Dr. Pradeep R. Rai, MD
- Medicare services, 2024
- 1,139
- Medicare patients, 2024
- 376
- Part D claims, 2024
- 614
- MIPS score, 2024
- 91
- Hospital affiliations
- 1
- Practice address
- 8181 E Tufts Ave, Denver, CO 80237
- Practice phone
- Call (866) 782-8393
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Pro Health One Inc
Denver, Colorado
Find Dr. Rai'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. Pradeep R. Rai is a general surgeon in Denver, Colorado
Dr. Rai practices at Pro Health One Inc in Denver, Colorado.
Dr. Rai's NPI, 1184863631, was assigned on February 6, 2009. Dr. Rai holds Georgia license 003499.
- NPI
- 1184863631NPI Registry (opens in a new tab)
- Medicare PAC ID
- 1850510124
- NPI enumeration date
- February 6, 2009
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (866) 782-8393
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 52
- Medical school graduation
- 2000
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Pradeep R. Rai practices at Pro Health One Inc in Denver, Colorado
Dr. Rai's primary practice is Pro Health One Inc, at 8181 E Tufts Ave, Denver, CO 80237 in Denver County. The practice phone is (866) 782-8393.
- Pro Health One Inc8181 E Tufts Ave, Denver, CO 80237 · Denver CountyPhone(866) 782-8393
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Pradeep R. Rai is affiliated with 6 sites of care and 2 medical groups
Dr. Rai's primary practice is Pro Health One Inc in Denver, Colorado. Dr. Rai is also affiliated with PAM Health Specialty Hospital of Denver. The medical group on file is ProHealth One. Dmand AI also links Dr. Rai to 2 more group practices and clinics, 1 hospice, 1 skilled nursing facility and 1 medical group, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Pradeep R. Rai's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Rai practices, 5 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Pro Health One Inc | Available with a free account |
| +5 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Pradeep R. Rai is one of 504 general surgeons in Colorado
Surgery is Dr. Rai's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dmand AI has Dr. Rai's licenses on file in 2 states: Georgia and Colorado.
Specialties and state licenses
- Surgery, GeorgiaPrimary
- Addiction medicine (internal medicine), Colorado
General surgeons near Dr. Rai
Counts of general surgeons 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. Pradeep R. Rai billed Medicare for 1,139 services in 2024
CMS data shows 1,139 Medicare services from Dr. Rai across 14 procedure codes in 2024, for 376 Medicare patients. Medicare paid $72,119 for them.
Dr. Rai's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 5812024: 5861%
- Surgery
- 2023: 4412024: 4492%
- Other services
- 2023: 442024: 5320%
- Tests and treatments
- 2023: 412024: 5124%
Where Dr. Rai's Medicare services took place, 2024
- In an office68160%
- In a facility45840%
Dr. Rai compared with the Colorado median for general surgeons, 2024
- Dr. Rai
- Colorado median
- Medicare services
- 1,139vs 10910.4 times
- Medicare patients
- 376vs 1043.6 times
- Part D claims
- 361vs 3111.6 times
Medians across 491 general surgeons in Colorado with Dmand AI profiles that report each measure.
Dr. Rai'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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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Rai and other general surgeons in Colorado.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Pradeep R. Rai treated 376 Medicare patients in 2024, average age 78
CMS counts 376 Medicare patients who saw Dr. Rai in 2024. The largest group is 75 to 84, with 123 patients. 75% of them have high blood pressure, and 57% have high cholesterol. 55% are also on Medicaid. Their average risk score is 2.86, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Rai's median patient age at 72, with 50% women.
Dr. Rai's Medicare patients by age, 2024
Dr. Rai's Medicare patients by sex, 2024
- Women20153%
- Men17547%
Chronic conditions among Dr. Rai's Medicare patients, 2024
- High blood pressure75%
- High cholesterol57%
- Arthritis55%
- Alzheimer's and dementia53%
- Mood disorders53%
- Depression51%
- Chronic kidney disease48%
- Diabetes43%
Share of Medicare patients with each condition. A patient can have several.
Dr. Rai's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 72
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. Pradeep R. Rai wrote 614 Medicare Part D claims in 2024
In 2024, Dr. Rai wrote 614 Medicare Part D claims for 72 patients. 64% of them were for generic drugs. CMS names the drug for 361 of them, across 15 drugs with 11 or more claims each, at $37,493 in total drug cost. In 2023, CMS named 445 claims across 20 drugs.
