; taller bars hold more measured 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 Vrunda Vithalani, MD sits
This provider among pediatrics physician peers
Across the 1,099 pediatrics physician providers who report both Medicare Part D prescribing and a MIPS quality score, Vrunda Vithalani, MD writes more Part D claims than 45% of them and scores higher on MIPS quality than 62% - placing this provider in the lower-volume, high-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 pediatrics physician peer from a representative sample of 60; the gold marker is Vrunda Vithalani, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Vrunda Vithalani, 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 Vrunda Vithalani, MD?
High performer (top quartile)Primary specialty
Pediatrics Physician
Medicare Part D claims
105 86% vs specialty avg
MIPS final score
91.3/100 7.8 pts vs avg
Specialty distribution in Texas
How Pediatrics Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Vrunda Vithalani, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average
- MIPS Final Score
- 91.3/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Pediatrics Physician) - 91.3/100 vs national avg 83.5
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).
Vrunda Vithalani, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 7200 CAMBRIDGE ST FL 8, Houston, TX, 77030, with a listed phone of (713) 798-2500. NPI 1497247571 was issued on 06/04/2018.
Medicare Part D records for calendar year 2023 show 105 prescription claims written by this provider, covering 44 Medicare beneficiaries and totaling roughly $63K in drug spend, split 14% brand-name and 86% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.3/100 for the 2023 performance year (Quality 81.6), compared with the 83.5 average among clinicians with a measured score.
Pediatrics Physician is a high-volume specialty nationwide, with 80,576 enrolled providers across 56 states and an average of 762 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 | 1497247571 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 06/04/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.3432
Final Score
Measured-score avg: 83.5
81.6474
Quality
89.1302
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Vrunda Vithalani, 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.
Baylor College OF Medicine
Houston, TX
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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Vrunda Vithalani, MD. To verify Vrunda Vithalani, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Vrunda Vithalani, MD - brand share 14.0%
Pediatrics Physician average
14% brand-name claims vs 86% generic, on 105 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.
105
Total Claims
$63K
Total Drug Cost
44
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 146
- Total Day Supply
- 3,964
- Brand vs Generic
- 14% brand / 86% generic
- Brand Drug Cost
- $60K
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 35.2 years
- Avg HCC Risk Score
- 1.34
- Gender Split
- 61% female / 39% male
Pediatrics Physician Overview
How Vrunda Vithalani, MD fits within the Pediatrics Physician landscape nationally.
80,576
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider
Vrunda Vithalani, MD's 105 claims are below the specialty average of 762.
Nearby Pediatrics Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Vithalani.
Dr. Ginnie Abarbanell
MD
San Antonio, TX
Dr. Mehreen Abbas
MD
Corpus Christi, TX
Dr. Rashida Abbas
M.D.
Cypress, TX
Dr. Umair Abbas
M.D.
Corpus Christi, TX
Dr. James Abbott
MD
Webster, TX
Compare Pediatrics 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatrics 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 Vrunda Vithalani, MD's specialty? ▼
Vrunda Vithalani, MD specializes in Pediatrics Physician and practices in Houston, Texas. Credentials: MD.
How much does Vrunda Vithalani, MD prescribe under Medicare Part D? ▼
In 2023, Vrunda Vithalani, MD wrote 105 Medicare Part D claims totaling $63K in drug costs for 44 beneficiaries.
What is Vrunda Vithalani, MD's Medicare quality score? ▼
Vrunda Vithalani, MD has a CMS MIPS Final Score of 91.3/100 (Quality: 81.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Vrunda Vithalani, MD located? ▼
Vrunda Vithalani, MD is located at 7200 CAMBRIDGE ST FL 8, Houston, TX, 77030. Phone: (713) 798-2500.
What is Vrunda Vithalani, MD's NPI number? ▼
Vrunda Vithalani, MD's National Provider Identifier (NPI) is 1497247571, issued on 06/04/2018.
Does Vrunda Vithalani, MD prescribe more brand-name or generic drugs? ▼
Vrunda Vithalani, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $60K in brand drug costs.
How many Pediatrics Physician providers are there in the US? ▼
There are 80,576 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
Does Vrunda Vithalani, MD accept Medicare? ▼
Vrunda Vithalani, MD appears in CMS Medicare data with 105 Part D claims and 44 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Vrunda Vithalani, MD's credentials? ▼
Vrunda Vithalani, MD's NPI is 1497247571 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
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.