IndividualActiveAccepts Medicare

Neil Pothraj, MD

NPI 1578095535 · Emergency Medicine Physician · Clinton, MD

Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1578095535
Entity type: Individual
Primary specialty: Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: Yes
License: MD047599 (DC)

Specialties & taxonomies

Emergency Medicine PhysicianPrimary207P00000XLicense D0087984 (MD)
Allopathic & Osteopathic Physicians
Emergency Medicine Physician207P00000XLicense MD047599 (DC)
Allopathic & Osteopathic Physicians

Profile Score

Established profile(74/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
9 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
3 documented practice locations
Medicare service volume (vs. specialty peers)28% of score
464 Medicare services, 2024 (ranked within specialty)

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 methodology.

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)
Emergency Department Visit With High Level of Medical Decision Making99285	217	$191
Electrocardiogram (ecg) 1 to 3 Leads With Review By Physician Only93042	100	$7
Critical Care, First 30-74 Minutes99291	79	$232
Emergency Department Visit With Moderate Level of Medical Decision Making99284	68	$132

Typical Medicare-allowed amounts for these services range $7–$232 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Famotidine	19	19
Ondansetronbrand: Ondansetron Odt	13	13
Oxycodone Hcl	12	11
Prednisone	12	12
Ibuprofen	12	12

Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.

Practice location

7503 Surratts Rd

Clinton, MD 20735-3358

Phone: (301) 868-8000

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Mailing address