Dr. Rayhan Prasantha Pitigala, MD

  • Rochester, NY
  • Hospitalist
NPI1134794068PAC ID9931597242
Medicare services, 2024
119
Medicare patients, 2024
46
Part D claims, 2024
151
MIPS score, 2024
97
Hospital affiliations
2
Practice address
1425 Portland Avenue, Rochester, NY 14621
Practice phone
Call (585) 922-4000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Rochester General Hospital

Hospital · Rochester, New York

See all 6 affiliations

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Dr. Rayhan Prasantha Pitigala is a hospitalist in Rochester, New York

Dr. Pitigala practices at Rochester General Hospital in Rochester, New York, part of Rochester Regional Health.

Dr. Pitigala's NPI, 1134794068, was assigned on May 24, 2021. Dr. Pitigala graduated from St. George's University School of Medicine in 2021. Dr. Pitigala holds New York license 331593.

NPI and contact details
Medicare PAC ID
9931597242
NPI enumeration date
May 24, 2021
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(585) 922-4000
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
31
Medical school graduation
2021

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Rayhan Prasantha Pitigala practices at Rochester General Hospital in Rochester, New York

Dr. Pitigala's primary practice is Rochester General Hospital, at 1425 Portland Avenue, Rochester, NY 14621 in Monroe County. The practice phone is (585) 922-4000.

Source: Dmand AI Affiliation Data

Dr. Rayhan Prasantha Pitigala is affiliated with 3 sites of care and 3 medical groups

Dr. Pitigala's primary practice is Rochester General Hospital in Rochester, New York, part of Rochester Regional Health. Dr. Pitigala is also affiliated with United Memorial Medical Center. The medical group on file is United Memorial Medical Center. Dmand AI also links Dr. Pitigala to 2 more medical groups and 1 hospice, each named with a free account.

See all 6 affiliations for Dr. Pitigala

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Rayhan Prasantha Pitigala's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Pitigala practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Rochester General HospitalAvailable with a free account
+2 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Rayhan Prasantha Pitigala is one of 1,796 hospitalists in New York

Hospitalist is Dr. Pitigala's primary specialty in the NPI Registry, under taxonomy code 208M00000X. Dr. Pitigala is licensed in New York.

Specialties and state licenses

  • Hospitalist, New YorkPrimaryLicense 331593 · taxonomy 208M00000X

Hospitalists near Dr. Pitigala

Counts of hospitalists 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. Rayhan Prasantha Pitigala billed Medicare for 119 services in 2024

CMS data shows 119 Medicare services from Dr. Pitigala across 3 procedure codes in 2024, for 46 Medicare patients. Medicare paid $8,419 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024119
Medicare patients46
Paid by Medicare$8,419
Procedure codes3

Dr. Pitigala compared with the New York median for hospitalists, 2024

  • Dr. Pitigala
  • New York median
Medicare services
119vs 38869% below
Medicare patients
46vs 16372% below

Medians across 1,696 hospitalists in New York with Dmand AI profiles that report each measure.

Dr. Pitigala'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.

See all procedures by Dr. Pitigala

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Rayhan Prasantha Pitigala treated 46 Medicare patients in 2024, average age 73

CMS counts 46 Medicare patients who saw Dr. Pitigala in 2024. The largest group is 65 to 74, with 14 patients. 75% of them have high blood pressure, and 74% have high cholesterol. 52% are also on Medicaid. Their average risk score is 3.58, 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. Pitigala's median patient age at 78, with 56% women.

Medicare patients, 202446
Average age73
Average risk score3.58
Also on Medicaid52%

Dr. Pitigala's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Pitigala's Medicare patients by sex, 2024

  • Women2759%
  • Men1941%

Chronic conditions among Dr. Pitigala's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol74%
  3. Mood disorders54%
  4. Depression52%
  5. Heart failure52%
  6. Arthritis46%
  7. Ischemic heart disease46%
  8. Anxiety43%

Share of Medicare patients with each condition. A patient can have several.

Dr. Pitigala's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 78

Patient panel by sex, all payers

  • Women56%
  • Men43%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Rayhan Prasantha Pitigala wrote 151 Medicare Part D claims in 2024

In 2024, Dr. Pitigala wrote 151 Medicare Part D claims for 50 patients. 85% of them were for generic drugs.

Part D claims, 2024151
Part D patients50

Dr. Pitigala's Part D claims by kind of drug, 2024

  • Generic128 claims85%
  • Brand-name and other23 claims15%

Drug classes CMS tracks in Dr. Pitigala's Part D claims, 2024

  • Antibiotics12%18 of 151 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Rayhan Prasantha Pitigala scored 97 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 97 out of 100 for Dr. Pitigala for performance year 2024, reported through an alternative payment model (APM). Dr. Pitigala accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Pitigala's MIPS scores, performance year 2024

  • 97of 100Final score
  • 74.5of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Rayhan Prasantha Pitigala graduated from St. George's University School of Medicine

Dr. Pitigala graduated from St. George's University School of Medicine in 2021.

  1. Medical schoolSt. George's University School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Rayhan Prasantha Pitigala's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Rayhan Prasantha Pitigala

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. Rayhan Prasantha Pitigala's NPI number?

Dr. Rayhan Prasantha Pitigala's NPI number is 1134794068. It was assigned on May 24, 2021, and it is active in the NPI Registry.

What kind of doctor is Dr. Rayhan Prasantha Pitigala?

Dr. Rayhan Prasantha Pitigala is a hospitalist in Rochester, New York. The primary specialty in the NPI Registry is Hospitalist Physician (taxonomy code 208M00000X).

Where does Dr. Rayhan Prasantha Pitigala practice?

Dr. Pitigala practices at 1425 Portland Avenue, Rochester, NY 14621. Dr. Pitigala's primary practice is Rochester General Hospital in Rochester, New York, part of Rochester Regional Health. Dmand AI also links Dr. Pitigala to 2 medical groups and 1 hospice.

What is Dr. Rayhan Prasantha Pitigala's office phone number?

The practice phone on file for Dr. Pitigala is (585) 922-4000.

What is Dr. Rayhan Prasantha Pitigala's medical license number?

Dr. Pitigala holds New York license 331593.

Which hospitals is Dr. Rayhan Prasantha Pitigala affiliated with?

Dr. Pitigala practices at Rochester General Hospital in Rochester, New York. Dr. Pitigala is also affiliated with United Memorial Medical Center.

What medical group is Dr. Rayhan Prasantha Pitigala part of?

Dr. Pitigala is linked to United Memorial Medical Center. Dmand AI links Dr. Pitigala to 2 more medical groups.

Does Dr. Rayhan Prasantha Pitigala accept Medicare?

Yes. CMS data shows Dr. Pitigala billed Medicare for 119 services in 2024, and Dr. Pitigala accepts Medicare assignment.

What is Dr. Rayhan Prasantha Pitigala's MIPS score?

Dr. Pitigala's MIPS final score for performance year 2024 is 97 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Dr. Rayhan Prasantha Pitigala see?

CMS counts 46 Medicare patients who saw Dr. Pitigala in 2024, with an average age of 73.

Show 3 more questionsShow fewer questions

What services does Dr. Rayhan Prasantha Pitigala bill to Medicare?

In 2024, Dr. Pitigala's most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99233) and hospital inpatient care (99239).

Where did Dr. Rayhan Prasantha Pitigala go to medical school?

Dr. Pitigala graduated from St. George's University School of Medicine in 2021.

How long has Dr. Rayhan Prasantha Pitigala been practicing?

Dr. Pitigala graduated from medical school in 2021, 5 years ago.

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