Dr. Prithviraj Dharmaraja, MD
- Medicare services, 2024
- 1,071
- Medicare patients, 2024
- 370
- Part D claims, 2024
- 1,117
- MIPS score, 2024
- 75
- Hospital affiliations
- 1
- Practice address
- 43944 15th St W, Lancaster, CA 93534
- Practice phone
- Call (661) 579-4700
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Apollo Surgery Center - Lancaster
Surgery Center - Medicare-Certified · Lancaster, California
Find Dr. Dharmaraja's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Prithviraj Dharmaraja is a gastroenterologist in Lancaster, California
Dr. Dharmaraja practices at Apollo Surgery Center - Lancaster in Lancaster, California.
Dr. Dharmaraja's NPI, 1932111424, was assigned on August 12, 2006. Dr. Dharmaraja graduated from University of Colombo Faculty of Medicine in 1980. Dr. Dharmaraja holds California license A43516.
- NPI
- 1932111424NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0749208312
- NPI enumeration date
- August 12, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (661) 579-4700
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 72
- Medical school graduation
- 1980
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Prithviraj Dharmaraja practices at Apollo Surgery Center - Lancaster in Lancaster, California
Dr. Dharmaraja's primary practice is Apollo Surgery Center - Lancaster, at 43944 15th St W, Lancaster, CA 93534. The practice phone is (661) 579-4700.
- Apollo Surgery Center - Lancaster43944 15th St W, Lancaster, CA 93534Phone(661) 579-4700
Source: Dmand AI Affiliation Data
Dr. Prithviraj Dharmaraja is affiliated with 5 sites of care and 3 medical groups
Dr. Dharmaraja's primary practice is Apollo Surgery Center - Lancaster in Lancaster, California. Dr. Dharmaraja is also affiliated with Ridgecrest Regional Hospital. The medical group on file is Gastro Care Institute. Dmand AI also links Dr. Dharmaraja to 3 more group practices and clinics and 2 medical groups, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Prithviraj Dharmaraja's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Dharmaraja practices, 5 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Apollo Surgery Center - Lancaster | Available with a free account |
| +4 more sites and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Prithviraj Dharmaraja is one of 1,977 gastroenterologists in California
Gastroenterology is Dr. Dharmaraja's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Dr. Dharmaraja is board certified in gastroenterology by the American Board of Internal Medicine. Dmand AI has Dr. Dharmaraja's licenses on file in 2 states: California and Tennessee.
Specialties and state licenses
- Gastroenterology, CaliforniaPrimary
- Tennessee license
Clinical focus
Dmand AI lists acid reflux, acute gastroduodenitis, chronic indigestion, chronic inflammatory bowel disease (IBD), colonoscopy, gastroduodenitis, gastroenteritis and gastrointestinal bleeding among the conditions Dr. Dharmaraja treats.
Gastroenterologists near Dr. Dharmaraja
Counts of gastroenterologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Prithviraj Dharmaraja billed Medicare for 1,071 services in 2024
CMS data shows 1,071 Medicare services from Dr. Dharmaraja across 11 procedure codes in 2024, for 370 Medicare patients. Medicare paid $109,119 for them.
Dr. Dharmaraja's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 5442024: 62916%
- Surgery
- 2023: 2722024: 39545%
- Other services
- 2023: 472024: 47No change
Where Dr. Dharmaraja's Medicare services took place, 2024
- In an office62959%
- In a facility44241%
Dr. Dharmaraja compared with the California median for gastroenterologists, 2024
- Dr. Dharmaraja
- California median
- Medicare services
- 1,071vs 58683% above
- Medicare patients
- 370vs 30223% above
- Part D claims
- 1,045vs 3802.8 times
Medians across 1,875 gastroenterologists in California with Dmand AI profiles that report each measure.
Dr. Dharmaraja's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Prithviraj Dharmaraja treated 370 Medicare patients in 2024, average age 70
CMS counts 370 Medicare patients who saw Dr. Dharmaraja in 2024. The largest group is 65 to 74, with 184 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 35% are also on Medicaid. Their average risk score is 1.30, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Dharmaraja's median patient age at 61, with 50% women.
Dr. Dharmaraja's Medicare patients by age, 2024
Dr. Dharmaraja's Medicare patients by sex, 2024
- Women20355%
- Men16745%
Chronic conditions among Dr. Dharmaraja's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis50%
- Diabetes43%
- Ischemic heart disease26%
- COPD23%
- Anxiety21%
- Heart failure21%
Share of Medicare patients with each condition. A patient can have several.
Dr. Dharmaraja's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 61
Patient panel by sex, all payers
- Women50%
- Men50%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Prithviraj Dharmaraja wrote 1,117 Medicare Part D claims in 2024
In 2024, Dr. Dharmaraja wrote 1,117 Medicare Part D claims for 635 patients. 82% of them were for generic drugs. CMS names the drug for 1,045 of them, across 14 drugs with 11 or more claims each, at $69,716 in total drug cost. In 2023, CMS named 772 claims across 12 drugs.
