Priya Prakash, M.D.
NPI 1225374085 · Rheumatology Physician · Clermont, FL
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priya Prakash, M.D. is a Rheumatology Physician provider in Clermont, FL (NPI 1225374085).
Provider details
- NPI number
- 1225374085
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 32647 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,348 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 951 | $124 |
| Administration of Non-Hormonal Anti-Neoplastic Chemotherapy Under Skin Or Into Muscle96401 | 910 | $66 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 476 | $118 |
| Administration of Chemotherapy Into Vein, Each Additional Hour96415 | 223 | $26 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 205 | $14 |
| Injection of Additional New Drug Or Substance Into Vein96375 | 186 | $14 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 44 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 569 | 177 |
| Gabapentin | 388 | 126 |
| Hydroxychloroquine Sulfate | 343 | 123 |
| Celecoxib | 342 | 118 |
| Prednisone | 250 | 97 |
| Leflunomide | 238 | 82 |
| Duloxetine Hcl | 188 | 72 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$5,717 across 246 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-12-26
- Last updated
- 2024-11-14
- Certified
- 2024-11-12
Frequently asked questions
- What is Priya Prakash's NPI number?
- Priya Prakash's National Provider Identifier (NPI) is 1225374085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priya Prakash's specialty?
- Priya Prakash is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Priya Prakash located?
- Priya Prakash's practice location on file with NPPES is 2611 S US Hwy 27, Clermont, FL 34711-6699.
- What is Priya Prakash's phone number?
- The practice phone number listed in the NPPES registry for Priya Prakash is (352) 717-0603.
- Does Priya Prakash accept Medicare?
- Priya Prakash is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priya Prakash's NPI active?
- Yes — Priya Prakash's NPI (1225374085) is active in the NPPES registry as of the last update on 2024-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.