Dr. Rai's Part D claims by kind of drug, 2024
- Generic391 claims64%
- Brand-name209 claims34%
- Other14 claims2%
Dr. Rai'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. Rai's Part D claims, 2024
- Antibiotics2%15 of 614 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: 4452024: 36119%
Drugs named by CMS: 15 in 2024, 20 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. Pradeep R. Rai scored 91 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 91 out of 100 for Dr. Rai for performance year 2024, reported individually. Dr. Rai accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Rai as offering telehealth. CMS counts 224 procedures of removal of tissue by Dr. Rai, more than 92% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Rai's MIPS scores, performance year 2024
- 91of 100Final score
- 67.5of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 69of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Rai ranks in Medicare procedure volume
- Removal of nail tissue
- 90th percentile896 procedures
- Removal of tissue
- 92nd percentile224 procedures
- Removal or shaving of skin growth
- 76th percentile34 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)
Skin biopsy: 1 to 10 procedures (CMS shows small counts as a range)
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. Pradeep R. Rai received $17,685 in industry payments from 2016 to 2025
CMS Open Payments shows 63 general payments to Dr. Rai from 9 drug and device companies from 2016 to 2025. Speaker and faculty fees make up the largest share, 60% of the total. Indivior Inc. paid the most, $16,525.
General payments to Dr. Rai by program year, 2016 to 2025
General payments to Dr. Rai by kind, 2016 to 2025
- Speaker and faculty fees$10,60060%
- Travel and lodging$2,88116%
- Food and beverage$2,19212%
- Consulting fees$1,6209%
- Device or supply loans$3922%
Companies that paid Dr. Rai the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Dr. Pradeep R. Rai's profile data
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Pradeep R. Rai
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. Pradeep R. Rai's NPI number?
Dr. Pradeep R. Rai's NPI number is 1184863631. It was assigned on February 6, 2009, and it is active in the NPI Registry.
What kind of doctor is Dr. Pradeep R. Rai?
Dr. Pradeep R. Rai is a general surgeon in Denver, Colorado. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).
Where does Dr. Pradeep R. Rai practice?
Dr. Rai practices at 8181 E Tufts Ave, Denver, CO 80237. Dr. Rai's primary practice is Pro Health One Inc in Denver, Colorado. Dmand AI also links Dr. Rai to 2 group practices and clinics, 1 hospice, 1 skilled nursing facility and 1 medical group.
What is Dr. Pradeep R. Rai's office phone number?
The practice phone on file for Dr. Rai is (866) 782-8393.
What is Dr. Pradeep R. Rai's medical license number?
Dr. Rai holds Georgia license 003499, one of the licenses on file in 2 states.
Which states has Dr. Pradeep R. Rai been licensed in?
Dmand AI has state licenses on file for Dr. Rai in Georgia and Colorado.
Which hospitals is Dr. Pradeep R. Rai affiliated with?
Dr. Rai is affiliated with PAM Health Specialty Hospital of Denver.
What medical group is Dr. Pradeep R. Rai part of?
Dr. Rai is linked to ProHealth One. Dmand AI links Dr. Rai to 1 more medical group.
Does Dr. Pradeep R. Rai accept Medicare?
Yes. CMS data shows Dr. Rai billed Medicare for 1,139 services in 2024, and Dr. Rai accepts Medicare assignment.
Does Dr. Pradeep R. Rai offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Rai as offering telehealth services.
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What is Dr. Pradeep R. Rai's MIPS score?
Dr. Rai's MIPS final score for performance year 2024 is 91 out of 100, reported individually.
How many Medicare patients does Dr. Pradeep R. Rai see?
CMS counts 376 Medicare patients who saw Dr. Rai in 2024, with an average age of 78.
What services does Dr. Pradeep R. Rai bill to Medicare?
In 2024, Dr. Rai's most billed Medicare services were nursing facility care (99309), surgery: skin and soft tissue (11721) and nursing facility care (99305).
What drugs does Dr. Pradeep R. Rai prescribe most?
In 2024 Medicare Part D data, Dr. Rai's most prescribed drugs by claims were Eliquis, Furosemide and Metoprolol Succinate.
Has Dr. Pradeep R. Rai received payments from drug or device companies?
CMS Open Payments shows $17,685 in general payments to Dr. Rai from 9 companies from 2016 to 2025. The largest total came from Indivior Inc.
How long has Dr. Pradeep R. Rai been practicing?
Dr. Rai graduated from medical school in 2000, 26 years ago.
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