Dr. Dharmaraja's Part D claims by kind of drug, 2024
- Generic915 claims82%
- Brand-name202 claims18%
Dr. Dharmaraja's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Dharmaraja's Part D claims, 2024
- Antibiotics5%55 of 1,117 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 7722024: 1,04535%
Drugs named by CMS: 14 in 2024, 12 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Prithviraj Dharmaraja scored 75 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 75 out of 100 for Dr. Dharmaraja for performance year 2024, reported as part of a group. Dr. Dharmaraja accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Dharmaraja as offering telehealth. CMS counts 162 procedures of upper gastrointestinal (gi) endoscopy for acid reflux by Dr. Dharmaraja, more than 86% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- MIPS final score, 2024
- 75 of 100
Where Dr. Dharmaraja ranks in Medicare procedure volume
- Upper gastrointestinal (GI) endoscopy for acid reflux
- 86th percentile162 procedures
- Colonoscopy
- 85th percentile126 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Prithviraj Dharmaraja received $11,274 in industry payments from 2016 to 2025
CMS Open Payments shows 467 general payments to Dr. Dharmaraja from 39 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 99% of the total. Abbvie Inc. paid the most, $3,305.
General payments to Dr. Dharmaraja by program year, 2016 to 2025
General payments to Dr. Dharmaraja by kind, 2016 to 2025
- Food and beverage$11,17699%
- Gifts$891%
- Education$90%
Companies that paid Dr. Dharmaraja the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Prithviraj Dharmaraja graduated from University of Colombo Faculty of Medicine
Dr. Dharmaraja graduated from University of Colombo Faculty of Medicine in 1980. Dr. Dharmaraja is a member of ACG.
- Medical school
- Board certified in gastroenterology
- Board certified in internal medicine
Source: Dmand AI Professional Profile Data
Dr. Prithviraj Dharmaraja accepts plans from 9 insurance carriers
Dr. Dharmaraja is in network with 9 carriers, including Aetna, Blue Cross Blue Shield of Michigan and LA Care. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- LA Care
- Blue Cross Blue Shield of Massachusetts
- HCSC
- Molina
- Regence Health Plans
- CMS Medicare
- +1 more carriersWith a free account
Plan types Dr. Dharmaraja accepts, by number of carriers
- Medicare8
- HMO5
- PPO5
- POS2
- EPO1
- Medicaid1
Source: Dmand AI Insurance Network Data
Sources for Dr. Prithviraj Dharmaraja's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Prithviraj Dharmaraja
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Prithviraj Dharmaraja's NPI number?
Dr. Prithviraj Dharmaraja's NPI number is 1932111424. It was assigned on August 12, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Prithviraj Dharmaraja?
Dr. Prithviraj Dharmaraja is a gastroenterologist in Lancaster, California. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).
Where does Dr. Prithviraj Dharmaraja practice?
Dr. Dharmaraja practices at 43944 15th St W, Lancaster, CA 93534. Dr. Dharmaraja's primary practice is Apollo Surgery Center - Lancaster in Lancaster, California. Dmand AI also links Dr. Dharmaraja to 3 group practices and clinics and 2 medical groups.
What is Dr. Prithviraj Dharmaraja's office phone number?
The practice phone on file for Dr. Dharmaraja is (661) 579-4700.
What is Dr. Prithviraj Dharmaraja's medical license number?
Dr. Dharmaraja holds California license A43516, one of the licenses on file in 2 states.
Which states has Dr. Prithviraj Dharmaraja been licensed in?
Dmand AI has state licenses on file for Dr. Dharmaraja in California (1987 to 2026) and Tennessee (1985 to 1995).
Which hospitals is Dr. Prithviraj Dharmaraja affiliated with?
Dr. Dharmaraja is affiliated with Ridgecrest Regional Hospital.
What medical group is Dr. Prithviraj Dharmaraja part of?
Dr. Dharmaraja is linked to Gastro Care Institute. Dmand AI links Dr. Dharmaraja to 2 more medical groups.
Does Dr. Prithviraj Dharmaraja accept Medicare?
Yes. CMS data shows Dr. Dharmaraja billed Medicare for 1,071 services in 2024, and Dr. Dharmaraja accepts Medicare assignment.
Does Dr. Prithviraj Dharmaraja offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Dharmaraja as offering telehealth services.
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What is Dr. Prithviraj Dharmaraja's MIPS score?
Dr. Dharmaraja's MIPS final score for performance year 2024 is 75 out of 100, reported as part of a group.
How many Medicare patients does Dr. Prithviraj Dharmaraja see?
CMS counts 370 Medicare patients who saw Dr. Dharmaraja in 2024, with an average age of 70.
Is Dr. Prithviraj Dharmaraja board certified?
Yes. Dr. Dharmaraja is board certified in gastroenterology by the American Board of Internal Medicine.
What services does Dr. Prithviraj Dharmaraja bill to Medicare?
In 2024, Dr. Dharmaraja's most billed Medicare services were office visit, established patient (99214), surgery: digestive system (43239) and office visit, new patient (99204).
Where did Dr. Prithviraj Dharmaraja go to medical school?
Dr. Dharmaraja graduated from University of Colombo Faculty of Medicine in 1980.
What drugs does Dr. Prithviraj Dharmaraja prescribe most?
In 2024 Medicare Part D data, Dr. Dharmaraja's most prescribed drugs by claims were Gavilyte-G, Omeprazole and Peg-3350 And Electrolytes.
Has Dr. Prithviraj Dharmaraja received payments from drug or device companies?
CMS Open Payments shows $11,274 in general payments to Dr. Dharmaraja from 39 companies from 2016 to 2025. The largest total came from Abbvie Inc.
How long has Dr. Prithviraj Dharmaraja been practicing?
Dr. Dharmaraja graduated from medical school in 1980, 46 years ago.
What insurance does Dr. Prithviraj Dharmaraja accept?
Dr. Dharmaraja is in network with 9 carriers, including Aetna, Blue Cross Blue Shield of Michigan and LA Care. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.
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