What is Pratap Tummala's specialty?

Pratap Tummala (NPI 1730187816) is a Medicare-billing provider whose primary specialty is Rheumatology in Sherman, TX.

Where does Pratap Tummala practice?

Pratap Tummala practices in Sherman, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1730187816.

How much does Medicare pay Pratap Tummala?

Pratap Tummala (NPI 1730187816) received approximately $336K in total Medicare Part B payments, serving 833 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1730187816

Pratap TummalaMD

RheumatologySherman, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,774

Unique beneficiaries

—

Total services

29,787

Distinct HCPCS

Medicare payment

$290K

Peer benchmark

Total Medicare services vs. 382 Rheumatology providers in TX — above median (cohort median 13,742).

PRESCRIBING · PART D · 2024

Total Rx claims

5,257

Beneficiaries

—

Total drug cost

$2.2M

Distinct drugs

Brand share

17.5%

Top prescribed drugs

Leflunomide538 claims

Gabapentin531 claims

Methotrexate Sodium503 claims

Prednisone466 claims

Duloxetine Hcl437 claims

QUALITY · MIPS · 2024

Final MIPS score

75.0

Quality

0.0

Cost

73.1

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

0.00%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$148

Payment records

By payment type

Food and Beverage$148

Top paying entities

Food and Beverage$148

REFERRAL NETWORK

Where Pratap Tummala's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 49 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
GRAYSON COUNTY PHYSICIAN'S PROPERTY, LLC	90	241
SHERMAN GRAYSON HOSPITAL LLC	64	165
Laboratory Corporation Of America Clinical Laboratory · Dallas, TX	62	152
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	46	117
Thomas Mcgee Diagnostic Radiology · Denison, TX	37	78
Joe Niehus Diagnostic Radiology · Denison, TX	36	84
Srinivasa Reddy Interventional Cardiology · Denison, TX	32	119
Winston Marshall Interventional Cardiology · Denison, TX	30	109
Ian Fischer Diagnostic Radiology · Tulsa, OK	25	55
Andrew Bossen Ophthalmology · Sherman, TX	25	59
Deborah Fisher Physical Medicine and Rehabilitation · Sherman, TX	24	125
Clinton Long Ophthalmology · Sherman, TX	24	91

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events